What is erectile dysfunction (male erecticle dysfunction, ED)?

Impotence, or erectile dysfunction (male erecticle dysfunction, ED), can consequence from the whole inability to reach erection, an unconformable power to reach an erection, or the ability to only get a short erection.

Reported to the National Institutes of Health (NIH) - 15 million to 30 million mens are affected by ED.

Although in the past it was commonly believed to flow from psychological troubles,such as anxiety – particularly nervousness about having sex, it's today known that 80 to 90 percent of impotence is caused by somatic problems, typically associated the blood provide to the penis.

What is the risk factors for erectile dysfunction?

According to the American Urological Association, as men eld, the level of circulating testosterone decreases, which may interpose with normal erecting. When a low testosterone level itself are rarely the cause of ED (5% or less), low testosterone level can be an extra contributing factor in many men who have other risk factors for erectile dysfunction. Other risk factors for ED include different medical problems such as hypertension (high blood pressure), diabetes, vascular disease, and high levels of cholesterin. Smoking, drug and alcohol ill-use are also risk factors for male erecticle dysfunction.

What are the causes of erectile dysfunction?

According to the National Institutes of Health (NIH), erectile dysfunction is also a symptom in many disorders and diseases.

Causes of ED :

Premature ejaculation is the inability to hold an erection long enough for mutual satisfaction. Premature ejaculation is divided into primary and secondary forms. Primary premature ejaculation is a learned behavior that begins when a male first become sexually active. Secondary premature ejaculation occurs when, after a long time of normal ejaculation, the duration of intercourse grows progressively shorter. Secondary premature ejaculation flows from somatic causes, usually regarding the penile arterial blood vessel.

performance anxiety (form of psychological impotency, typically caused by stress or anxiety).

Depression is another cause of psychological impotency. Some antidepressant drugs cause erectile failure.

Organic impotence affects the penile arterial blood vessel and is the most commons causes of impotence, especially in aged men. When the problem is arterial, it is usually caused by arterial sclerosis, although psychic trauma to the arteries may be the induce. The manageable risk factors for arterial sclerosis - being overweight, lack of exercise, high cholesterin, high blood pressure, and smoking - can cause erectile failure oft before reaching affect the heart. A lot experts think that when venous blood vessel are the cause, a venous leak or "cavernosal failure" is the primary vascular problem.

Venous leak may be caused when the venous blood vessel in the penis can't keep blood from leaving the penis on erection. This mayhap inherent or effect of damage to the venous blood vessel of the penis.
diabetes

Diabetes is most common causes Impotence for adult male. There are 8.7 million adult men in the US with diabetes, and it's approximated that 35 percent to 50 percent are affected by erectile dysfunction. The process affects early and unusually severe arterial sclerosis. Peripheral neuropathy, with involvement of the nerves controlling erections, is typically caught in mens with diabetes.

Neurological causes of impotence (nerve problems).

Hormonal abnormal condition such increased lactogenic hormone (a endocrine produced by the anterior pituitary), steroid hormone abuse by body-builders, a bit much or deficient thyroid hormone, and hormones administered for prostatic adenocarcinoma may cause impotence. Rarely is low testosterone responsible impotence.

Peyronie's disease is a rare inflammatory condition that cases scarring of erectile tissue that may result incurvation of the penis. This condition can impair sexual function.

Diabetes, chronic alcohol addiction, disseminated sclerosis, heavy metal intoxication, medulla spinalis, nerve injuries and nerve damage from pelvic operations can cause erectile dysfunction.

Some of the treatments available for ED include the following:

medical treatments :
sildenafil citrate (Viagra®)
vardenafil (Levitra®)
tadalafil (Cialis®)

Hormone-replacement therapy (HRT) :
Testosterone replacing therapy may improve vitality, modality, and bone density, growth muscle mass and weight, and enhance sexual concern for aged men who may have lacking of testosterone. Testosterone supplement is not recommended for men who have normal testosterone levels for their age bracket referable the risk of prostate enlargement and additional side effects.

penile implants :
hydraulic pump
Prosthetic device
Engagement soft plastic blocks - this is aimed inside the erecting chambers of the penis and can be expanded or deflated using a cable that passes across them.