Erectile
dysfunction in men increases with time, but can occur at
any age. Desire, or libido, might not change in parallel with erections.
Problems can occur with hormones, blood flow to the penile region, nerves that
control erections and ejaculation, prostate disease, illness affecting other
parts of the body, and psychological disorders. Years ago sensual problems in
men were thought to be mostly psychological, but the majority problems have a
physical basis.
Common
Causes of ED
The most common cause for impaired erections is decreased
blood flow to the penile region with equivalent risk factors as heart attacks
and strokes, other illnesses caused by decreased blood flow. Diabetes,
hypertension, elevated lipids, and smoking all contribute to difficulty with
erections, and increase the danger of attack and stroke. Control of those risk
factors will improve erections and reduce the prospect of attack and stroke.
Diabetes damages nerves, causing neuropathy, and this might also impair
erections. Other causes of neuropathy like alcohol, degenerative nervous
disorder, toxins, and malignancy also can worsen erections. In these conditions
the testosterone level is normal and desire may remain good although erections
are not full. Testosterone supplementation would not be helpful.
Low testosterone
can worsen erections and also lessen desire. It is often primary, caused by
testicular damage from trauma, surgery, or processes secondary, resulting from
lack of signals from the pituitary, the master gland. Other hormones like
steroids can interfere with testosterone. Treatment with supplemental
testosterone, or medication to extend function of dormant testicles, can
improve desire and erections in these circumstances.
Treatment depends on what abnormalities are found. Most individuals
do not have simple testosterone deficiency. Any treatment given must be done
carefully, considering the individuals health problems to avoid doing harm.
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