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This article is expertly consulted by MSc Vo Thien Ngon - Urologist, Department of General Surgery, Vinmec International Hospital Da Nang.Erectile dysfunction is a disease that greatly affects the quality of a man's sex life, leading to an unhappy married life. Men need to recognize the signs of erectile dysfunction and go to the doctor early for timely treatment, to avoid possible unfortunate consequences.
1. What is Erectile Dysfunction?
Erectile dysfunction is the inability or difficulty of the penis to maintain an erection long enough for intercourse. This condition can occur at any age, causing a decrease in sexual inspiration, leading to discomfort and affecting marital and family happiness.
In fact, erectile dysfunction is more likely to occur in older men, about half of men aged 65 and three quarters of men aged 80 have erectile dysfunction
2. Manifestations of erectile dysfunction
Patients can recognize erectile dysfunction through the following four groups of symptoms:
Complete loss of desire and need for sex, completely flaccid penis and unable to meet the normal physiological needs of the patient. wife; In some cases, although there is still a desire for sex, when exposed to women, despite using all methods of stimulation, they can't get an erection; Erratic erection of the penis, not according to the owner's needs; The penis is erect but not long enough for intercourse, when put into a woman's body, it softens and all excitement silently disappears.
3. What causes erectile dysfunction?
Although recognizing and diagnosing erectile dysfunction is quite easy thanks to the specific symptoms, finding the cause is difficult because each patient often has a unique cause. There are four groups of common causes as follows:
Decrease in the amount of testosterone hormone in the blood; Neurological causes: The disease starts from the inflammation of the nerves; neurotoxicity caused by tobacco, alcohol, drugs, chemicals; diabetes or post-operative injury to the pelvic region... causing disturbances in the signal transmission from the brain to the periphery; Causes due to disorders of blood vessel transport: Impact on perfusion of the penis or too fast blood drainage through the veins of the penis; Psychological causes: The patient may have an accident or mental trauma in life, leading to obsessions and helplessness.
4. How to prevent erectile dysfunction
Men, especially older men, need to build a healthy lifestyle to prevent erectile dysfunction through the following specific actions:
Living, eating in moderation, not smoking leaves and limit alcohol intake; Engage in regular physical activity or a sport to maintain your physical health; Avoid triggers of sadness and anxiety to stay optimistic; Find your partner's empathy; It is necessary to seek medical attention immediately if symptoms are detected for early diagnosis and treatment.
5. How is erectile dysfunction treated?
When diagnosed with erectile dysfunction, the patient needs to follow the doctor's treatment regimen with a number of methods such as: taking pills orally, inserting or injecting them into the penis, using a vacuum pump device and whether psychological law.
Oral medications: Oral medications will help increase blood flow to the penis. The most common drug containing phosphodiesterase is effective in treating erectile dysfunction in 60-75% of cases. The drug is taken 1 hour before sexual activity and shows great effectiveness, however it should not be used more than once a day
Injected or inserted into the penis: It will help widen the arteries and increase blood flow blood flow to the penis, but it can be accompanied by some side effects such as dizziness, a burning sensation in the penis or a painful, prolonged erection. When using the first dose, it is necessary to carefully monitor the doctor. This is an effective method to achieve an erection up to 80-90%. However, not all patients want to inject into the penis because there is a possibility of scar tissue if injected many times.
Testosterone replacement therapy: This is a treatment for erectile dysfunction caused by too low testosterone levels. There are many forms of this method such as: patches, creams or direct injections. However, possible side effects include liver disorders and an increased risk of stroke.
Contraction device and vacuum device:
Contraction device: Placed on the penis such as a wire, metal ring, rubber to help avoid possible side effects when taking the drug because of the potential to cause slow flow of blood; Vacuum device: It works to increase the ability to draw blood into the penis to create an erection. However, the device is quite bulky and can cause damage to the penis as well as difficulty in ejaculation. Psychological method: This is a method to improve psychological factors such as mental and emotional, which are the direct causes of erectile dysfunction.
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