YOUR DICK WILL BE DEAD FOREVER; IF YOU WERE STICKING YOUR HEAD IN THE SAND AND IGNORING THE FOLLOWING ED CAUSES..
Guys: Don’t ignore erectile dysfunction; You may be missing important warnings about your health.
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| Ignoring ED Will Cause Your Dick To RIP |
In my previous post PART 1-SHOCKING-ONE IN FOUR YOUNG MEN SUFFERED FROM ERECTILE DYSFUNCTION. ARE YOU ONE OF THEM? DO THIS SELF-CHECK TO FIND OUT..., we discussed about erectile dysfunction is no longer a problem suffered by older men. Instead, it is now a growing concern among the population of younger men too. And we explored and analyzed some of the possible signs of erectile dysfunction and ways to go for self-check.
Many men don’t realize, they might be inching toward erectile dysfunction. Don’t wait until it gets to the point that you can no longer obtain an erection before searching for clues.
In this post we will highlight and discuss all the possible causes of ED: Psychological and Physical issues.
What Makes A Man Experience Psychological Impotence?
OMG! You Got To Watch This...
Let’s explore 10 underlying common causes of psychological erectile dysfunction in young men are:
No.1 High Stress Level.
One of the most overlooked causes of sexual dysfunction in younger men is stress.
Erections require the body to synchronize a variety of systems: muscular, hormonal, vascular, nerve-based, emotional and psychological. If there’s a problem in any of these systems, it can result in erectile dysfunction.
Stress and anxiety have a direct physiological effect on the brain and body. When stress interrupts and hijacks the brain, stopping it from sending the signals that are needed to trigger an erection.
Therefore, it can also lead to a decrease in male sex hormones and it becomes harder to remain focused on intercourse, especially as your body produces more cortisol (the body’s stress hormone), which in turn is associated with erectile dysfunction.
No.2 Performance Anxiety.
Performance anxiety is also another most common cause of erectile dysfunction in young men. It can transform sex from something pleasurable to a source of pressure and pain.
Anxiety dulls the nervous system, which is required to spark arousal. When your body releases a surge of stress hormones such as cortisol and adrenaline when you are stressed, it can also constrict the blood vessels, reducing blood flow to the penis.
A man may be so anxious about pleasing his partner that he cannot perform sexually at all. This can include nervousness about getting your partner pregnant, losing your erection while putting a condom on, or your sexual performance.
For example, if a man experiences ED several times ,or even once, and if his partner takes it personally (“You don’t find me attractive anymore,” etc.), he may begin to fear that the partner will leave him and this only increases the anxiety that will surely contribute to the avoidance of sexual experiences that ultimately increase the probability of future failures, creating a vicious cycle.
This often creates a negative spiral, because failure to achieve an erection causes yet more anxiety and stress. This is often true, in young men, especially, first timers this is a common reason for erectile dysfunction.
Lack of sexual experience, confidence coupled with the lack of sexual awareness; failure in earlier sexual encounters that affect each subsequent effort; a religious background that teaches that sexuality is sinful or evil can make one lose erection mid-way. Usually, some counselling and couple therapy can help them overcome this problem.
No.3 Depression.
When you feel blue and low on energy, it can be extremely difficult to perform at your sexual peak. The profound sadness, emptiness, and hopelessness that characterize depression may also cause ED among younger men.
According to a recent study published in the Journal of Abnormal Psychology, there was a 71% increase in the amount of serious psychological distress experienced by young adults ages 18-25 between 2008 and 2017.
That’s a striking uptick, and it may well be a contributor to the prevalence of ED among young, physically fit men. A chemical imbalance in the brain can affect both sexual desire and function.
While depression often isn’t directly associated with erectile dysfunction, it is commonly linked to low libido, due to how it limits the release of "positive" neurochemicals like dopamine, serotonin, and catecholamines.
No.4 Relationship Trouble.
