It is simply a clinical term used by doctors for the inability to achieve and/or maintain an erection level sufficient for sexual performance. Erectile dysfunction is when a person desires sex for more than three months and does not get enough erection to have intercourse. In other words, a person who has failed once in a certain period of his life does not need to run to the doctor immediately. However, if this situation persists for six months, a doctor should be consulted.
Some men believe that erectile function naturally declines as they age. However, age by itself does not cause erectile dysfunction. Why are things that alter normal blood flow, such as age, other health conditions, medications, and lifestyle. Some of these health conditions begin to occur more frequently as men age: Any man who has experienced the following conditions can understand that there is a change in erectile function:
Inability to achieve the necessary erection for sexual intercourse
Difficulty maintaining stiffness
• Erection sufficient for sexual intercourse but weaker than before
Decreased confidence that you can harden and maintain your hardness
Erectile Dysfunctions Are More Common Than You Think
Worldwide, 152 million men experience recurrent erectile dysfunction and this figure is expected to reach 222 million by 2025. It is thought that many factors, from changes in nutrition and lifestyle to stress, are effective as the cause.
It is estimated that more than half of men over the age of 40 have this problem. Unfortunately, only 2% of these patients are diagnosed and treated correctly. Unfortunately, in 98% of them, there is a lack of correct diagnosis or correct treatment.
According to our studies in Turkey, the rate of sexual dysfunction in men over the age of 40 is up to 70 percent, as mild, moderate or severe.
Which medical conditions predispose to Erectile Dysfunction?
It is now known that the majority of cases (75%) with Erectile Dysfunction are not of psychological but physical origin. Erectile dysfunction of psychological origin is related to the negative aspects of success anxiety and internal conflicts, while physical causes include anatomical, nervous, endocrinological, drug-related and vascular complications. Vascular problems are the most common cause of erectile dysfunction.
Erectile dysfunction occurs due to a number of diseases such as coronary artery disease, high cholesterol level, high blood pressure and diabetes, as well as advancing age. In the case of diabetes, changes in the arteries and smaller blood vessels that carry blood to the penis and damage to the nerves involved in erectile function predispose 50 to 70% of men to erectile dysfunction.
Diabetes is considered a common risk factor for erectile dysfunction, and many men with diabetes have erectile dysfunction. Erectile dysfunction occurs in men with diabetes earlier than normal men. In addition, men with diabetes are three times more likely to have erectile dysfunction than normal men. 10 years after the diagnosis of diabetes patients, half of them have erectile dysfunction.
High Blood Pressure
High blood pressure can cause your blood vessels to harden and narrow. This restricts the flow of blood to the penis and causes erectile dysfunction. In addition, some medications used to treat high blood pressure can cause erectile dysfunction.
Heart Disease and High Cholesterol
Like high blood pressure, heart disease and high cholesterol can affect the flow of blood to your penis, causing erectile dysfunction. The prevalence of comorbidity is higher in men with erectile dysfunction.
Along with stress, anxiety and fear of failure, depression can cause erectile dysfunction. Men who have erectile dysfunction for a physical reason may also feel depressed, stressed and anxious.
Prostate surgery – especially prostate cancer surgery – can cause erectile dysfunction by damaging the nerves and vessels near the prostate.
Other Health Conditions
Other health conditions that can cause erectile dysfunction include:
• Kidney disease
Some medications you take for other health problems can cause erectile dysfunction as a side effect. These include certain medications used to treat diseases such as high blood pressure, heart disease, allergies, depression, anxiety, and ulcers.
Habits and Lifestyle
There are many habits that can cause a decrease in erectile function or contribute to erectile dysfunction. These:
Smoking damages blood vessels. If you smoke, it can cause blood flow problems that can make it harder for you to get erect and maintain your stiffness. Cigarette smoking is thought to increase the risk of erectile dysfunction approximately twice.
Excessive Alcohol Intake
Drinking too much alcohol can cause erectile dysfunction.
