In the past, erectile dysfunction was viewed as a pure disorder, now it is recognized as a serious disease. Until the early 1980s, erectile dysfunction was mainly attributed to psychological causes. At the beginning of the 1980s there was a change in erection research within urologists and the realization that the physiological causes predominate with increasing age. Nevertheless, a successful treatment requires the interaction of both disciplines. Even if the causes of erectile dysfunction are organic in nature, the psyche also plays a major role. After all, the patients are often not insignificantly shaped by feelings of shame and fear of failure. It is also those who often prevent those affected from seeing a doctor, although Kamagra Oral Jelly makes the reason for erectile dysfunction easily treatable.
A large-scale study from the USA, the “Massachusetts Malev Aging Study” (MMAS) shows that erectile dysfunction is by no means uncommon and affects a large number of men, especially with increasing age. Accordingly, at 52 percent, more than half of men between 40 and 70 years of age have at least a slight impairment of erectile function. Erectile dysfunction is not uncommon, but only a few sufferers seek medical help. According to the results of the MMAS, annually only between 2.6 and 5.2 percent of affected men seek professional help
Erectile dysfunction: organic or psychological causes?
At first glance, an organic cause can be assumed if the erectile dysfunction has occurred gradually, if the erection is “severely disturbed or no longer possible”, if it occurs regardless of the circumstances and an organic cause can be identified. If the erectile dysfunction suddenly occurs without any recognizable organic cause, it changes with the circumstances and if an organic cause can be ruled out after medical examinations, a psychological cause is likely. It must be taken seriously in any case, because erectile dysfunction can be a side effect of diseases such as diabetes, coronary heart disease or arterial circulatory disorders and thus also an important indication that one of these diseases is present
Possible physical causes:
Congenital abnormalities
Curvature of the penis (induratio penis plastica)
Balanitis (inflammation of the glans penis) and phimosis (narrowing of the foreskin)
diabetes
arteriosclerosis
Hormonal imbalances
Operations in the pelvic area
Injuries and herniated discs
Nervous system disorders such as B. Multiple sclerosis, Alzheimer’s dementia or Parkinson’s disease
high blood pressure
Testosterone deficiency
Possible psychological causes:
Mental factors often mix with physical factors in erectile dysfunction. They are the only causes that are more likely to be found in younger men. Triggers can be difficulties in the partnership, stress at work, stressful private events, illnesses, traumatic childhood experiences, anxiety or depression. Erectile dysfunction does not have to follow the stressful events immediately. They can also occur with a delay and make themselves felt years later. In the case of psychologically caused sexual dysfunction, it is important to identify and treat the underlying disease.
The conversation with the doctor
The first point of contact for erectile dysfunction is the family doctor. He will first speak to his patient. It is particularly important to clarify the question of frequency and severity. Depending on this, you can choose between different products, but if you randomly have sexual activity, you should most likely use Viagra Connect. The doctor will ask when the first disturbances appeared and when they became a problem. Even before talking to the doctor, those affected can note whether the erectile dysfunction has occurred in connection with an event, with a disease or with medication. If you live in a partnership, you can include the partner in the conversation with the doctor.
The physical exam
Regardless of whether an organic or a psychological cause for erectile dysfunction is assumed after the first conversation, a physical examination is always important. It is not just there to determine the causes. It also provides information on which therapy can be successful and rules out the possibility that any medication used could pose a risk due to other diseases.
The cardiovascular system, the penis and testicles as well as the entire organ and nervous system are examined. The penis itself is examined for abnormalities. A narrowing of the foreskin (phimosis) can be responsible for the disturbances and can quickly be excluded during the examination. Other abnormalities, such as induratio penis plastica, also called acquired penile curvature, can also be detected during this examination. This is a chronic disease that causes erection pain and is caused by an inflammatory reaction that creates scars. The scar tissue is less elastic than the rest of the tissue, which leads to deformation. The doctor will also measure your blood pressure, have blood tests performed, and measure the amount of testosterone in your body.
The educational talk
Once the doctor has completed the examinations, he will conduct an informative discussion and suggest suitable therapies or refer you to a specialist. This can be, for example, the urologist, a sex therapist or a neurologist. Psychological counseling is not only important for underlying psychological causes. They should also be considered and adopted in the case of organic causes. Erectile dysfunction can lead to decreased self-esteem and problems in the relationship. Consultations can help here and make a valuable contribution to recovery.