Is your relationship experiencing troubled times? It may be that your sex life suffers if you are having concerns about your relationship in general.
Relationship problems and poor communication with a partner can also cause sexual dysfunction in both men and women.Satisfying sex requires you to both feel safe and intimate with one another.
No.5 Trauma.
In some cases, ED may stem from childhood abuse or sexual trauma. Studies calculate that as many as one in six boys have been sexually abused.
This can interfere with sexual pleasure and keeping an erection, and it can happen as if out of the blue when something that triggers memories shows up in bed. Then, therapy is required in order to work through this before they are able to fully engage in sex.
No.6 Condom.
Can the simple act of putting on a condom cause so much stress that it actually leads to erectile dysfunction?
Most of young men use condom during sex, and putting it on may bring some erection issues because it causes break in the stimulation part of sex and, as a result, erection may fade and affects man’s libido, resulting in sexual weakness and passiveness.
No.7 Sexual Pain.
Even painful sex can give men psychological concerns about getting an erection, which can trigger ED.
No.8 Guilt.
Guilt is a painful and gut-wrenching emotion. If your guilt is strong enough, it interrupts the signals between your brain and body, stopping you from getting an erection.
For example when men who are having an affair, they often find that they can’t quite get it up for their illicit mistress – possibly due to the guilt that they feel about being unfaithful. However, guilt can also cause impotence in men who view sex as being shameful for religious or cultural reasons.
No.9 Low Self-Esteem.
Men who start out with a low self-esteem may see themselves as unsexy or inadequate. This can lead to erectile problems in bed.
Furthermore, people with a low self-esteem are more vulnerable to experiencing guilt, depression, anxiety and fear of rejection.
No.10 An Unhealthy Lifestyle.
An unhealthy lifestyle in younger men that triggered erectile dysfunction. Lifestyle factors that can cause ED in young men which include:
- Smoking.
Smoking on the first cause of erectile dysfunction in young men as it is common cause. Smoking is widely spread among people of different nations, especially between young men.
Daily smokers are three times more likely to suffer from erectile dysfunction compared to non-smokers. A 2003 study found that smoking more than 20 cigarettes every day increases the risk of erectile dysfunction by 60%.
As you know cigarette smoke contains tar, nicotine and other carcinogens which may cause different health problems. Those harmful substances in the smoke of the cigarette may be the reason of arterial sclerosis, or hardening of the arteries leading to cardiovascular disease.
In the case of occurring tar in the lungs and plague build in the arteries the individual’s heart has to work harder to overcome all barriers and deliver required amount of blood to different organs of the body. Without blood the organism will not work properly.
All these actions of the heart and blood stream leave fewer energy (comparing with the healthy person) to push blood to fill all three chambers of the penis. Of course some blood is delivered to the organ but it is not in a suitable amount which may cause unstableness of the erection. All this is caused by your poor weak heart for which it is impossible to provide your sex organ with good blood pressure.
Blood flow is essential for erections. If penile arteries are blocked, the proper amount of blood can’t get to the penis, causing a weak erection or no erection. Talk to your doctor about local programs that can help you kick the habit.
- Alcohol.
Drinking alcohol in moderation is not likely to cause erectile dysfunction, but drinking to excess certainly can. Alcohol addiction is other common causes of ED among young men.
A study published in 2006 stated that excessive consumption of alcohol can hamper performance and can contribute to ED in young drinkers.
Most people believe that alcohol can help one get into a romantic mood and instigate some intimate moments with one’s partner, but an overdose of booze can ruin the fun completely and maintaining an erection is much more difficult under the influence.
This is backed by scientific fact. In the short-term, drinking alcohol expands the blood vessels in the penis, allowing for an erection. However, those blood vessels cannot close to prevent backflow. Furthermore, long-term excessive alcohol consumption can increase the risk of hypertension and heart disease by damaging the blood vessels.
Eventually, can cause blood vessels to narrow, preventing enough blood from getting to the penis which further increases the risk of ED.
