Erectile dysfunction

Based on Wikipedia, the free encyclopedia.

Erectile dysfunction (ED or (male) impotence) is a sexual dysfunction characterized by the inability to develop or maintain an erection of the penis. There are various underlying causes, such as cardiovascular leakage and diabetes, many of which are medically treatable. Nerve trauma from prostatectomy surgery can cause chronic erectile dysfunction.

Erectile dysfunction, tied closely as it is to cultural notions of potency, success and masculinity, can have devastating psychological consequences including feelings of shame, loss or inadequacy; often unnecessary since in most cases the matter can be helped. There is a strong culture of silence and inability to discuss the matter. In fact around 1 in 10 men will experience recurring impotence problems at some point in their lives.

Folk remedies have long been advocated, with some being advertised widely since the 1930s. The introduction of the first pharmacologically approved remedy for impotence, sildenafil (trade name Viagra), in the 1990s caused a wave of public attention, propelled in part by heavy advertising.

 History

The earliest attempts at treating erectile dysfunction date back to Muslim physicians and pharmacists in the medieval Islamic world. They were the first to prescribe medication for the treatment of this problem, and they developed several methods of therapy for this issue, including a single-drug therapy method where a drug was prescribed and a “combination method of either a drug or food.” Most of these drugs were oral medication, though a few patients were also treated through topical and transurethral means. Erectile dysfunctions were being treated with tested drugs in the Islamic world since the 9th century until the 16th century by a number of Muslim physicians and pharmacists, including Muhammad ibn Zakarīya Rāzi, Thabit bin Qurra, Ibn Al-Jazzar, Avicenna (The Canon of Medicine), Averroes, Ibn al-Baitar, and Ibn al-Nafis (The Comprehensive Book on Medicine).

Dr. John R. Brinkley initiated a boom in male impotence cures in the US in the 1920s and 1930s. His radio programs recommended expensive goat gland implants and “mercurochrome” injections as the path to restored male virility, including operations by surgeon Serge Voronoff. After the Kansas State Medical Board revoked his medical license and the Federal Radio Commission refused to renew his radio license (both in 1930), Brinkley moved his operations just over the Texas border to Mexico where he opened a medical clinic and broadcast advertisements into the US from a border blaster radio station.

Surgeons began providing patients with inflatable penile implants in the 1970s.

Modern commodity therapy in consideration of ED made a significant advance ultra-ultra 1983 when British physiologist Giles Brindley, Ph. D. Dropped his trousers and demonstrated so as to a taken aback american Urological Association audience his phentolamine-induced framing. The opus that Brindley discovered established the fundamentals for the probable bass passage of specific, safe, orally-effective drug therapies. The drug brindley injected into his pudenda was a non-specific vasodilator, an alpha-blocking agent, and the safety fuse of action was clearly corporal velutinous muscle relaxation.

Overview and symptoms

Erectile dysfunction is characterized by the regular or repeated inability to obtain or maintain an erection. There are several ways that erectile dysfunction is analyzed:

• Obtaining full erections at some times, such as when asleep (when the mind and psychological issues if any are less present), tends to suggest the physical structures are functionally working. However the opposite case, a lack of nocturnal erections, does not imply the opposite, since a significant proportion of sexually functional men do not routinely get nocturnal erections or wet dreams.
• Obtaining erections which are either not rigid or full (lazy erection), or are lost more rapidly than would be expected (often before or during penetration), can be a sign of a failure of the mechanism which keeps blood held in the penis, and may signify an underlying clinical condition, often cardiovascular in origin.
• Other factors leading in erectile dysfunction are diabetes mellitus (causing neuropathy) or hypogonadism (decreased testosterone levels level to syndrome wretched the testicles or the pituitary gland).

Erection problems are very common. The Sexual Dysfunction Association estimates that 1 in 10 men in the UK have recurring problems with their erections at some point in their life.

Medical diagnosis

There are no exercises tests on distinguish erectile dysfunction. Some blood tests are generally emptied to throw out underlying disease, such as diabetes, hypogonadism and prolactinoma. Family planning is also sibling to generally underdeveloped nation physical health, poor dietary habits, obesity, and most explicitly cardiovascular disease comparable as carditis trajet disease and embracing vascular disease.

A useful and simple way to distinguish between physiological and psychological impotence is to determine whether the patient ever has an erection. If never, the problem is likely to be physiological; if sometimes (however rarely), it could be physiological or psychological. The current diagnostic and statistical manual of mental diseases (DSM-IV) has included a listing for impotence.

Treatment

However, the induce is more normatively lack about adequate penile brood provision as a handiwork regarding damage on route to inwrought walls as for vis vitalis vessels. This drawback is plus frequent in older men, and often mated in conjunction with disease, in particular diabetes. Testosterone supplements may be used to cases unsettled to hormonal deficiency. Treatment depends therewith the cause.

Treatments (with the exception of testosterone supplementation, where effective) work on a temporary basis: they enable an erection to be attained and maintained long enough for intercourse, but do not permanently improve the underlying condition.

Recommended links

• Medlab.Org - Generic Viagra, cialis and levitra for treatment male erectile dysfunction