Use of Drugs or Doping Drugs
Drugs such as cannabis or cocaine have adverse effects on erectile function. This also applies to anabolic steroids.
Nutritional Habits and Cholesterol
A diet containing high-fat foods causes clogged arteries and reduced blood flow, which is one of the main causes of erectile dysfunction. High cholesterol levels also increase the risk of decreased erectile function.
However, not all types of cholesterol are bad. By raising good cholesterol (high-density lipo-protein or HDL) and reducing bad cholesterol (low-density lipoprotein, or LDL), you can lower the risk of a decrease in your erectile function. Here are some tricks to raise HDL and reduce LDL:
• Consume foods containing high fiber.
• If you are cooking your meals in oil, prefer to use vegetable oils with high unsaturated fat content such as olive oil.
• If you smoke, quit smoking.
Your Doctor Can Help
If you think you have problems with erection, we recommend that you consult a doctor. Improving your sexual health and treating your erectile dysfunction will help you regain your self-confidence. Thus, many men can re-establish their private life with their partner and relive their sexual feelings. However, there are a few points to keep in mind:
Treatments do not directly increase sexual desire. You and your doctor’s choice of treatment may not yield immediate and always results. If you do not get the results you expect, call your doctor. With it, you can determine the most appropriate treatment and dose for you. Treatment will not solve other underlying problems in your relationship. Keeping the lines of communication open with your partner and doctor will help ensure that the effect of the treatment is permanent.
Remember, if you think you have an erection problem, talking to your doctor is the most basic step in treating this problem.
Learn About New Erectile Dysfunction Medicines:
Oral drug therapy is taking medication (pills) by mouth so that you can get an erection. Medication is a safe and easy treatment method. Oral medication works by making it easier for blood to flow into the penis. The man must be sexually aroused for the drug to be effective. The most common reported side effects of oral therapy are headache, facial flushing, indigestion and nasal congestion.
Medication is not suitable for everyone, so ask your doctor if this option is right for you. Talk to your doctor, who knows about your medical history, whether you can use oral medications. If you are using nitrate-containing medication (such as nitroglycerin for chest pains), do not use any medication against erectile dysfunction, even if you take it at very rare intervals. Always consult your doctor about the safety of taking any other medication.
Urethral tablets are placed inside your penis to help you get an erection.
Urethral tablets work by allowing blood flow to the penis and providing an erection within a few minutes. For many men, this treatment has been considered safe and effective.
In injection treatment, needles filled with medicine are used to help you get an erection. This drug relaxes the muscles by helping the blood flow to the penis and provides an erection in about 5 to 10 minutes.
Injection therapy can be quite effective by providing hardening that lasts between 30-60 minutes.
Vacuum devices consist of a tube that you pass over your penis (to help erection by vacuuming) and a ring that you attach to the body of your penis (to protect the erection). Vacuuming draws blood into the penis, and the ring “traps” the blood into an erection.
Vacuum devices are generally safe and effective, but they are not recommended for use for longer than 30 minutes at a time. When the ring is removed, the hardening goes away.
This treatment consists of placing a prosthesis in place of the tissues that provide erection in the penis. There are two main types of implants: one-, two-, or three-component inflatable (hydraulic) devices and medium-hard soft prostheses. The application of both types of devices requires irreversible surgery and is generally only considered in patients for whom other treatment options have failed.
You can talk to a psychiatrist, psychologist or sex therapist about your sexual or other problems that affect your ability to get and maintain an erection.
Many herbal products have been produced that are claimed to increase sexual desire, sexual pleasure and performance. However, there is no generally accepted scientific evidence about the safety or effectiveness of these products.
Hormone Replacement Therapy
Decreased erection quality can be caused by too low testosterone levels (a blood test can measure your testosterone level). Hormone therapy can raise your testosterone levels. The treatment can be administered via the skin, by regular injection, or by mouth.