- Drugs.
A study, published in 2013 in the Journal of Sexual Medicine, younger men with ED were more likely to smoke or use recreational drugs compared to their older counterparts. Use illicit drugs like marijuana and cocaine without consulting your doctor can be risky.
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Research has shown that marijuana may impair erectile function much like it impairs brain function. The active ingredient in marijuana, tetrahydrocannabinol (THC), interacts with proteins in the brain called cannabinoid receptors.
This interaction is what makes people feel “high.” It’s believed that this type of interaction can happen in the penis, too. It’s possible that these habits could have contributed to their higher rates of ED.
In particular, cocaine use has been linked to a condition called priapism, where an erection lasts for more than four hours. It is a painful and potentially damaging condition that requires immediate medical attention.
- Poor Diet.
Junk food is another culprit, as it increases your blood pressure and cholesterol, which restricts circulation and hardens arteries (not your penis).
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If you eat a lot of fast food with plenty of red meat and nary a vegetable nor a fruit in sight, you are increasing your risk of developing erectile dysfunction. This type of diet also means that you are more likely to be overweight or obese.
Men who are obese typically have lower levels of testosterone and poor blood circulation, both contributors to ED. Talk to your doctor about managing your weight. Choose a diet rich in fiber and antioxidants from produce, and skip the drive-thru.
- Lack Of Exercise.
According to a study published in the journal Preventative Medicine, the average physical activity level of 19-year-old Americans is comparable to that of 60-year-olds. Worse, the same study found that, on average, men's physical activity drops off more than that of women's as we age.
Men are also less active today than in the past, and this lack of activity is leading many men to suffer from low testosterone levels. Desk jobs have replaced warehouse and physical labor jobs.
You can try to get to the gym more often. Exercise such as introduction of a cardiovascular routine 30 minutes, three times weekly can help to improve your testosterone levels, to support prostate health, lower your blood pressure and also help alleviate stress in the process. The more you exercise, the better chance you have of reducing your risk of ED.
- Obesity.
The link between obesity and erectile dysfunction has been long-established. Obesity itself is not a risk factor for ED — but there is a connection.
Being overweight can kill the fun in bed in many ways. In addition, obesity can put physical limitations on sexual intercourse and one of them is erectile dysfunction.
A study published in Journal of Sexual Medicine in 2008 pointed out that for men aged 20 to 45 whose BMI was greater than 30kg/m2 suffered from erectile dysfunction even if they didn t smoke or drink. Obesity alone could make ED in young men worse.
Even though the study was done on Danish men, we are sure that the condition can affect any young obese man, irrespective of his race.
Another study done by the NCBI in 2014 reported that in the United States, diabetes and obesity are responsible for 8 million cases of erectile dysfunction, adding that as a man's BMI increases, so does his risk of having ED.
Children often stay obese and grow into adulthood. While the causes of obesity vary, that the condition can reduce total testosterone in men, impair penile function, and result in a concealed penis due to a suprapubic fat pad, regardless of the reason.
The bigger concern is that obesity if left untreated, it can lead to type 2 diabetes or vascular diseases, and high blood pressure which are root causes of erectile dysfunction.
- Lack Of Rest And Sleep.
Most of us tend to cut down on sleep to meet our work targets or home responsibilities, prove to be stressful on the body.
It is proven that most testosterone is produced while sleeping. Lack of sleep can cause testosterone levels drop to as much as 70% which can make you feel more stressed or anxious. And all of those things can kill your libido and make it harder to get an erection.
In a 2009 study, researchers found that 70% of men diagnosed with sleep apnea also had erectile dysfunction. Not only that, after men are treated for sleep apnea they are less likely to have erectile dysfunction and the quality of their sex lives improve as well.
- An Increase In Pornography Viewing.
