Physical Causes of Erectile Dysfunction

Physical causes of erectile dysfunction: impotence affects a large number of men of all races. Some causes of this condition are related to psychological factors and lifestyle choices, but the most cases are related to the physical nature of each individual. It is very difficult for men who suffer from this condition to recognize this and seek treatment. In fact, of the 150 million men affected, only 10% are treated for this problem.

Physical causes of ED include:

•    Cardiovascular disease can lead to the strengthening or damage of the artery that supplies blood to the penis. Therefore the amount of blood reaching the penis is not enough to achieve an erection. So impotence occurs when the nerves that control blood flow are affected. High cholesterol levels, alcohol consumption, smoking and diabetes can lead to hardening of the arteries. Heart diseases represent approximately 70% of cases of impotence.
•    Diabetes affects nerves and blood flow to the penis. One of four men who suffer from ED has diabetes. If a man can keep under control his diet and blood sugar levels, impotence may improve, but also may occur permanent damage to the nerves.
•    Nervous system diseases such as Parkinson disease, multiple sclerosis or spinal cord diseases can lead to impotence. Similarly, nerve damage after surgery, radiotherapy or trauma cause difficulty or termination of erectile capacity.
•    Hormonal imbalance. Imbalance in testosterone levels may occur rarely, but some problems like renal or liver insufficiency can lead to hormonal imbalances and therefore to impotence.
•    Also, many drugs may cause impotence as side effect. These drugs are: diuretics, blood pressure treatments, antihistamines, psychiatric disorders medication (neuroleptics, antidepressants, and anxiolytics) and cimetidine (an ulcer drug). You should never stop taking a drug considered to be the cause of erectile dysfunction without first talking to your doctor.
•    Surgery to urinary bladder (cystectomy) and rectum (perineal resection) or vascular surgery to the abdomen can cause erectile dysfunction, not only due to local effects, but also because of the severity of the disease.
•    Men with injury of the urethra suffer from erectile dysfunction due to vascular-nervous system damage. Spinal cord injuries are common in traffic accidents. Depending on the spinal cord area affected, erection and ejaculation are more or less modified. If the lesion is not complete erectile capacity is more likely to preserve. Micro traumatisms at the level of perineum, such as chronic compression syndrome observed in professional cyclists, affect the nerves and therefore lead to erectile dysfunction.
•    Smoking, alcohol and drug abuse (marijuana, cocaine, cannabis). Most men with erectile dysfunction were or are smokers. Smoking increases blood pressure and promotes atherosclerosis and increases the risk of venous drainage (the inability of penis veins to retain blood). Alcohol is responsible for reducing the amount of testosterone that plays an important role in the physiology of sexual desire and erection.

How to treat impotence with vascular surgery

Impotence is by far one of the most common male sexual problems in the world, and since it has become very famous lately we are going to analyze many existing methods to treat impotence in the best way. First, we are going to start mentioning which methods are currently used to treat impotence all around the world to attack the Erectile dysfunction causes, and then we are going to emphasize in the vascular surgery, also called “impotence surgery”. There are many non-surgical impotence treatments, but in some cases, penile prostheses or reconstructive surgery may be options to treat impotence as well.

Here you have a list of the most commonly used impotence treatments that you can find at the hospital or simply by talking with your doctor about this topic:

1-Psychosexual Therapy: in this male impotence treatment, an experienced counselor can provide therapy to treat impotence by handling your relationships difficulties, performance anxiety or any other psychological problems that might be related to impotence.

2-Vacuum Pumps: these are plastic cylinders placed over the penis to increase blood pressure on it to cause an erection.

3-Medication to treat impotence: this is the number one method used all over the globe as a male impotence treatment, basically because it is the most affordable one and also the most effective, including less side effects on the body as well as it provides comfort by not having to put anything over the penis or inside.

