erectile dysfunctionIt is defined as the inability to achieve the erection necessary to initiate and maintain sexual intercourse. Erectile dysfunction, also known as erectile dysfunction, may also be due to psychological reasons. Alternatively, it may be a sign of cardiovascular disease caused by inadequate blood flow to the penis. erectile dysfunction If you are experiencing this or have concerns about it, we recommend that you consult a urologist who specializes in this field. Erectile dysfunction is not a life-threatening problem, but it can have a negative impact on the quality of life between couples.
Occasional erection problems are not a cause for concern. In addition, if erection problems occur constantly and there is negativity in sexual life, it can cause stress, self-confidence and relationship problems.
What is Erection?
erectile dysfunction It is a process that includes physical, hormonal and psychological factors. The penis consists of soft, spongy, elastic tissue that is filled with blood to enable it to grow and harden. There are spongy tissue and nerves around the prostate that send signals to blood vessels to supply blood. These signals are controlled by the testosterone hormone.
What is the Frequency of Erectile Dysfunction?
erectile dysfunction çok yaygın bir durumdur. Ara sıra sertleşme sorunlarından, sertleştirme işlevinin tamamen kaybolmasına kadar geniş bir yelpazeyi içerir. Çoğu erkek, özellikle stres altındayken veya ciddi bir tıbbi durumu olduğunda, hayatlarının bir noktasında sertleşme sorunları yaşar. Bu problem uzun süre devam ederse, tıbbi yardım almalısınız. 40-70 yaş arasındaki erkeklerin %30’unun herhangi bir erektil disfonksiyondan muzdarip olduğu bulunmuştur. Erektil disfonksiyonun insidansı ve şiddeti yaşla birlikte artar. Sigara ve alkol kullanımı, yüksek tansiyon, diyabet, yüksek kan lipidleri, kalp hastalığı, depresyon ve bu durumları tedavi etmek için kullanılan ilaçlar erektil disfonksiyon için risk faktörleridir.
What are the Causes of Erectile Dysfunction?
Male sexual function; It is a complex process involving the brain, hormones, emotions, nerves, muscles and blood vessels. Erectile dysfunction can be caused by any of these problems. Likewise, stress and mental health problems can cause or worsen erectile dysfunction. Causes of erectile dysfunction can be divided into organic and psychogenic. In other words, physical or psychological problems can cause erectile dysfunction. In addition, sometimes a combination of physical and psychological problems can also lead to erectile dysfunction. For example, physical conditions that slow sexual response can lead to severe erectile dysfunction when combined with anxiety.
What are the symptoms?
- Inability to achieve sufficient erection during sexual intercourse,
- If you cannot maintain an erection during sexual intercourse,
- If you cannot achieve as good an erection rate as before,
- If you are worried about not being able to maintain an erection, you may have an erection problem.
Physical Causes of Erectile Dysfunction?
Usually, erectile dysfunction is caused by physical problems. Cardiovascular health problem is the most common cause of erection problems. Physical causes of erection problems can be listed as follows:
- Heart disease,
- vascular occlusions,
- high cholesterol,
- Hypertension,
- Diabetes,
- Being overweight (obesity),
- Parkinson's disease,
- multiple sclerosis,
- Some prescription drugs,
- tobacco use,
- Peyronie's disease,
- metabolic syndrome
- Alcohol and other substance use,
- Sleeping disorders,
- Enlarged prostate gland or prostate cancer treatment,
- It may occur as a result of surgeries or injuries that affect the spinal cord and pelvic shadow.
Psychological Causes
The mechanism that provides erection begins in the brain, triggered by the feeling of sexual arousal. Therefore, some conditions can affect sexual arousal and cause erection problems. The following situations are examples of such situations.
- Depression, anxiety or other mental health problems
- A stressful life
- Relationship problems with one's partner and the resulting anxiety and stress.
Can Erectile Dysfunction Be Prevented?
- Follow your doctor's checkups and follow recommendations for managing diabetes, heart disease, or other chronic health conditions.
- You should quit smoking and limit alcohol or avoid alcohol altogether.