Another common culprit for ED in younger men, namely porn-induced erectile dysfunction (PIED). A man with PIED may find himself struggling when it comes to having sex with a real partner: apart from struggling to stay hard, he may also take a long time to orgasm, or even fail to do so altogether.
Despite this, he has no problem staying erect and having an orgasm whilst masturbating to porn. As a result, men with PIED might find themselves choosing porn over real sex; and this may lead to tension and disconnection in their relationships.
Watching porn two to four times a week can result in a loss of appetite for real-life sexual interaction because the brain’s dopamine reserves are consistently diminished from over stimulation.
In other words, when you’re trying to have sex with a real person who can’t quite give your brain the high that it’s getting from hardcore porn. For example, when a young man is having real-life sex with a woman, he’s gets just one dopamine hit, so if he has used an excessive amount of porn to ‘train’ his penis to expect a series of dopamine hits, it may affect his ability to maintain an erection in real-life sex. Due to dopamine flooding, your brain is no longer efficient at giving you the experience of anticipation and excitement that you need in order to become aroused when you’re in bed with a real person.
When you're watching a lot of pornography, that is where you learned sexual experience but it leads to unrealistic expectations about sex (including what your own and your partner's bodies ought to look like).
When you're watching a lot of pornography, that is where you learned sexual experience but it leads to unrealistic expectations about sex (including what your own and your partner's bodies ought to look like).
Further, it can lead to a sense of inadequacy in terms of their own physique — and it can also cause intimacy difficulties with a partner. If a young man is experiencing erectile difficulties, it can affect his confidence around sex and his sexual performance may be affected.
- Masturbation.
When a man overdoes it, he makes self pleasure the only way his body can respond sexually, which means he has now trapped himself. It means the sensation of another warm body will not have the effect it once did, and that will – in the end – affect how he functions sexually.
Further, if you’re masturbating frequently enough you’re going to be spending an increasing amount of time for your body and mind need to recover from the excitement. In other words, the more you’re masturbating to porn, the more exhausted your body and mind are, making it less likely that you’ll be able to get it up whilst with a real partner.
Another issue which can affect a man’s ability to have or maintain an erection is his own masturbatory style. Some men can have a strong grip on their penis and hold and touch themselves with a high level of pressure and speed in order to ejaculate. If the man’s partner, is not aware of his strong masturbatory style he or she may touch the man’s penis too gently, causing him to lose his erection. If your porn use is causing problems, it may be helpful to see a psychosexual specialist (your GP should be able to refer you).
Another issue which can affect a man’s ability to have or maintain an erection is his own masturbatory style. Some men can have a strong grip on their penis and hold and touch themselves with a high level of pressure and speed in order to ejaculate. If the man’s partner, is not aware of his strong masturbatory style he or she may touch the man’s penis too gently, causing him to lose his erection. If your porn use is causing problems, it may be helpful to see a psychosexual specialist (your GP should be able to refer you).
Now, we have just covered the 10 underlying common causes of psychological erectile dysfunction. We will move over to reveal 12 serious underlying common causes of physical erectile dysfunction.
Underlying Common Causes Of Physical Erectile Dysfunction.
It's worth mentioning that while ED in younger men is commonly psychological, that isn't universally the case. Sometimes treating erectile dysfunction requires more than reducing stress or quitting cigarettes.
Not at all, though ED can be caused by psychological issues, there may be an actual physical problem or underlying medical conditions ( such as diabetes, hypertension and heart attacks ) lurking beneath someone’s ED.
This is one of the reasons why anyone experiencing ED it is so critical to see their doctor to rule this out and get help for your ED – even if you don’t particularly wish to talk about it. Your doctor needs to evaluate you for possible underlying medical causes.
In brief, let’s explore some underlying common causes of physical erectile dysfunction in young men are:
No.1 High Blood Pressure.
It is no news that in today's day and age men in their late twenties and early thirties are suffering from high blood pressure.
