Erectile dysfunction, also known aserectile d ysfunction or impotence, is the inability to achieve or maintain adequate erection in the penis during sexual intercourse for any reason. If it is a recurring condition, it may cause some psychological problems such as stress, anxiety, anxiety and depression over time. It can be caused by psychological reasons, as well as some underlying medical diseases.
It can be among the most common sexual problems. While it is generally seen in men over the age of 50, it is valid for all age groups. It may occur when blood circulation affects the genital area with old age. Treatment may vary depending on the underlying causes.
What are the Causes of Erectile Dysfunction?
The causes of erectile dysfunction may include physiological and psychological factors. Psychological factors are more likely to cause this condition in young male individuals. Physiological factors are more common in older male individuals.
Psychological factors that cause this condition can be listed as follows:
- Stress
- Depression
- Anxiety and worry
- Performance anxiety
- Lack of self-confidence
- Relationship problems
In addition to these, the physiological factors that cause this problem are as follows:
- Diabetes
- Anemia
- Liver diseases
- Kidney diseases
- Old age
- Circulatory problems as a result of smoking, drug and alcohol abuse
- Reduced blood reaching the penis as a result of narrowing of the arteries
- Decreased testosterone hormone levels
- Some medicines used
Due to the physiological and psychological factors given above, erection problems may occur in men. Depending on the underlying causes, these problems can be improved with different treatment methods.
Who Has Erectile Dysfunction?
Erectile dysfunction can often be seen due to advancing age. It is especially common in men after their 40s and 50s. In addition, this problem may occur in people with some chronic diseases and people who use medications that affect blood circulation.
In some cases, erectile dysfunction can be seen as a result of psychological and emotional conditions. People who experience psychological problems such as extreme stress and depression may experience this problem. Erectile dysfunction can also be seen in people who have problems with their sexual partners, lack of self-confidence, that is, individuals with low self-esteem.
How is Erectile Dysfunction Diagnosed?
People who constantly experience erectile dysfunction during sexual intercourse should immediately go to the nearest health institution for treatment and support.
The diagnosis of erectile dysfunction can be made by specialist doctors depending on the underlying causes. The issues to be considered for the evaluation of this condition and the determination of the problem are as follows:
Medical History
The patient's medical history and disease history are learned in detail. Diseases, substances used, psychological problems and all other problems are examined in detail.
Sexual Life
During the diagnosis of the condition, the sexual history of the person is learned in detail. It is also useful to know the history of the partner or partners with whom the person has had sexual intercourse. It is important that the person and the partner work together to identify the root causes of this problem. All details such as the beginning and continuity of sexual intercourse, morning or evening erections are learned.
Physical Examination
During the physical examination by the specialist, the genital area is examined and a detailed neurological examination is performed. This practice makes a significant contribution to identifying the underlying causes.
Psychosocial Evaluation
In this process, it is aimed to examine the person psychologically and to identify the factors underlying this situation. All psychological factors are addressed. If it is thought that the disorder is caused by psychological reasons, it is tried to be overcome with therapies applied by a psychologist or psychiatrist.
Tests and Questionnaires
The specialist may order some tests and questionnaires to diagnose the condition. The questionnaires that the person and their partner must complete are an important part of the treatment process. With the questionnaires, the person is asked to describe himself/herself and the relationship process is also tried to be determined.
In addition, blood and urine tests can be performed. In order to determine whether the condition is caused by any disease, information such as complete blood count, liver function tests and testosterone level should be learned.
What is the treatment for erectile dysfunction?
Erectile dysfunction treatment can be done depending on the underlying cause of the problem. If the underlying causes are identified, there are many suggestions and different treatment methods that can provide a solution to this problem. The suggestions and methods applied in the treatment process can be listed as follows:
Lifestyle Changes
Erectile dysfunction can often be caused by irregular eating and living. In such cases, experts may recommend people to stay away from smoking and alcohol use. A balanced nutrition program suitable for the person can be made. It is important to exercise regularly and get a good night's sleep. Making such suggestions is effective in improving sexual life.
Oral Treatment Method
These are medicines prescribed by a doctor. In this method, the medicine taken orally causes the veins in the penis to dilate. With the expansion of the vessels, blood circulation in the penis accelerates. The medications used in this process should be done with the doctor's knowledge and under the doctor's control.
Vacuum Devices
These cylindrical devices have a vacuum feature. It helps the penis to harden sufficiently.
Topical Treatment Method
The medicine is delivered to the inside of the penis through the external urinary tract. The drug dissolves in this area and causes relaxation of the penile veins. With the relaxation of the veins, blood flow accelerates.
Shock Wave Therapy
Low levels of shock waves are transmitted to the penis to cause minor damage. The reason for this is to ensure the formation of new blood vessels to repair the damage. As a result of the formation of new blood vessels, blood flow to the penis is provided at the required levels.