Now, as I said before, we are going to focus on the vascular reconstructive surgery to treat impotence today in this article. This surgery is executed to improve the blood supply of the penis in an effort to improve a man’s ability to obtain and preserve a successful normal erection to have a normal sexual intercourse with his partner. This procedure is technically difficult, expensive and not always effective, so it is not as common as the others, it is actually very rarely performed. Vascular reconstructive surgery of the penis generally engages avoiding blocked arteries by transferring an artery from an abdominal muscle to a penile artery in order to create a trail to the penis that bypasses the blocked area that is inhibiting a normal blood flow to the penis.

As a matter of fact, only a small percentage of men may be candidates for this surgery, particularly young men who suffered from ED as a result of trauma to the penis and adjacent areas, so if you fall into this category, you have to talk to your doctor to see if vascular reconstructive surgery is a suitable way to treat impotence in your situation. Sadly, the long-term results from this type of surgery have been unsatisfactory with even the best of results showing only 1 out of 20 men obtaining improved erections. On the other hand, in younger men who suffered impotence due to a damaged blood vessel caused by any pelvic or genital injury, the success rate for this treatment is privileged, meaning 50%-75%. For more information about male impotence treatments like vascular surgery and other ways to treat impotence please contact your private doctor or urologist.

Erectile Dysfunction (ED) Physical or Psychological?

Erectile dysfunction can occur at any age. In young, the cause is probably psychological, while in older men, is rather an organic cause. Studies have shown a prevalence of 40% in men aged 40 years, and 70% in those over 70 years.

Causes of erectile dysfunction can be physical or psychological.

Erectile Dysfunction (ED) Causes

In case of physical causes, the erectile dysfunction erectile often starts gradually and problems tend to occur in all sexual activities. If erectile dysfunction starts suddenly and men have erections in some circumstances but not in others suggests a psychological cause.

Symptoms of erection problems include not being able to:
•    To have an erection at any time, whether through masturbation or with a partner.
•    Maintain an erection firm enough to have a sexual intercourse.
•    To maintain an erection long enough to complete the sexual act.

Even with an erection problem, a man can still have sexual desire and may be able to have an orgasm and ejaculation.

The physical causes include:
•    Poor blood flow to the penis.
•    Hormonal abnormalities.
•    The excessive drainage of blood from the penis.
•    Damage or disease that affects the nerves of the penis.
•    Diabetes.
•    Abuse of drugs or alcohol.
•    Excessive smoking.
•    High levels of cholesterol.
•    Neurological diseases.
•    Diseases that affect the erectile tissue of the penis.
•    Serious chronic diseases – kidney or liver problems.
•    Side effects of prescribed medication.
•    Surgery -prostate cancer, interventions of the rectum, and lumbar spine.
•     Radiation therapy in prostate cancer.

The psychological cause may include:
1.    Conjugal conflict and dissatisfaction –also linked with premature ejaculation.
2.    Stress and anxiety at work or at home.
3.    Depression.
4.    Unresolved sexual orientation
5.    Sexual boredom.
6.    Unresolved issues with former relationship.
7.    Difficulties in having sexual intercourse with his partner after the birth of first child.
8.    The loss or death the partner.
9.    Fatigue.
10.    Unrealistic expectations.
11.    Low self-esteem.

To find out if your problem is psychological or not, it is recommended The Rigiscan. It is an instrument that measures the penile rigidity during sleep. If there is an erection during sleep, the causes are psychological and not organic. Before starting treatment you should take into account all factors that cause ED. Urologist must discern whether it is a psychogenic dysfunction (stress, education, inhibitions of religion, the environment in which sex takes place) or somatic. Most times it is necessary to consult a psychologist along with a visit to urologist.

Erectile Dysfunction Causes in Young Men

Erectile dysfunction means that a man is unable to achieve and maintain an erection, making the sexual act impossible. Among the causes of this affection are included stress, some medication, high cholesterol levels and even emotional disturbances. According to the recent studies between 18 and 30 million men face this problem.

ED is most common in the elderly, but also the young men can be affected. Recent statistics show that 7-8% of men aged between 20 and 40 experience erectile dysfunction, but too few admit their problem and come to see the physician.