Studies have shown that high blood pressure and ED are interrelated. Constricted blood vessels lead to both conditions and due to lack of blood flow in your organ, maintaining an erection can be a real challenge. In other words, The penis needs enough blood to get and sustain an erection. If blood flow isn’t working properly, the circulatory system may be to blame for erectile dysfunction.
No.2 Diabetes.
In recent years, however, increasing numbers of younger people are developing this disease. High blood pressure, and diabetes are all interlinked and can lead to erectile dysfunction in young men.
Young men with diabetes type 1 and 2 will most likely associate with erectile dysfunction. The risk increases as a man ages, but poorly controlled diabetes can drastically increase the risk of ED in younger men, which can affect the blood’s ability to get to the penis effectively.
Uncontrolled blood sugar levels for a prolonged period results in damage to the blood vessels and nerves which could lead to erectile dysfunction. Even young men suffering from type I diabetes can suffer from depression due to ED. Type 2 diabetes was formerly called adult-onset diabetes. Diabetes type 2 is basically as a result of poor diet and is curable through natural means and heart-healthy diet.
No.3 Cardiovascular Disease.
It would be unlikely for a young person to have a heart problem or cholesterol problem. but not impossible. Cardiovascular disease used to be something that guys only over the age of 40 to 50 worried about.
Unfortunately, the prevalence of junk food in societies means that increasingly, younger people are developing cardiovascular problems.
In fact, one study that included the cadavers of 760 young people (including teens) found alarming amounts of arterial plaque. One fifth of young men in the study (ages 30 to 34) had advanced deposits of plaque inside the coronary artery.
Listen up guys, you are more than twice as likely than a woman of your age to have plaque buildup in your arteries. If you have erectile dysfunction, it is vitally important that your doctor test you for the warning signs of cardiovascular disease.
Men with both cardiovascular disease and ED are twice as likely to suffer a heart attack. Cardiovascular disease contributes to ED because the arteries narrow and harden, which reduces blood flow to the penis and all other areas of the body.
No.4 Kidney Disease.
Guys with kidney disease may also develop problems maintaining erections. That's because medical conditions like these also impact hormone levels, blood circulation, and energy, according to the National Kidney Foundation. Or some guys lose interest in sex because because of the emotional and physical changes these conditions may cause.
No.5 Low Testosterone.
It is usually one of the culprits in men over 40-years-old and is usually accompanied by low sex drive, erectile dysfunction, osteoporosis or fracture, and two or more of the following: sleep disturbance, depressed mood, lethargy or diminished physical performance.
A recent study found that lack of sex drive and erectile dysfunction was a result of low testosterone levels, according to the New England Research Institute. The study, conducted on nearly 1,500 men in a community survey in the Boston area, examined participants ages 30- to 79-years-old.
Researchers found that one in four men older than 30 have low testosterone levels, and one out of every 20 has clinical symptoms linked to deficiency, according to the study.
No.6 Thyroid Disease.
Your thyroid gland produces hormones that regulate your metabolism, but the thyroid also plays a role in regulating sex hormones.
If you have thyroid disease, particularly hypothyroidism, you are at a greater risk of having lower levels of testosterone, which contributes to ED. Treating your hypothyroidism or hyperthyroidism will help resolve erectile dysfunction, often within six months.
No.7 Hormones.
Sometimes, hormonal issues are the root of erectile dysfunction in young men. Low testosterone and other hormonal disorders can play a role. Too much prolactin, or low or high levels of thyroid hormones, can also factor in.
No.8 Neurogenic Disorders.
Nervous system disorders. Men with multiple nervous system disorders may have trouble with erections because important messages from the brain can’t “connect” with the genitals.
In men younger than 40 years, common neurologic causes of ED include:
- Multiple sclerosis – the aetiology of erectile dysfunction in patients with multiple sclerosis involves a mix of cognitive decline, nerve dysfunction, illness-related stress and possible inflammation-dependent endothelial dysfunction.
