Erectile dysfunction refers to a state in which the erectile function is not sufficient or maintained for sexual activity. Generally, this condition is defined as erectile dysfunction if lasted more than 3 months.
The definition of impotence itself is a symptom. That is, patients with erectile dysfunction have symptoms that can not or can not maintain sufficient erection.
Erectile dysfunction is caused by aging, smoking, drinking, diabetes, hypertension, cerebrovascular disease, and so on. In addition, hormone preparations, some of the hypertension medications, and psychotropic drugs cause erectile dysfunction, and surgery and damage to the brain, spinal cord, and pelvis can also cause erectile dysfunction. Chronic diseases include multiple sclerosis (chronic neuroimmune system diseases that occur in the central nervous system including the brain, spinal cord, and optic nerve), other neurological diseases, depression, chronic renal failure and hepatic failure, chronic obstructive pulmonary disease, skin sclerosis ) Can cause erectile dysfunction. Without these physical causes, psychological factors such as emotional stress, depression or an anxiety disorder can cause erectile dysfunction. In addition, lipid metabolism disorders such as diabetes, hypertension, obesity, hypercholesterolemia, and cardiovascular diseases caused by smoking and non-exercise habits may be risk factors for erectile dysfunction.
- Relevant body organs
Diagnosis of erectile dysfunction begins with detailed history listening. Carry out physical examination and laboratory examination with sufficient consideration of risk factors.
1) Listening to medical history
Ask questions about the risk factors of erectile dysfunction, cardiovascular status, current medications, duration and severity of erectile dysfunction. In addition, we will check for past pelvic surgery, trauma, history of radiation therapy and drinking, smoking, kidney failure, diabetes, neurological diseases, mental illness, cardiovascular disease, and peripheral vascular disease.
2) Physical examination In addition to
Blood pressure measurement, careful examination of the outer part of the penis is performed. Examination of the anomalies of the penile foreskin, dwarf penis, urethra, color, and presence of pharyngeal plate (penile curvature), and confirm the size, hardness, and symmetry of the testicles.
3) Laboratory test In addition to the
Basic blood test, biochemical test, urinalysis, diabetes test, cholesterol level measurement, and hormone test are performed. Thyroid-stimulating hormone tests may be performed in patients with abnormal thyroid function.
4) Questionnaire The
International Index of Erectile function is the most widely used questionnaire. The questionnaire consisted of 15 items to evaluate the foot function, feeling of well-being, sexual desire, sexual satisfaction, and overall sexual satisfaction. 5 points for each question are graded 17 ~ 21 for mild, 12 ~ 16 for moderate severity, 8 ~ 11 for moderate, and 5 ~ 7 for severe. In recent years, this questionnaire has been abbreviated to ask 5 questions. Here are the questions from the questionnaire for the short version of the international foot function measurement questionnaire.
(1) During the last four weeks, how many times have you been able to erect your sexual activity?
(2) During the last four weeks, when you were erect by sexual stimulation, how many times did you have enough erections to allow intercourse?
(3) During the last four weeks, when trying to have sex, how many times could it be inserted into the vagina of the partner?
(4) During the last four weeks, how many times have you been in the process of having an erection during the intercourse?
(5) During the past four weeks, how difficult was it to maintain an erection until sexual intercourse ended?
5) Penile Erection During
Nighttime sleep. Eating during nighttime sleep is one of the most important tests to distinguish between psychogenic (psychological and psychological) erectile dysfunction and somatic (physical) erectile dysfunction. During nighttime sleep, erection tests include stamps, snap gauge band, and Rigiscan. A stamp check is a simple and cost-effective test that checks whether a stamp is ruptured the next morning by attaching a stamp around the penis before going to bed, but it can not be an accurate evaluation method.
The Rigiscan test is recognized as a standard test because it can simultaneously measure dilatation and stiffness during erection during nighttime sleep.
6) Visual and Auditory Stimulation Erection Test
The visual and auditory stimulation erection test is a test that measures erection response by rigiscan while applying audiovisual stimulation. It is physiological compared with the erection test during sleep. However, when the patient is exposed to mental disorder or past audiovisual stimulation, (false negative), which may be negative even in the case of a disease.
7) Neurological Examination In
patients with neurological disease, this test is performed to find out the cause of neurological impotence. The test is performed on the nervous system, including the retroperitoneal reflection time test, the penile nerve conduction velocity test, And evoked potentials. However, since the normal value has not been determined yet, and there is a problem of reproducibility, there is a problem in the application in clinical practice.
