The problem arises as a result of deterioration of either physical health or mental. Men over 40 years of age have a high risk of developing erectile dysfunction, including those who take a large number of different medications. But here it should be noted that starting at about 50 years old, an erection naturally gradually decreases, and this is quite normal.
Here are the following causes of erectile dysfunction, depending on its origin:
- Psychogenic. The trigger can be chronic depression, numerous phobias, an asocial lifestyle, constant overwork and lack of sleep. This cause brings a huge contribution to make problems in personal life with a sexual partner. Under the pressure of such circumstances, the cerebral cortex simply does not send the necessary impulses to the penis. One of the reasons may be a sharp increase in the level of norepinephrine or adrenaline.
- Vascular. Such erectile dysfunction is a consequence of vascular lesions resulting from penile injuries, any congenital abnormalities, diabetes mellitus, hypertension or atherosclerosis. In most cases, in addition to the impossibility of intercourse, due to the insufficient blood supply, there are also degenerative changes in the cavernous tissue. And most often they are not subject to correction, they remain until the end of life.
- Venogenic. It develops due to the pathological release of blood from the cavernous bodies through enlarged pedicle veins, as well as due to the integrity or defeat of the tunica. This can serve as degenerative changes in the erectile tissue of the penis. All this, in turn, may be due to smoking and a lack of neurotransmitters.
- Neurogenic. It is often diagnosed in those who once survived an operation to remove adenoma, spinal cord and brain injuries, and also has lesions of the peripheral pelvic nerves. A stroke, multiple sclerosis, Alzheimer’s disease can also trigger the problem.
- Hormonal. The main cause of such erectile dysfunction is a hormonal imbalance. If we talk about a congenital disease, the main cause may be hypogonadism – the underdevelopment of the testicles due to syphilis, gonorrhea and other sexually transmitted diseases. In this case, sometimes in men there is an increase in the mammary glands and a weakened libido. Other causes include thyroid hypothyroidism, Symonds and Klinefelter syndrome, and pituitary dwarfism.
- Anatomical. Here the main reason is poor blood supply, which is caused by the structural features of the human urogenital system. This may be preceded by surgery, the introduction of foreign bodies into the urethra, congenital curvature of the penis.
The risk group includes men suffering from obesity, diabetes, hypertension. Danger also threatens those who consume too much fatty and unhealthy foods that increase cholesterol rate (meat, potatoes, etc.). Those who keep a low-active lifestyle, drink large amounts of alcohol and tobacco lovers can suffer.
The main reason is still either low testosterone or poor blood supply to the penis, which is observed in patients with erectile dysfunction of almost all types, with the exception of hormonal.
Common symptoms of erectile dysfunction
The main and obvious symptom is the absence of an erection or its weak, insufficient to perform or complete sexual intercourse due to a small increase in penis size. Premature ejaculation and loss of libido, difficulty with control over ejaculation may be added to this aspect. Accordingly, the patient cannot satisfy himself and his partner, and also faces difficulty in performing the reproductive function.
Let’s look at the symptoms of erectile dysfunction in more detail:
- Premature ejaculation. Usually, they specify 3-5 minutes’ intercourse, after which a man can no longer control the process, as a result of which premature ejaculation occurs. In turn, this pathology can be caused by sexual over-stimulation, emotional excitement, or the lack of constant contact. After the resumption of intimate life in most cases, the problem is solved without outside intervention.
- Low libido. Under this concept, the inability to experience sexual desire is considered, when a man does not have sexual desire. Such a phenomenon does not necessarily have to accompany erectile dysfunction.
- No penis enlargement at the time of excitement. A man on an emotional level may desire sexual intercourse, and on the physical – the body does not respond to his needs or responds to them with slight penis enlargement. As a result, he cannot acquire a firm state and is simply not ready for intercourse.
- Inability to maintain an erection. It can manifest itself in the first minutes of sexual intercourse, but at the same time at the very beginning, a penis is still enlarged to a size sufficient for sexual intercourse.