- Epilepsy – in most studies involving epilepsy and sexual dysfunction, endocrine abnormalities were found in men with epilepsy, especially in men treated with liver enzyme-inducing epileptics. The aetiology of erectile dysfunction in patients with epilepsy is likely to involve a mix of neurologic, psychiatric, cognitive, endocrine, iatrogenic, and psychosocial factors.
- Intramedullary nailing of femoral fractures.
- Lumbar spine procedures.
- Fractures that injured the spinal cord.
No.9 Medication Side-Effects.
Erectile Dysfunction Is Also Caused By Some Medicines -- Recreational drugs and legitimate medications alike may lead to erectile dysfunction. If you use any drugs, talk to your doctor about whether they might be causing ED.
Some of the recreational drugs that may cause erectile dysfunction include barbiturates, cocaine, marijuana, methadone, and amphetamines. So, if you are suffering from erectile dysfunction caution must be exercised before opting for these medicines.
It is better to discuss their benefits and side effects with a qualified doctor. This is more important for those who are already on other medicines, or those who are suffering from chronic medical conditions. For such people, taking nonprescription ED drugs may lead to unpleasant situations.
Doctor-prescribed medications that are taken to treat various ailments, that might cause ED can include chemotherapy drugs, muscle relaxants, antihistamines, antidepressants, and even nonsteroidal anti-inflammatory drugs (NSAIDs) like naproxen or ibuprofen.
Just to highlight some medicines that also give rise to male impotency and these are:
- Antidepressants (selective serotonin reuptake inhibitors) – are recognized to cause sexual dysfunction but are not known to induce erectile dysfunction specifically.
Some such drugs which cause ED are paroxetine (Paxil), venlafaxine (Effexor), clomipramine, citalopram (Celexa), sertraline (Zoloft), nortriptyline, desvenlafaxine (Pristiq), fluoxetine (Prozac), amitriptyline, isocarboxazid (Marplan), duloxetine (Cymbalta), phenelzine (Nardil), escitalopram (Lexapro) and tranylcypromine (Parnate). especially paroxetine, inhibits cholinergic receptors and nitric oxide synthase, contributing to erectile dysfunction.
Psychological stressors are among the top contributing factors when many young men today are on anti-depressants, and the like, and have been since their early teens. It’s widely known that the continuing over-prescription of anti-depressants, etc., will interfere with one’s ability to get and keep an erection, as well as the ability to feel deeply the sensations and emotions that make for powerful sex.
- Opioid Pain Medications-- These types of meds also cause male impotency and some such are hydrocodone, morphine and oxycodone.
· Antihistamines: Such medications like Phenergan, Benadryl and Dramamine, can cause ED.
· Blood Pressure Medications: These types of medications which cause male impotency include hydrochlorothiazide, chlorothiazide, clonidine, methyldopa, furosemide, ethacrynic acid, spironolactone, torsemide, chlorthalidone and guanethidine.
- Acid Reflux Medications-- Medicines of this type are ranitidine (Zantac), cimetidine (Tagamet) and famotidine (Pepcid).
- Neuroleptics – are well known to cause erectile dysfunction due to increased prolactin levels.
- Non-steroidal anti-inflammatory drugs – are known to cause erectile dysfunction due to the inhibition of cyclooxygenase-2. The prostaglandins made by cyclooxygenase-2 in the vas deference are thought to be essential in for penile erection.
Some medications that are used to treat male pattern baldness can also cause erectile dysfunction in young men. Finasteride, a 5-alpha reductase inhibitor, widely used in the medical management of male pattern hair loss can lead to ED. Published in the Indian Dermatology Online Journal; a study stated that hair loss medications could affect erection by lowering testosterone levels as a side effect of medication.
However, Do not abruptly stop taking doctor-prescribed medications; talk to your doctor first.
No.10 Physical Trauma.
