Erection problems: all the reasons for a male disorder that can even be lethal for the couple
The male disorder that causes penile erection problems is called sexual impotence or erectile dysfunction.According to some erectile dysfunction and impotence are precisely synonymous, according to others, the term impotence is very broad and varied and also includes other male difficulties on sexual issues, including problems involving orgasm or ejaculation as well as erectile disorders.
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Why do erection problems occur and when are drugs needed
Having erection problems can be a persistent problem or have an occasional nature: the consequence in this specific case is a difficulty both in achieving an erection and in maintaining it. This type of male problem makes sexual intercourse very difficult. Erectile dysfunction causes the man who suffers from it and also the partner considerable discomfort and difficulties, perhaps even in having new relationships: this is why it requires immediate treatment. In case of erection problems, however, it is essential to understand the causes, if it is a medical problem related to health, if it is caused by a certain drug that you are taking or if, on the contrary, a motivation is to be sought in stress or in a particular period of life or of the couple. When it comes to erectile dysfunction it must then be considered that there are very different types. In fact, some men, from their very first experiences at a very young age, manifest a difficulty in having an erection which can result in a real inability to have intercourse. Unlike the case in which the man achieves an erection without problems but then at the moment of penetration he loses the tumescence either immediately or after the first thrusts during intercourse. Another aspect to be carefully evaluated together with your doctor is whether the difficulty in achieving and maintaining an erection occurs only during a sexual act and not during masturbation: it should be noted, however, that it is very rare that an erection during masturbation can lose intensity. Attention: erection problems are possible even in the presence of great sexual desire on the part of the man!
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Causes of erection problems: not just stress!
Erectile dysfunction is a fairly common problem among men that can depend on physical health conditions, medicines or psychological problems such as depression or even alcohol abuse, drug use or addictions such as smoking. These disorders require targeted treatment, based on the underlying cause. Many vascular or genital diseases, for example, cause erection problems. Sexual anxiety and fears related to sexual performance in general are one of the main causes of erectile dysfunction, together with an important reduction in arousal and consequent pleasure. Erection problems can be at the root of numerous marital crises, unconsummated marriages and obviously also infertility in the couple. The numbers are not. heartening: 10% of the male population suffers from erection problems and if we consider the over 70, then men with erectile dysfunction reach up to 50%! In Italy, therefore, there are 3 million who suffer from erection problems, 10-15% of males in our country.Among the causes of male impotence we must distinguish those related to the psychological aspect such as performance anxiety from organic ones. , among all the one linked to circulation problems stands out. In case of impotence it is essential, unless it is a really occasional problem, not to wait for the problem to resolve itself but to seek the help of an experienced doctor to investigate the underlying causes of erectile dysfunction and recommend medications. most suitable. Very often, in fact, in the case of impotence, psychological reasons are intertwined with organic causes, triggering a vicious circle from which it is increasingly difficult to get out without valid support. Usually if the man has morning erections upon awakening or if he manages to maintain an erection until orgasm, but in intercourse he cannot experience the same sensations of arousal or maintain an erection, it is very likely that he will implement the dysfunction erectile penis are psychological or stress factors and that the symptoms are not attributable to health problems or other diseases. In this case, behavioral therapy is essential for solving the problem. Only by solving the problem in detail will you be able to let yourself go again as a couple and open up again to the pleasures of sex and the desire to experience sexual intercourse in or out of bed!
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The main physical causes and medicines that cause erection problems
There are five different types of physical causes. Traumatic ones that include medical trauma to the penis, vascular ones that are linked to problems with circulation and blood supply to the penis. Neurological ones that refer to problems of the nervous system. Other physical causes are then hormonal causes, with an imbalance in the production of the hormones involved in erections and finally anatomical physical causes that are at the basis of malformations or anatomical alterations of the penis. The best known penile malformation capable of inhibiting erection is Peyronie's disease.
As for drugs, there are so many that can affect erections and cause erectile dysfunction problems. These include diuretics, beta blockers and drugs for the treatment of hypertension and hypertriglyceridemia. Antipsychotic drugs, antidepressants, anti-inflammatory drugs and cortisol-based drugs also affect erections, as well as many medicines to treat gastritis, gastric reflux, or for the treatment of epilepsy. Other medicines that can cause impotence are antihistamines and anti-androgens which inhibit male sex hormones and are used for the treatment of benign prostatic hyperplasia or male androgenetic baldness.
Erection problems: is there a cure?
Erectile dysfunction is treated with causal therapy, i.e. a treatment that cures the underlying cause of the erection disorder and often accompanied by symptomatic therapy that helps the patient to get an erection, helping the blood supply of the corpora cavernosa with increasing turgor and penis size. Evaluating the appropriate therapy and intervening in a targeted way is essential for solving the problem. The doctor will first check for any involuntary erections during sleep (Erectrometry) then will do some tests such as a blood sample to evaluate hormone dosages and some diagnostic tests such as a penile ultrasound doppler, to evaluate any vascular dysfunctions. Among these medical tests there is also the papaverine test, ie the injection of this substance with known vasodilating properties into the penis for the correct functioning of the genital organ. The urologist or andrologist will be able to recommend the most suitable drug, hormonal or surgical medical therapy in case of organic problems underlying erectile dysfunction. Much more often, however, all these tests do not reveal a pathology underlying the problem and therefore can reveal, for example, a performance anxiety towards the partner: in this case a cognitive-behavioral psychotherapy path is necessary to overcome the psychological problems related impotence.
If you suffer from erection problems (if you are young or even if you are advanced in years) from the first symptoms of sexual problems it is very important to ask for an opinion from the urologist or an andrologist who will be able to make a precise picture of your health and establish together with you the best way to intervene and solve the problem. In fact, he will be able to show you what can be the cause and what can be the solution and at the same time he will be able to give you the right drugs for your ailments or advice to find a balance in your sexual life and a better dialogue with your partner.
It is about your health and the well-being of your life as a couple. Why wait then?
