Causes of erectile dysfunction or impotence,snow survival shovel knight,best books download sites zbigz - Videos Download

This is a  disorder of the persistent inability to attain or maintain penile erection sufficient for sexual intercourse,affects millions of men to various degrees. The penis consists of two parallel cylinders of erectile tissue, the corpora cavernosa (which has a mesh work of vascular endothelium), and a smaller,single ventrally placed cylinder,the corpus spongiosum, which surrounds the urethra and distally forms the glans penis.Venous drainage of the erectile bodies occurs via postcavernous venules draining into the deep dorsal vein.
In the flaccid penis, a balance exists between blood flow in and out of the erectile bodies.
In addition to diabetes, kidney disease, chronic alcoholism, multiple sclerosis, atherosclerosis, and vascular disease account for about 70 percent of all cases of ED. As mental tension leads to adrenaline production, the tissues are getting constricted preventing the erection. Medication: ED is also a side effect of many common drugs, including prescription and over-the-counter medications and illegal drugs. But Alcohol is a depressant, and, when consumed in more than small amounts, it really reduces the ability to have an erection. Nicotine directly interferes with the nerve pathways that produce and maintain an erection, and tobacco smoke causes heart disease and circulatory problems that reduce the supply of blood to the penis and destroy the flexibility of tissues. Due to sedentary  life style and increased intake of fatty food leads to blocking of arteries with fat deposits.
The one of the common misconception is that ED is a part of aging and has to be accepted as such.
Testosterone deficiency is independently associated with diabetes and other components of the metabolic syndrome (figure 3). Men who have demonstrated suboptimal response to PDE-5 inhibitor therapy should be informed of the benefits and risks of other therapies, including alprostadil intraurethral suppositories (MUSE), vacuum erection devices (VED), intracavernosal drug injection (ICI), and penile prostheses. All comments must follow the ModernMedicine Network community rules and terms of use, and will be moderated. Bohut si adviyaat kay side effects ki wajah sey bhi jinsi kamzori ka masla paeda hojata hai.
The information presented in this web site is not intended as a substitute for medical care. Psychological problems accounts for a big percentage of erectile dysfunction in younger men.
St Pete Urology is a team of medical professionals who specialize in the diagnosis and treatment of urological diseases and conditions. Impotence (also known as an erectile dysfunction) is a disease that affects 1 in 10 male patients. Impotence, also called erectile dysfunction, is the persistent inability to achieve or maintain an erection long enough to have sexual intercourse. The only symptom of impotence is the inability to achieve or maintain an erection long enough to have sexual intercourse.

The main factors that trigger erectile dysfunction can be either physical or psychological. The ability to function sexually helps men define their role and shapes their identity.Loss of erectile function can be devastating.
But this psychological factors have only second turn in the ED as the primary cause will be some other causes, leading to it. It’s estimated that 25 percent of all cases of ED have medication as their underlying cause. But the truth is that Erectile dysfunction(Male infertility) is not an inevitable consequence of aging. It strikes 5 percent of men who are 40 years old, but that number rises to 15 to 25 percent for those age 65 and older.
MetS is a cluster of conditions that include increased blood pressure, a high blood sugar level, excess body fat around the waist, and abnormal cholesterol levels.
Testosterone deficiency and MetS share multiple comorbidities, including insulin resistance, hyperglycemia, dyslipidemia, and obesity, and both are characterized by common pathophysiologic pathways of inflammation and endothelial dysfunction. PDE-5 inhibitors require an intact neurologic response and endothelial function, which explains why they are less effective in men with longstanding diabetes. While response rates to vacuum devices and ICI are good to excellent in diabetic men, compliance rates are poor and dropout rates high.
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Some of the most common causes of ED include; arteriosclerosis, diabetes, medication, hormone disorders, and psychological problems. This is because increased levels of glucose in the blood cause damage to nerves and blood vessels in the body.
Low levels of testosterone in the body can cause decreased sex drive and lead to impotence.
If the physical consultation reveals that the testicles are smaller than normal, the doctor may recommend testing the testosterone serum dosage. There are two options, one being the psychological treatment and the other being medication.
The rapid filling of the cavernosal spaces compresses venules resulting in decreased venous outflow, a process often referred to as the corporeal veno-occlusive mechanism. What’s unclear is whether low testosterone causes diabetes and components of the MetS, or vice versa. As a consequence, blood flow is reduced and impulses of the nerve are impaired, preventing a successful erection.
Over-the-counter medication, alcohol abuse, and illegal drug use are also factors that contribute to impotence.

Testosterone deficiency can also be caused by an underlying health condition such as a pituitary gland tumor.
Common psychological issues that lead to a low sex drive include; stress, anxiety, guilt, worry, and depression. Nicholas Laryngakis of St Pete Urology are board certified urologists in treating urological diseases with the use of the latest technology available, such as the da Vinci Surgical System.
Impotence refers to the inability to use the penis for intercourse, even if the desire and opportunity are present. Through this test, the doctor can determine whether the erectile dysfunction is caused by a hormonal dysfunction or not. Drug treatment based on Sidenafil citrate (better known as Viagra) is one of the most popular. The combination of increased inflow and decreased outflow rapidly raises intracavernosal pressure resulting in progressive penile rigidity and full erection. Other factors, such as marital conflict, depression, or the existence of other sexual orientations may contribute to the onset of the disease as well.
Another diagnostic method is the international index of erectile function: this is a questionnaire with 15 questions that the patient must answer.
What is clear is that low testosterone should be recognized as an additional independent risk factor for cardiometabolic disease in men with DM and ED. Based on the patients’ answerss, the pjysician can determine the severity of impotence.
Disorders responsible for most cases of impotence are diabetes, atherosclerosis, vascular disease (either blocked arteries or obstructed penis valves), spinal cord injuries, multiple sclerosis or hormonal disorders.
In some cases, an ultrasound procedure that measures blood flow to the penis can also be used. In general, those who have a history of prostate cancer do not receive hormone injections or pills, because male hormones may increase the cancerous cell growth. Another type of investigation, called angiography, can help detect the presence of a blocked blood vessel in the penis. The angiography is a special X-ray procedure that uses the injection of a contrast substance in order to enhance the image. If the doctor suspects that one of the administered medication could be the cause of impotence, he can replace that particular medication with something similar.

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