This could be the result of a sports injury, such as a misplaced karate kick, a surfboard hitting the wrong area or long-distance bike riding. It could also be a result of a sexual injury. (This is most common during heterosexual intercourse, especially in the woman-on-top position, the sex position dubbed "most dangerous" by a 2015 study.)
No.11 Male Genital Disorders-Peyronies Disease and Cryptorchidism are very real conditions.
- Peyronie’s Disease.
There's a significant bend to the penis during erections, caused by the plaques (segments of flat scar tissue) form under the skin of the penis. And if you've always had a problem getting an erection, it could be that the blood flow to your penis is somehow restricted.
The precise mechanism of erectile dysfunction in men with Peyronie’s disease is unclear. Peyronie’s disease is thought to arise from repeated trauma to the tunica albuginea with the eventual formation of a plaque that causes penile curvature and concomitant erectile dysfunction.
Plaque formation is thought to require a significant amount of time and thus the prevalence of Peyronie’s disease increases as men age.
At present, the only known treatment is surgery and that is not recommended unless the condition is severe. If someone is considering surgery it should be with a highly skilled urologist with a highly developed specialty in what is considered to be a very sensitive type of operation. In other words, this is not something a general urologist or surgeon should do.
- Cryptorchidism.
It represents a testicle that has not moved into its proper position in the bag of skin hanging below the penis (scrotum) before birth. Patients with cryptorchidism have low testosterone levels which contribute to the occurrence of erectile dysfunction.
No.12 Klinefelter Syndrome.
Klinefelter syndrome is a genetic condition in which it is a sex chromosome disorder in boys and men that results from the presence of an extra X chromosome in cells.
People typically have 46 chromosomes in each cell, two of which are the sex chromosomes. Females have two X chromosomes (46, XX), and males have one X and one Y chromosome (46, XY). Most often, boys and men with Klinefelter syndrome have the usual X and Y chromosomes, plus one extra X chromosome, for a total of 47 chromosomes (47, XXY).
Individuals with Klinefelter syndrome often present to urology clinics with infertility, poor libido, or erectile dysfunction. There’s no cure, but it can be treated.
ED Is Just A Symptom- Talk With Your Doctor For A Complete Diagnosis To Find Out What The Basis Is. How?
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If you find out and believe that you have any of the symptoms of erectile dysfunction ( especially Physical ED ) then get in contact with your doctor for a diagnosis and discuss with them which course of treatment will be suitable for you.
You must not neglect this. This is because ED is actually a wake-up call or warning sign that you could be suffering from some kind of illness. And the worst part is, this could be an illness that could be life threatening.
Physical ED could be a sign that you are suffering from illnesses like high cholesterol, heart disease, Multiple sclerosis, Peyronie's disease, atherosclerosis, diabetes, Parkinson's disease and high blood pressure. As you can see, some of these illnesses are life threatening and getting a medical examination is advised.
This will not only help you rule out the potential causes behind your problem, but also encourage you to take steps to prevent the same, if there should be any.
Diagnosing erectile dysfunction is relatively simple and a process that should leave you with nothing to be embarrassed about.
You will need to consult with a registered doctor, who will recommend a treatment based on your symptoms and your physical and mental health, among other things. Your doctor will ask you the following:
On Sex Related Issues And Details About Your Relationship With Your Sexual Partner.
- How long have you been experiencing ED? Did they start slowly or all at once?
- Do you have any problems with feeling sexual desire, ejaculating, aurosal or reaching orgasm?
- How often do you have sex? Has this frequency changed recently?
- Do you have difficulties obtaining an erection? How firm are your erections? Do you have painful with erections? Is penetration difficult? Is this affected by particular situations or types of stimulation?
- Do you wake up in the morning or in the middle of the night with erections?
- How’s your current relationship? What expectations do you and your partner have for each other? Have there been any changes?
On Lifestyle Related Issues.
- Have you recently been experiencing a lot of stress?
- Details of any medication you have taken during the past year, including over-the-counter drugs, nonprescription drugs use, vitamins and supplements.
