Erectile dysfunction is the inability to get and keep an erection firm enough for sexual intercourse. Although having erection problems on an occasional basis is not a reason to worry, if it is an ongoing problem it can cause stress, affect self-confidence and be a source of problems in relationships.
In addition, problems getting or keeping an erection can also be a sign of an underlying health problem that needs treatment. It is also considered a risk factor for heart disease.
Sexual arousal is complex and involves the brain, hormones, emotions, nerves, muscles, and blood vessels.
Symptoms can include persistent problems getting or keeping an erection and even persistent decreased sexual desire. The family doctor is the first person to consult when you have erectile problems, even if you have to overcome modesty and shame.
Male sexual arousal is a complex process involving the brain, hormones, emotions, nerves, muscles, and blood vessels. Erectile dysfunction can be the result of a problem with any of these factors. Similarly, stress and mental health concerns can cause or worsen erectile dysfunction.
Sometimes erectile dysfunction is due to a combination of physical and psychological issues. For example, a minor physical illness that slows sexual response, which can lead to anxiety about maintaining an erection. It is the whiting that bites its tail, since this anxiety can worsen or delay the erection.
The best way to avoid erectile dysfunction is, as in so many other things, to lead a healthy lifestyle: visit the doctor for regular check-ups and medical tests to detect diseases. Quit smoking, limit or avoid alcohol and drug use. Get regular exercise and take steps to reduce stress.
The treatment of erectile dysfunction should be oriented to the expectations and wishes of the patient and it is highly recommended to have the participation of the partner in the discussion and choice of treatment. Within the symptomatic treatments, the oral administration of a tablet containing sildenafil citrate, vardenafil or tadalafil has been shown to be effective. These medications act, when there is sexual stimulation, by increasing blood flow to the penis.
As second-line treatments, drugs that the patient himself injects into the bodies of the penis are used, although some side effects are described that the patient should be aware of.
As a third-line treatment, there is the placement of a penile prosthesis. It is the last option due to its aggressiveness. The satisfaction rate is high, but it is not without complications. Although the majority of patients will obtain symptomatic treatment, on some occasions the causal treatment of a psychologist specialized in sexology is used, which is of great help in situations of stress and tension.