Erectile dysfunction is a general indication of condition in which men have problems with erection, one of the types of disorders in sexual sphere. These problems can be both episodic and permanent, appear at any age. You should not draw parallels with impotence, since usually under impotence absolute inability of a man to perform sexual intercourse is understood, since erection of penis does not occur at all.
Since for many men sexual activity and capacity is analogue of consistency and, as a rule, a significant psychological value, erectile dysfunction is perceived by them very painfully. Psychological discomfort only exacerbates violations. Before a man decides to see a doctor, he may already have a whole complex of reactions that interfere with full sexual contact.
Symptoms of Erectile Dysfunction
Erectile dysfunction can be present at different stages of sexual intimacy. That is, being quite satisfactory when excited, erection subsides by the onset of sexual intercourse and is difficult to recover, or completely disappears. Another option – erection is incomplete during the whole sexual intercourse, and therefore process does not bring real satisfaction. Unexpressive, the so-called «erased» orgasm is also initial sign of erectile dysfunction. Erection may disappear at the «most crucial moment», just before feeling of close ejaculation.
It must be said that a single, accidental deterioration of erection can lead to obsessive fear of its complete loss, and often men obtain real phobias related to this problem.
Causes of Erectile Dysfunction
There are two main groups of reasons that can contribute to development of erectile dysfunction:
Somatic causes are those that arise in physical sphere. These may be all diseases that violate normal sexual function of men, starting with inflammatory, infectious processes (urethritis, prostatitis, balanoposthitis and others), common diseases of the body (cardiovascular, hormonal, metabolic) and ending with traumas or pathologies of genital organs, including Phimosis, cicatricial changes and consequences of surgical interventions. Somatic components directly affect psychological side of the question.
Psychogenic factors are various forms of stress or depression, overwork, nervous overstrain, inconsistency of ethical requirements with realities of life. Do not underestimate the share of casual negative impressions associated with sexual intercourse. Individual features of relationship of each man to his sexuality can create conditions for violation of psychological comfort.
Psychogenic cause of erectile dysfunction is indicated by normal erection in a dream or before awakening and difficult – in arbitrary situation.
Consequences of Erectile Dysfunction
The stronger negative emotions, reminiscent of failures during sexual intercourse, are, the more erectile dysfunction is manifested. Complications are expressed as decreased desire, condition close to impotence, male infertility due to inability to conduct or naturally complete sexual intercourse.
Diagnostics of Erectile Dysfunction
Difficulty in diagnosing this condition is dictated by the fact that very few men trust doctor and give details on their complaints – need to share such intimate experiences is very embarrassing. Studies are reduced to clear definition of specific factors that caused erectile dysfunction. When identifying somatic disorders, emphasis is on them. Psychogenic reasons are more difficult to establish and require doctor to create atmosphere of complete trust with the patient.
Treatment of Erectile Dysfunction
Choice of treatment again depends on the results of diagnostics. Presence of diseases demands timely and effective treatment. If erectile dysfunction is psychogenic, counseling is necessary. Treatment of physiotherapy is supplemented by appointment of medications. Also it is possible to use traditional remedies to improve erection in addition to prescription method.