- exercising regularly,
- Engaging in different activities to reduce stress,
- Getting help for anxiety, depression, or other mental health issues can prevent erection problems.
- Getting help for anxiety, depression, or other health problems can prevent erection problems.
What are the Risk Factors of Erectile Dysfunction?
With advancing age, erection may take longer and the degree of erection may decrease in some people. Especially people over the age of 40 and those with a certain medical history are likely to encounter these problems. Some of the risk factors for erectile dysfunction can be listed as follows.
- drug use,
- Psychological conditions such as stress, anxiety or depression,
- being obese,
- Medical conditions, especially diabetes and heart disease
- Antidepressants, antihistamines, some medications used to treat high blood pressure, pain or prostate conditions,
- Injuries that damage the nerves or arteries that enable erection,
- History of prostate surgery or radiation therapy for cancer,
- Tobacco use, which obstructs blood flow to veins and arteries.
The Relationship Between Erectile Dysfunction and Age
The problem of impotence in men increases with age.
- 12 percent of men under the age of 60,
- 22 percent of 60-year-old men,
- 30 percent of men aged 70 and over experience impotence problems.
As you get older, it may become more difficult to get an erection, but this does not necessarily mean that you will have an impotence problem. Generally speaking, your sexual function may return when you are healthy. Impotence problems can also occur in young men. A 2013 study found that a quarter of people applying for impotence were under the age of 40.
Araştırmacılar, sigara ve uyuşturucu kullanımının 40 yaşın altındaki genç erkeklerde iktidarsızlığı etkileyebileceğini bulmuşlardır. Genç yaşta iktidarsızlığın nedenleri arasında yaşam tarzı çok etkilidir. 40 yaşın altındaki erkekleri içeren çalışmaların bir analizi, sigara içmenin 40 yaşın altındaki erkeklerin %41’inde iktidarsızlıkta bir faktör olduğunu göstermiştir. Diyabet en yaygın risk faktörüdür. 40 yaş ve üstü erkeklerin %27’sinde diyabetik iktidarsızlığa neden olur.
What are the Complications of Erectile Dysfunction?
Complications arising from erectile dysfunction can be listed as follows:
- Unsatisfactory sexual intercourse,
- stress or anxiety,
- Shame or low self-esteem
- Problems between couples,
- Not having children due to lack of sexual intercourse.
How is Erectile Dysfunction Diagnosed?
In many cases, a physical examination and answers to questions about health history will be sufficient to diagnose healing problems. If you have a chronic health condition or your doctor suspects a potential condition may be concerning, you may need tests or referral to specialists. Tests for underlying causes can be listed as follows.
- Physical Examination: Here, the penis and testicles are examined carefully and involve checking the nerves for sensation.
- Blood Tests: A blood sample may be sent to a laboratory to check for heart disease, diabetes, low testosterone levels, and other health problems.
- Urine test: Like blood tests, urine tests are used to look for signs of diabetes and other underlying health conditions.
- Ultrasound: This test is generally preferred by specialist doctors. With a device placed on the blood vessels supplying the penis, the doctor can see if there are any blood flow problems. Medication may be injected into the penis to better measure blood flow during ultrasound tests.
- Psychological Evaluation: Your doctor may ask you some questions to evaluate depression, anxiety, or other psychological conditions.
How to Treat Erectile Dysfunction?
Erectile dysfunction treatment, It may vary depending on the underlying problem. If you have a condition such as diabetes or heart disease, your doctor will first refer you to a specialist for the treatment of these conditions. If you already know about these problems and your treatment is going well, your doctor may prescribe medication for your erectile dysfunction. Medicines containing sildenafil, tadalafil, vardenafil increase the blood flow to the penis and provide erection. These drugs have been proven for the first time in the treatment of erectile dysfunction. Penile injections, pumps or implants can be used in patients who cannot benefit from these medications.
How to Understand If You Have Erectile Dysfunction?
Erectile dysfunction can only be diagnosed after a physical examination. Therefore, you need to discuss the problem with your doctor and seek treatment. Most of the time, the diagnosis is made with information obtained from the patient and physical examination. Some simple tests may be ordered to help make a diagnosis.
