What is the leading causes of erectile dysfunction?
Obesity changes hormone levels by improving circulating estradiol (E2) and reducing total testosterone, due to aromatase showed in fat cells, which turns testosterone into estrogen. High levels of E2 are seen in most obese patients. Estradiol represses luteinizing hormone (LH)’s major release and tries Leydig cells’ function, which integrates testosterone within the testis.
Love steroids have always been regarded as an important component of normal sensual desire. Although serum testosterone level and passion do not have a linear relationship, many studies in different ethnic groups have revealed an association between reduced testosterone and reduced intimate desire. It is well established that loving desire in obese men is negatively associated with total testosterone and free testosterone. Healing gastric bypass improves the level of advertising testosterone and improves physical desire.
More generally, the body image developed by obesity, the decrease in the available size of the penis due to the pubic fat pad, and the reduction in physical capacity can erode self-confidence in intimate performance and hence the physical desire.
Although not all obese patients experience metabolic disorders, have dyslipidemia, diabetes, or cardiovascular disorders. Obesity increases the chance of erectile dysfunction of vascular origin, as demonstrated by analysis of penile US Doppler events. Despite this, it appears that it is the comorbidities connected with long-term obesity that are associated with ED, rather than the rise in BMI as such.
Erectile dysfunction does not surely appear systematically. It can manifest itself in a targeted manner, with a special partner, while with others, this will not be the case. Other personal causes: Among the psychological causes of erectile dysfunction, we will find things as diversified as fear of women, rivalry with other men, or a common loathing for desire. To resolve your Erection and premature ejaculation us the best timing tablets in Pakistan to stay long lasting on bed. stay longer stay happy
The psychogenic dysfunction must be taken care of by a psychiatrist, or a love therapist instructed in sex therapy methods.
Physical reasons for erectile dysfunction
In 80% of cases, erectile dysfunction is produced by a physical condition or by aging. Here are the most popular physical causes.
Vascular problems (arterial hypertension, heart disease, a coronary heart condition, arthritis, and atherosclerosis) represent 40% of erectile dysfunctions.
Erectile dysfunction is seen in 35 to 75% of people with diabetes.
Neurological disorders like multiple sclerosis, Alzheimer’s disease, Parkinson’s disease, epilepsy, and stroke can also generate erectile dysfunction.
Operation related to the treatment of prostate cancer (total prostatectomy) can induce erections to disappear momentarily.
The use of tobacco, alcohol, and pills can also be a cause of erectile dysfunction.
Finally, certain medications, particularly those for hypertension, excess cholesterol, or heart difficulties, can induce erection problems.
- Hormonal difficulties
- The cancer
- Cirrhosis of the liver
- Taking anti-anxiety medications or antidepressants
The main signs of erectile dysfunction manifests itself by:
- A failure to achieve an erection
- An inability to manage an erection over time.
It is estimated that there is a “problem” when the situation lasts for more than three months. However, before that, it is a passing situation, often caused by external distress.
When erectile dysfunction lives, it is essential to have recourse to a health professional to confirm the conditions of the problem: psychological or physical?
Thus, the physician will carry out a detailed questionnaire, an examination, and various medical analyses to find the proper treatment according to each situation. Modern technology affects best results 90% of the time.
Possible risks of complications
In most cases, erectile dysfunction mainly produces psychological complications in men and their partners, such as low self-confidence. The man no longer feels “manly,” the woman no longer feels “needed,” It can usually happen that the situation creates real difficulties and misunderstandings in married life, which can direct to a breakup.
Therapy of erectile dysfunction
- Another medication
- Injections into the penis
- A mechanical device to be used before love (ring at the base of the penis)
- Penile implants
- Reconstructive operation
It can address temporary erectile dysfunction by promoting a healthy lifestyle:
- Practice daily physical activity
- Healthy eating
- Enough sleep
- No abuse of alcohol, tobacco, drugs.
Did you know that in the case of erectile dysfunction, communication within the couple remains required?
A man should recognize that only 20% of erectile dysfunction is a psychological problem and 80% of medical origin. The clinic consultation is, therefore, an almost necessary and life-saving option.
Avoid silence, avoidance. He must know that there is a reason for his problem and that if he confronts it, he will have a great chance of fixing it. The ideal would be that he talks about it to his spouse to have the complicity. Moreover, this one often leads him to consult a psychologist, a sexologist, or a physician, thus solving his problem.
Experience embarrassment because of impotence
Learn to value other aspects of physical love while avoiding concentrating on penetration and orgasm as a finality. Rather than controlling his erection, he should focus his attention on making his partner happy on other levels.
His spouse should remember that she may not be accountable for her spouse’s situation and that studying him only worsens the situation. Feeling guilty, worried, confused does not solve the problem either. Patience, respectful treatment, and understanding are more appropriate.
Understand that at a certain age, a man wants more stimulation to generate and keep an erection. More sensuality, investment, and recourse to the five senses are ways to solve this. She must be attentive to her requirements while showing her own.
To help him play down the condition if his partner cannot do it, by adding a humorous touch, telling him that it can resolve the problem, there are known and identified ways to do it.