Erectile Dysfunction is defined as the persistent inability to attain or maintain an erection sufficient enough to allow satisfactory sensual performance. Erectile difficulty or ED may affect physical and psychosocial health and should have a big impact on the standard of life of sufferers and their partner’s. There is increasing evidence that ED is often an early manifestation of arterial blockage and peripheral vascular disease. ED should not be regarded only as a life issue, but also as a possible wake-up call of disorder. Premature Ejaculation occurs due to lack of control over ejaculation causing lack of sensual difficulty. It leads to lack of potency during sensual satisfaction in men.
Risk
Factors
Erectile difficulty such as ED and PE shares both
unmodified and modifiable common risk factors such as obesity, DM, metabolic
syndrome, lack of exercise, and smoking. The association between erectile
issues status and age, DM duration, poor control, body mass index (BMI),
obstructive apnea, and chronic liver failure related to Hepatitis B has also
been confirmed. An association between ED and PE status and vitamin D
deficiency has also been reported.
Treatment
Lifestyle management of erectile difficulty with risk
factors
The basic work-up of the patient must identify reversible
risk factors for ED and PE. Lifestyle changes and risk factor modification must
precede or accompany any physical or pharmacological treatment. Major clinical
potential benefits of lifestyle changes could also be achieved in men with
specific cardiovascular or metabolic disorders, like diabetes or hypertension.
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