Erectile
dysfunction is known as the failure to attain either
erection or ejaculation, or both. The traditional visceral brain of the brain mainly
controls erection, alongside the central nervous system. The problem of ED
leads to lack of ability to attain firm erection required for lovemaking
session.
Messages shoot down this network of nerves to the blood
vessels of the penile in order that they dilate, leading to erection. If, for a
few reason, the blood vessels of the penile do not dilate fully and stay
dilated, the person cannot have or maintain an adequate erection.
The process is triggered by a spread of stimuli, like
watching erotic regions of the body, hearing or saying amorous words, smelling
body odor pheromones, the hormones or particular perfumes, fantasizing about
sensual encounters. The conscious brain cannot directly influence erection
(except for those that have mastered the art of influencing the subconscious).
ED is often due to psychological or physical causes, or
often a mixture of both the conditions.
Psychological
causes include stress, anxiety, and depression, loss of libido,
marital discord or guilt about intercourse due to religious or cultural
beliefs. Fear of failure may be a problem, too, especially if the person has
experienced several episodes of erectile difficulty.
There are many physical
causes for ED. Medicines that treat the vascular or nervous systems have
side effects that affect erectile function. These include vital sign lowering
medication, antidepressants, beta-blocker, sedatives, tranquilizers and
medicines suppressing stomach acid. Hormonal (endocrine) problems, including
diabetes, pituitary malfunctions and, sometimes, low testosterone levels, also
are factors. Vascular disease, including atherosclerosis, results in plaque
forming within the tiny blood vessels that stimulate erection.
Other problems include neurological complications like MS
and surgical damage to nerves (a common side effect of surgery on the prostate
gland). Tiredness, heavy drinking and smoking also are implicated.
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