What is it? Male sexual impotence or erectile dysfunction is the persistent inability to achieve or maintain an erection that allows a satisfactory sexual relationship. It must be differentiated from other sexual problems, such as low sex desire, alterations of ejaculation (premature ejaculation, delayed ejaculation, and absence of ejaculation) or orgasm disorders. Impotence or erectile dysfunction is a common disease that if left untreated can affect relationships with the couple, the family, the work and social environment. All men can have problems getting an erection in their life, especially if they are tired, have stress, a serious illness or are under the influence of alcohol and drugs, says sexologist in Delhi. Causes Impotence or erectile dysfunction can be caused by: Psychological causes In these cases, the penis does not present any physical alteration, however, diseases such as anxiety (often caused by the fear of not getting an erection or to disappoint the woman), depression, problems with the couple and even stress. They can affect the sexual act. Also, the excessive concern for work, social or family problems mean that the necessary attention is not devoted to the sexual act. Fatigue, lack of appetite, lack of exercise, insomnia or a job failure also imbalance sexual reflexes. Vascular causes This guy is very usual. The penis cannot accumulate the blood necessary for an erection, usually because it does not arrive in enough quantity. Smoking, high blood pressure, diabetes, some heart diseases and increased levels of cholesterol in the blood can cause vascular disorders that hamper the erection. Neurological causes In these cases, there is an interruption in the transfer of messages from the brain to the penis because there is a lesion in the nerves involved. This occurs with spinal cord injuries, multiple sclerosis or after some surgical procedures in the pelvis. Hormonal causes They are rare. They are usually due to a lack of male sex hormones. Pharmacological causes There are several medications that have as a side effect decrease the ability to have an erection. Among them are some drugs to treat hypertension, heart disease, kidney disease, and psychiatric disorders. Evaluate Your Symptoms Symptom The main symptom of erectile dysfunction is a change in the quality of erection, both in terms of stiffness and in the ability to maintain an erection. If the impotence is caused by physical causes, one of the main indicators in the inability to have or maintain an erection when waking up in the morning. On the other hand, if it originates from psychological causes, impotence usually occurs during a specific period of time (for as long as the stress situation lasts, for example). If it persists for more than three months, the patient should seek a sexologist in Delhi specialized in impotence. Prevention The main measure that men should take into account to avoid the appearance of erectile dysfunction is the modification of lifestyle to avoid any habit that has a negative impact on the arteries and veins, such as smoking, alcohol and saturated fat consumption, sedentary life and stress. Types At present, some sex doctor in Delhi establish the following classification to distinguish the different types of impotence:
For the elaboration of a correct diagnosis, it is necessary that the patient undergo medical check-ups to establish a good clinical record. An interview with the affected person can reveal psychological factors involved in the erection disorder. It is essential to rule out depression, which is not always apparent. Personal relationships should also be analyzed by the best sexologist doctor in Delhi to determine if there are conflicts or communication difficulties with the couple. An interview with the sexual partner of the affected person can reveal data of great importance. On the other hand, there are currently several tests that help to establish the diagnosis of erectile dysfunction. A sexologist doctor in Delhi usually uses mainly two: the IIEF (International Index of Erectile Function) or SHIM (Index of sexual health for men), reduced variant of the IIEF that consists of 5 questions and presents high sensitivity and specificity. A score less than or equal to 21 shows signs of erectile dysfunction. In the general medical assessment should include a history of drug intake, alcohol, smoking, diabetes, hypertension and atherosclerosis, an exploration of the external genitalia to rule out the presence of fibrous bands and an assessment of the signs of vascular, hormonal or neurological diseases. Experts recommend measuring testosterone levels, especially if impotence is associated with lack of desire. The evaluation of thyroid function should be included among laboratory tests. It can also be useful to determine the luteal hormone since it is difficult to diagnose hypogonadism based on the values of testosterone alone. In the case of young patients with specific problems, it may be necessary to perform more complex tests in addition to the physical examination, such as a measurement-monitoring of the penis during the night, the injection of drugs into the penis, or an echo-Doppler. To determine the vascular indexes is especially beneficial to make a correct diagnosis, such as the rate of penile pressure-brachial pressure that indicates risk of other more serious vascular alterations, even in asymptomatic patients. When the cause is not clear, a nocturnal penile tumescence test (NPT) may be effective, although it does not usually work in elderly patients. Episodes of TNP are usually associated with phases of REM sleep. The erections of the patient can be controlled in a special sleep laboratory; the absence of them is highly suggestive of organic cause, although their presence does not necessarily indicate that during the day they have valid erections. Erectile dysfunction affects almost 20 percent of men older than 20 years. Treatments Many sexologists in Delhi suggest that the choice of impotence or erectile dysfunction treatment in Delhi that should be followed should go from less to more invasive. Starting by leading a healthy lifestyle, continuing with psychological help and pharmacological treatment and/or vacuum devices, finally, surgery. The counseling is recommended for men under 40 since in these cases the cause of the disease is usually psychological. Even in cases of impotence / erectile dysfunction due to physical problems, many men need psychological help to overcome self-esteem problems derived from this disease. According to the best sexologist in Delhi, for correct pharmacological treatment, before taking any of the medicine available in the market, it is important to consult with the sex specialist in Delhi. Other data Incidence Impotence or erectile dysfunction appears more frequently in men over 40 years. Between 40 and 70 years, it has been proven that 30 out of 100 men suffer some kind of impotence, which can be more or less severe. In his appearance also influence a series of factors:
Instead of falling into discouragement, the person diagnosed with impotence or erectile dysfunction must take personal measures to help successfully overcome this condition:
The woman whose partner suffers an erectile dysfunction must also collaborate in the process of overcoming. Among other things, it is advisable to act as follows:
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January 2021
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