- Do you use tobacco, alcohol, or caffeine intake?
- Any psychological issues such as lack of libido, problems in your relationship, anxiety and fatigue?
- Do you have any underlying conditions or have you had any surgery on or injury to your pelvic area?
- Do you have any urinary problems?
- Do you have other health problems (treated or untreated)?
Tests that might be performed to establish the diagnosis of erectile dysfunction include:
Laboratory Testing.
Hormonal Blood Tests.
The hormonal blood tests include evaluation of the following hormones:
Testosterone;
Serum-hormone-binding globulin;
Luteinizing hormone (LH);
Prolactin;
Thyroid-stimulating hormone (TSH).
Prostate-specific Antigen.
Measurement of prostate-specific antigen levels may be appropriate if the patient is a candidate for prostate cancer screening. This screening should be performed only after its risks and benefits have been reviewed with the patient.
Urinalysis.
The presence of red blood cells (RBCs), white blood cells (WBCs), protein, or glucose can be important clues to a genitourinary disorder.
Other blood tests
Additional useful screening blood studies include:
Hemoglobin A1c;
Serum chemistry panel;
Lipid profile.
Functional Tests.
Injection Of Prostaglandin E1
This test involves the injection of a vasodilator prostaglandin E1, alprostadil into one of the corpora cavernosa. If the penile vasculature is normal or at least adequate, an erection should develop within several minutes. If successful, this test also establishes penile injections as a possible therapy.
Biothesiometry.
This test evaluates the sensitivity of the skin of the penis to detect vibrational stimuli. In this test, a small electromagnetic test probe is placed on the right and left sides of the penile shaft and on the glans. The vibrational amplitude is adjusted until the subjective sensory threshold is reached, which is determined by questioning the patient. The average vibration sensory threshold in each location is determinate by a series of these tests. This test does not directly measure erectile nerve function, but it serves as a reasonable means of screening for the possible sensory deficit and is simple to perform.
Nocturnal Penile Tumescence Testing.
Nocturnal penile tumescence testing involves placing several bands around the penis, connected to a device such as the Rigiscan monitor, and instructing the patient to wear the assembly for 2 or 3 successive nights. If an erection occurs, which is expected during rapid eye movement sleep, its force and duration are measured on a graph. Inadequate or absent nocturnal erections suggest organic dysfunction, whereas a normal result indicates a high likelihood of a psychogenic aetiology.
Imaging Studies.
Ultrasonography.
Duplex ultrasonography can be used to evaluate the vascular function of the penis. In this procedure, blood flow in the cavernosal arteries within the corpora cavernosa is measured before and after the intracavernosal injection of a test dose of a standard vasodilator (eg, 20 µg of PGE1).
Angiography.
Angiography is useful if the patient is a potential candidate for some type of vascular surgery. Young men with traumatic vascular injuries resulting in erectile dysfunction are candidates for this angiography because they may qualify for vascular reconstruction.
For many men, the stigma surrounding erectile dysfunction is enough to make a man hide the problem rather than be proactive and tackle it head on.
If you suspect that you could be suffering from the common issue of erectile dysfunction (ED), then you should know that you are really not alone - and that there are millions of men who have seen past the embarrassment to access reliable solutions.
That’s a good reason to get over the embarrassment and don't be afraid to seek medical attention, and help to resolve it is vastly preferable to suffering through it in silence.
At first you might not be comfortable discussing or even reluctant to seek help for your ED with a doctor, but once you take action talking to a doctor is not only important, as it will make you much happier and expressing your concern could save your life.
Stay tuned for my next post, where we will explore and discuss some of the possible solutions and practical natural alternatives to cure erectile dysfunction.
Disclaimer: This information isn’t a substitute for professional medical advice, diagnosis, or treatment. You should never rely upon this article for specific medical advice. If you have any questions or concerns, please talk to your doctor.
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