An erection occurs when blood fills the cavernous bodies of two penis (corpora cavernosa), which will expand and strengthen it. This process is conducted by impulses transmitted by the brain and genital nerves. Any blockage of these impulses or blood flow to the penis causes erectile dysfunction.

Young men have psychogenic erection; these are caused by something that makes the brain to release hormones that lead to erection, often in situations where such a thing is embarrassing. These erections may be caused by a series of stimuli: visual factors such as the attractive young woman wearing a short skirt, an olfactory factor, such as a breath of scent that reminds them of somebody.

In general the main cause of ED in young men is psychological. These factors include stress, anxiety, guilt, depression, physical and sexual abuse from the past, low self-esteem, insufficient recovery after the excesses of any kind, and fear of sexual failure. A first sexual failure leads to the next, only because of the fear. This situation can improve knowing that in any man’s sexual life there are sporadic failures.

Erectile Dysfunction Causes in Young Men Mental

Those who tend to exaggerate in terms of affection are more exposed to develop psychological dysfunction because mental mechanisms can create all kinds of inhibitions.

The male sexual dysfunction is also connected with the partner of life and their sexual experience. ED can occur only with a certain partner, otherwise “things” are normal.

Last but not least factor that leads to ED in young adults is an unhealthy lifestyle. Activities like smoking, alcohol abuse, and drug use destroy, in time, blood vessels and reduce blood flow to the penis. Obesity and lack of exercise also contributes to the installation of ED.

A person suffering from ED should consult a specialist from the gynecology ward. The doctor can help their patients not to dramatize the situation and offer a treatment that can remove or reduce the impotence.

Depression and erectile dysfunction

Erectile dysfunction or ED is a term used for male impotence. It was defined as the inability to have or maintain firm erection during a sexual intercourse. Depression is a complex problem and it can be defined as feeling unhappy, miserable and sad. Depressive disorder can cause erectile dysfunction.

Also the depression can be the result of ED. It is important for the doctor to know the underlying cause because the treatment depends on that.

It is very important to make a distinction between the loss of libido and inability to have erection. It is normal for a man who is stressed or has been betrayed to have a low libido or no libido at all. Usually depression is associated with disappointment. Losing economic and professional status can also lead to loss of confidence in their sexual abilities. Although temporary impotence is widespread most men refuse to believe this and feel embarrassed about it and do not share their problem with their partner. And what is worse they panic. This attitude deepens his depression causing problems in his relationship.

Counseling is often useful if it can be accepted. It would be much easier for men to compare temporary impotence to a common cold- is unpleasant and irritating, but not scary and is easily preventable, but you have to know how.

Every case of erectile dysfunction implies a huge fear of permanent impotence. This fear is the main factor in majority of cases of so called impotence. He is constantly concerned about not only obtaining but also for maintaining an erection satisfactory for penetration. These worries are in fact the problem leading them to decrease in erection.

Erectile dysfunction and loss of self confidence are so closely connected to each other. Any change seen as negative by a man who has low self-esteem can lead to loss of confidence in his sexual ability. Loss of hair, weight gain, certain disabilities or process of aging can sometimes undermine confidence in their own sexuality. If his partner is not very caring, and he does not have a good opinion about himself is even more unlikely that he would be willing to have sex or to maintain an erection in the company of partner. These only aggravate the feeling of failure.

If one of the partners suffers strong physical changes, this may also lead to reduction of sexual attraction and even aversion (weight gain).

There are many different situations and combinations of events that can lead to loss of desire and erection problems. A large part of them are temporary, but can cause great unhappiness as long as last.

If stress, anxiety and depression are the cause of erectile dysfunction, your doctor may suggest that you and your partner to see a psychologist or a psychiatrist with experience in treating the sexual problems. Overcoming these fears and pain is a real challenge, but it is necessary for a healthy sex life. Men unsure about the use of counseling or therapy might take into consideration scheduling a number of sessions with a good therapist to form an opinion.