Causes

The causes of erectile dysfunction are extremely diverse, often several causes come together. Basically, one can assume that predominate in younger men psychological reasons, while with increasing age, more and more primary underlying physical illness.
It is estimated that an erection weakness in the age of 50 years, physically conditioned to about 80%. Overall, probably about 50% of erectile dysfunction is a purely organic cause, at about one third, it must be from a purely psychogenic disorder and 20% of patients, both come together.

Nearly always pass through but also in an organic disorder of psychogenic erectile function components as a result of fear of failure on.

Sitemap:

  • Physical causes
  • Drug-related causes
  • Psychological Causes

Physical causes of Erectile dysfunction is often a side effect of sometimes serious systemic or the result of birth defects and pathological changes in the genital area. Moreover, the debate can occur in certain surgical procedures erection problems. Since there are very many ways of being among the disease groups each listed only a few examples:

  • Cardiovascular diseases
  • Diseases of the coronary arteries (coronary artery disease)
  • Myocardial infarction
  • Hypertension (Hypertension)
  • Hardening of the arteries (arteriosclerosis)
  • Congenital abnormal vascular changes in the pelvis and genital arteriesDisorders of the glands and metabolism
  • Diabetes (diabetes mellitus)
  • Chronic liver disease
  • Chronic renal dysfunction (renal insufficiency)
  • Hypo- And - hypothyroidism
  • Congenital or acquired disorders of the pituitary gland (Pituitary) Or the TesticularNervous disorders and physical trauma
  • Stroke
  • Parkinson's Disease
  • Multiple Sclerosis
  • Slipped Disc
  • Spinal diseases
  • Paraplegia
  • Craniocerebral trauma
  • Urogenital malformations and diseases
  • Narrowed foreskin of the penis (Phimosis)
  • Congenital malformations of the urethra (hypospadias) or the penis (epispadias)
  • Inflammation of the testicles; Epididymis, Prostate
  • Cancer
  • Schwellkörperruptur also incorrectly (as "penile fracture" means)Surgical procedures in the abdomen, pelvis and urogenital
  • Vascular surgery in the abdominal cavity
  • Operations on the prostate and testicles, often because of cancer
  • Bladder and bowel surgery

Diabetes mellitus, atherosclerosis and vascular anomalies represent among the physical illnesses, with approximately 45% of the main causes of erectile dysfunction. For some diseases, there are now more accurate prior knowledge, why these are often associated with erectile dysfunction. To lead mellitus, especially in poorly controlled diabetes occurring polyneuropathy, diseases of small and large blood vessels and hormonal disorders with lowered testosterone to erectile dysfunction. American scientists have also discovered the mid-1990's, years, that people with diabetes compared to non-diabetics have a 3-times as likely to develop erectile dysfunction too.

If a arterioscleros is be fore the blood vessels are usually affected by the blood flow to the penis. Even patients who participated in a Renal insufficiency suffer, often complain about erection problems. The cause is, among other things reduced-approved testosterone production, which is triggered with kidney failure.

At multiple sclerosis are dysfunctions of the neural pathways, blamed mainly in the area of the spinal cord for erectile dysfunction. Those affected exhibit sensitivity disorders, a weakened pelvic muscles and bladder weakness.

Drug-related causesErectile dysfunction is a known side effect of various drugs. However, the physician often can not distinguish whether the cause with the help of drugs to treat disease or even erectile dysfunction drugs administered. A typical example is the blood pressure of a patient who is treated with an antihypertensive drug. Erectile dysfunction through drugs usually disappear after discontinuation of the drug.
Below is a selection of potentially sexual influence drugs or drugs:

  • Cardiovascular resources
  • Beta-receptor blockers (Medicines to lower blood pressure and pulse rate)
  • Diuretics (diuretic effect, e.g., thiazides)
  • Digoxin (drug in heart failure to increase cardiac output)
  • Antiarrhythmic drugs (drugs for the treatment) of cardiac arrhythmias
  • ACE-inhibitors (means for hypertension, heart failure) after myocardial infarctionPsychotropics
  • Antidepressants (Preparations with mood-brightening effect, such as tricyclic antidepressants, MAOIs)
  • Neuroleptics (Means of reducing the mental stress, such asPhenothiazines)•Sedatives (eg benzodiazepines)
  • Appetite suppressants (eg, mazindol, fenfluramine)Other•Hormones and anti-hormones (synthetic substances which reverse the effects of sex hormones)
  • Gastrointestinal drugs
  • Medicament against Parkinson's
  • Drugs for alcohol cessation
  • Antirheumatic
  • Muscle-relaxing drugs (muscle relaxants)
  • Anticonvulsant agents (antispasmodics)

Psychological CausesThe significance of psychological causes of erectile dysfunction is controversial. Urologists are often organic disease as causes of erectile dysfunction in the foreground, while sexual Physicians often consider psychogenic factors are more important. Psychological causes can Stress in his professional or private context with performance anxiety and performance pressure. Likewise Depression and encourage unresolved personality conflict or partnership erectile dysfunction.

ED: Psychological Factors

There can be ED due to physical problems related to the nervous and circulatory systems. Psychological factors are thought to be the primary cause of ED. There can be ED due to depression as primary cause in 10 to 20 percent people.

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Causes of Erectile Dysfunction

Medical Problems

Erectile dysfunction can be due to damage to the arteries. There can be ED due to diabetes which can affect 35 to 50 percents of people. There can be problems in achieving erection because of nerve damage and vascular disease due to diabetes.

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