Approximately 20 percent of men between 25 and 75 years have erection problems, according to the best sexologist in Delhi. The causes why it appears are diverse. However, there is an isolated factor that has a major impact on erection: age. "As men get older, they have more problems with erections; therefore, it is considered the risk factor number 1, "explains sexologist in Delhi. Other causes that can cause erectile dysfunction to appear are the existence of damage to veins, arteries or nerves; hormonal alterations and psychological causes such as stress, depression or anxiety, for example. "There are psychological factors that can influence and be determinant for the emergence of erection problems, mainly in younger men who have problems of self-esteem," says sexologist doctor in Delhi. Regarding hormonal alterations, Dr. P K Gupta, top sexologist in Delhi, indicates that testosterone is the male hormone that plays a role important role in man to maintain his sexual, mental and physical health. "One of the causes of erectile dysfunction is that there is a hormonal problem, that is, a deficit of testosterone. Without testosterone the architecture of the penis is altered and a good erection is not achieved so that erectile dysfunction can appear as a consequence of the deficit of this hormone, "says sex specialist in Delhi, who adds that the deficit of testosterone can have other consequences in the health of the man as the appearance of cognitive alterations, problems in the language, in the memory, in the numerical capacity or in the corporal composition, among others. Warning sign for other diseases One of the peculiarities of erectile dysfunction is that it may be the first symptom of other diseases that, a priori, man will not relate to this problem, hence the importance of seeing the sex doctor in Delhi as soon as possible. Experts point out their link with pathologies such as diabetes (they have between twice and three times the chance of developing it), Parkinson's disease or multiple sclerosis. However, its relationship with cardiovascular diseases is especially important; erectile dysfunction is related to all cardiovascular risk factors: hypertension, high cholesterol, etc. "It is said that erection problems are sentinel symptoms (early symptoms) of cardiovascular problems. In fact, when one begins to have erection problems, many times we are facing cardiovascular problems that are more serious and have not yet manifested, "says best sex doctor in Delhi. In this line, sex specialist doctor in Delhi reminds that erectile dysfunction is a window to the integral health of the male to see how that man is. "Think that if a person is over 50, has two or more cardiovascular risk factors and begins with erectile dysfunction, that man has an 80 percent chance of having a coronary event within the next 3 years. It's a very high percentage. " Sexologist doctors in Delhi recommend men who have erectile dysfunction to see it as an opportunity to comprehensively review their health and go to the sexologist in Delhi annually from 45 years. In addition, Dr. Gupta recalls that man cannot do anything about factors such as age, but can act on the rest of modifiable risk factors: stop smoking, control and treat high cholesterol, hypertension or diabetes. Acquire healthy lifestyle habits, exercise, take care of food and maintain good cardiovascular health. The role of the couple The confirmation of the diagnosis of erectile dysfunction causes a very high and serious psychological impact on the health of a man in most cases. On the one hand, it can affect self-esteem; on the other, alter their life as a couple and, finally, could even cause their life to be less full and satisfactory. The World Health Organization recognizes that sexual health is an integral part of the health of men and women. "Men who do not have normal sexual health do not have good health. Erectile dysfunction has a very negative impact not only on your health as an individual but also in your relationship, "adds the best sexologist in Delhi. Hence the importance of having it. "A couple that does not support, that is not for the work, makes the treatment more complex, because normally sexual activity is a matter of two. If one has to follow treatment, but the couple does not pay attention to it, it is much more difficult to manage it. Therefore, the complicity of the couple is essential because it will greatly facilitate the treatment, go to the doctor's office and make healthier lifestyle changes, "stresses the best sexologist doctor in Delhi. However, many times finding this complicity is complicated, as Dr. P K Gupta points out. "In practice, it would be essential that the couple was involved and that they accompany the male in the diagnosis and treatment of the disease because if you have the help and complicity of your partner, everything is easier. The problem with all this is that many times they have become accustomed to not having sex, not touching and losing that intimacy and when they want to recover it becomes strange. " In addition, Dr. P K Gupta adds that this difficulty to recover sexual complicity and normality is added another obstacle in heterosexual couples. If over the years the main problem at a sexual level in men is sexual dysfunction, in women appears the loss of libido, the desire to have sex. "So the hunger is coupled with the desire to eat: a man who begins to have problems with a woman who in turn begins to have less sexual desire." Faced with these situations, experts insist on the importance of communication, speaking things, being sincere and avoiding feelings of guilt. What treatments are there? Regarding the erectile dysfunction treatment in Delhi, both emphasize that at present there is a range of options that allow to effectively treat erectile dysfunction. “The first step changes in lifestyle. If the patient has another disease such as diabetes, obesity or hypertension, you should keep it under control and from there lead a healthy life. I recommend including aerobic sport on a daily basis (adapting to the characteristics and limitations of each) and opt for activities such as running, swimming, cycling or elliptical and not lifting weights. All this helps improve the vascular function of patients and also erectile dysfunction, "recommends sexologist in Delhi. The next step would be the pharmacological treatment. "The initial therapy recommended by specialists consists of taking oral drugs, the phosphodiesterase 5 (PDE5) inhibitors, a less invasive, less aggressive treatment that can return a sexual function for a while," says Dr. Gupta, who recalls that men continue to age even though they are in treatment, so in some cases, when the years pass, the medication stops responding. Within this first step of treatments also include topical creams that are applied to the penis or shock waves that are increasingly being used and that seem to produce a beneficial effect on blood circulation. When this first line of treatments does not work, the specialists move to the second line: intracavernous injections of substances that cause vasodilatation of the arteries of the penis and that favor the erection. "Sometimes the injections are not effective or end up losing their effectiveness or there are many men who do not want to get stuck in the penis, because it gives them pain or because it bothers them, makes them uncomfortable or scares them," says the expert. In these cases, the specialists opt for the last alternative almost one hundred percent effective: implants of a penile prosthesis, an option that requires surgical intervention. "Patients who have undergone surgery are very happy because they recover normal sexual function," he concludes.
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January 2021
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