8) Vessel system test When the vocal-marginal vessel is suspected and the vascular system operation is considered, the vascular dilator is injected into the penis and the change of the blood vessel is observed by the composite ultrasound of the penis. The internal diameter of the cavernosal artery, the systolic blood flow velocity, and the diastolic blood flow velocity. If a venous abnormality is suspected, the coronary cavernosal pressure measurement and penis corpus cavernosum can be selectively performed.
1) Correction for Reversible Causes If
Diabetes, hypertension, or hyperlipidemia are accompanied, this should be treated first. It is also necessary to improve lifestyles such as smoking, obesity, and habits that do not exercise well. In fact, research has shown that regular exercise alone can improve erectile dysfunction. It is known that correction of abdominal obesity is especially important for weight control.
2) Oral Medicines
Medicines are the primary method of erectile dysfunction. Viagra, Cialis, Levitra, Zydena, and M-Vix, which are developed in Korea. Although they exhibit slight differences in the absorption of the drug, the duration of action, etc., the mechanism of action of the drug is fundamentally the same. These drugs can be maximally effective only if proper sexual stimulation is preceded. Viagra is the first oral erectile dysfunction drug to be taken 1 hour before sexual activity, while Cialis has a long action time. Common side effects of these agents include headache, facial flushing, and blurred vision. Patients who are contraindicated for oral medication are those who are hypersensitive to the medication and those who are taking the nitrate medication (angina pectoris). Uprima, another oral medication, is an agent that acts on the brain that activates the inner nucleus of the hypothalamus and the nucleus of the ventricle. The effect was unsatisfactory and the side effects were severe, so the sale was stopped recently.
3) Vacuum Compressor
Vacuum compressor is a device that increases the inflow of blood into the corpus cavernosum by using a vacuum and then induces and maintains the erection by blocking the blood flow to the compression band. Although it is widely used in western countries because it can be considered as first-line therapy in addition to oral medication as a very effective treatment method, Korean patients are not preferred because they are not preferred because of sensory depression and cold sensation. Due to the safety problem, it is necessary to use only the equipment certified as a medical device, but it is hard to get it recently in Korea. Caution is required because the penis may be damaged by using a device that is not recognized as a medical device.
4) The drug called MUSE (Medicated Urethral System for Erection) has the effect of inducing an erection by injecting vasodilator into the urethra. Although it is an effective remedy, it has been reported that it causes penile pain, urethral pain, severe fibrosis of the corpus cavernosum, dizziness, facial flushing, and orthostatic hypotension.
5) Sponge Cautery Injection Therapy
is a secondary treatment that can be tried next if there is no effect using medication. Several vasodilators should be injected alone or in combination, and education and proper dosage of safe injection should be preceded. Patients’ satisfaction is very high, but pain, fibrosis, and persistence of erection can occur due to side effects, and there is a disadvantage that the dropout rate is high.
6) Surgical Treatment
Penile artery reconstruction can be performed selectively in a healthy young patient with partial occlusion of the penile artery, primarily due to injury. Surgical treatment, which is generally considered to be a satisfactory erectile effect despite several treatments, is penis implantation. The penis implants are non-inflatable and inflatable and have a very high satisfaction after the procedure. However, the price of the device is expensive, complications such as infection, erosion, pain, penile curvature, and mechanical dysfunction may occur, and once the procedure is done, self-erectile power is completely lost.
Complications / Complications
In the case of a psychogenic cause, symptoms occur suddenly and the progression varies. Sometimes it is possible to erect depending on a specific opponent and sometimes it becomes an erection in the morning. However, in the case of organic causes, the symptoms progress slowly, the erection is always impossible, and the tendency to gradually deteriorate. Drug-administered drugs are effective in 60-80% of patients with cardiogenic erectile dysfunction, and intracavernosal injection therapy is effective in 80-90% of nonvascular erectile dysfunction. Although penile implants theoretically can cure 100% of the symptoms, complications arising from implants or mechanical failure can occur.
How to Prevent it
To prevent erectile dysfunction, reducing excessive drinking and smoking, and regular exercise in conjunction with proper exercise and diet helps maintain a normal erection. Sufficient sleep and an active attitude of life are also important.
In patients with erectile dysfunction, proper exercise, regular exercise, hypertension, diabetes, and obesity should be treated in parallel. For more information visit here: https://truelibido.com/how-to-cure-erectile-dysfunction-naturally