Appearance of new tablet preparations completely changed approach to the diagnosis and treatment of impotence (erectile dysfunction).
What is Erection?
Erection is a physiological process when penis increases in size and becomes firm. Erection of penis is the result of complex interaction of physiological, neurological, vascular and endocrine factors, and usually, but not always, is associated with sexual excitement. Erection can also occur with full bladder. In some men, erection occurs spontaneously several times a day or at night during sleep (nocturnal penile tamiscence).
What is Impotence (Erectile Dysfunction)?
According to Canadian Neighbor Pharmacy, erectile dysfunction is inability of a man to achieve and maintain erection sufficient to perform sexual intercourse.
Causes of Erectile Dysfunction (Impotence)
Vascular Erectile Dysfunction:
- cardiovascular diseases;
- arterial hypertension;
- large surgery or irradiation (pelvic and retroperitoneal area).
Neurogenic Erectile Dysfunction
- multiple sclerosis;
- Parkinson’s disease;
- tumors of central nervous system;
- trauma of brain;
- herniation of intervertebral disc;
- spinal cord injury;
- surgeries (pelvic and retroperitoneal area).
Anatomical and Structural Causes
- Peyronie’s disease;
- fracture of penis;
- congenital flexion of penis;
- hypospadias, epispadias.
Endocrine Erectile Dysfunction
- hypo- and hyperthyroidism;
- Cushing’s syndrome.
Medicamental Erectile Dysfunction
- antihypertensive drugs (of all classes, most often diuretics and B-blockers);
- narcotic drugs (heroin, cocaine, methadone).
Psychogenic Erectile Dysfunction
- prolonged stress;
- general poor health;
- dissatisfaction with yourself, with your partner, with the situation;
- conflict with partner;
- discrepancy of sexual habits and requirements of partners;
- fear of possible pregnancy or infection with sexually transmitted diseases, most commonly AIDS;
- erection may not occur if sexual intercourse appears in some not providing sense of peace and security situation (back seat of the car, parent’s house, office, elevator).
Main Facts that Cause Erectile Dysfunction
- medical conditions, especially diabetes and heart problems;
- smoking, which limits flow of blood through veins and arteries. As a result of prolonged smoking, chronic diseases can be acquired that can lead to erectile dysfunction;
- malnutrition, especially if a person is overweight;
- certain treatments, such as prostate surgery or radiotherapy for cancer;
- injuries, especially if they damage nerve pathways involved in erection;
- medications such as antidepressants, antigistamine, antihypertensive, analgesic and antiandrogens;
- physiological conditions, such as stress, anxiety, depression;
- use of drugs (narcotics) and alcohol, especially if they are used for a long time or in large quantities;
- prolonged cycling can lead to compression of nerves and vessels of penis and cause temporary impotence.
Diagnostic Methods for Impotence (Erectile Dysfunction)
Basic methods of diagnosing erectile dysfunction:
- passing a test (international index of erectile function);
- collection of medical history;
- blood test (hormones, sugar, biochemical blood test);
- assessment of risk of cardiovascular diseases.
Additional (specialized) methods for diagnosing erectile dysfunction:
- evaluation of nocturnal penile tamiscence;
- intracavernous pharmacological test;
- doppler study of vessels of penis.
Modern Methods of Treating Impotence (Erectile Dysfunction)?
- hormone therapy is used for endocrine erectile dysfunction and climacteric syndrome in men (testosterone and its derivatives);
- treatment with pills (Johimbe, Viagra, Cialis, Livitra);
- vasoconstrictor therapy (treatment with negative pressure);
- intracavernous injections (Cavegect, Edex, Alprostadil);
- prosthetics of penis.
Canadian Neighbor Pharmacy reminds, that each of these methods of treatment have their own indications and contraindications. Selection of treatment regimen should be performed by urologist. This will allow choosing optimal treatment and avoiding serious complications that may arise as a result of incompetent use of drugs and methods of treatment.