Definition / Epidemiology "Erectile dysfunction is defined as the permanent or temporary (lasting at least 6 months) inability of man to achieve and maintain an erection sufficient to perform satisfactory sexual intercourse."
Erectile dysfunction is defined as the permanent or temporary (lasting at least 6 months) inability of man to achieve and maintain an erection sufficient to perform satisfactory sexual intercourse. The International Index of Erectile Function (a valid questionnaire) is valuable to assess objectively the situation of the patient. Today, more than 200,000,000 men in the world suffer from erectile dysfunction.
The experts define as erectile dysfunction permanent or recurrent inability of man to achieve and maintain an erection sufficient for satisfactory sexual intercourse. They point out that even to characterize transient erectile dysfunction should be at least six months. Thus, erectile dysfunction does not include transient situations where the person has no sexual desire or can not cope due to accidental circumstances, for example because of alcohol or fatigue.
To get a satisfactory erection briefly required:
• Psychogenic excitation • Sexual arousal • Parasympathetic activity • ?? Release of NO • Increased intracellular c-GMP • Smooth muscle relaxation • Increased blood flow • Venous obstruction • Penile engorgement • Erection
Determining the cause of disease is crucial to address and treat this. The causes of disease can be organic, and bulimia. In this case, the organic causes included vascular (diabetes, hypertension), the neurogenic, hormonal and anatomical causes (gag, disease Personae). Also, the disease may be caused by use or misuse of pharmaceuticals and other substances.
The diagnosis is based on:
• Description of the disease, such as duration and stability of symptoms, morning erections, emotional status, libido, interpersonal relationships, and any previous treatment of erectile dysfunction. • Detailed medical and psychiatric history, past surgeries, medications and their possible misuse. • Clinical examination of the urogenital, endocrine, vascular and nervous system. The digital rectal examination should be performed in patients 50 years. • Laboratory tests including glucose, serum testosterone, prolactin, and where appropriate, PSA and serum lipids.
The mechanism by which activated erectile function is extremely complex. Participants in this many organs or body parts, each of which performs its own unique role. A prerequisite for a good erectile capacity are functioning and cooperation of all the individual systems involved in the mechanism. Otherwise we have erectile dysfunction may be mild, moderate or severe.
There are a) some diseases b) some medications to treat these diseases and c) the psychological factor shown to affect erectile function and thus sexual life of men generally.
An important task of the physician is to communicate with the patient and her partner to understand the diagnosis and the recommended strategy for treatment must be followed. Although it is usually difficult, the patient's partner should be involved in these processes in order to be able to understand the needs and expectations of her partner, the existence of the disorder, the interpretation of laboratory tests and selection of treatment options.
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