Erectile dysfunction or erectile dysfunction

Means that the penis is not able to erect enough to have sex Or some people may not freeze long enough Causing subsequent physical and mental problems such as decreased self confidence. Having problems with your partner's life or not having confidence in your sexual activities. Check out http://www.redang.org/transport.htm site for effective information about male potency right now.

The incidence of erectile dysfunction increases with age. It was found that people aged 40-49, 50-59, 60-70 years would have this disease, 20.4, 46.3, 73.4 percent, respectively, which the risk of disease such as

• Have chronic diseases such as coronary artery disease, diabetes, High blood pressure High blood cholesterol, depression
• Drinking, smoking
• Lack of exercise Insufficient rest.
• Have surgery in the osteoporosis area after prostate surgery Urethral surgery
• Accident in the spine, pelvis and genitals
• Taking certain medications such as certain high blood pressure drugs, schizophrenia, depression Some prostate drugs, etc.

Mechanism of the erection.
1. Must have stimuli to stimulate the brain to release neurotransmitters. To stimulate the penis to secrete nitric oxide.
2. Nitric oxide. Will stimulate the arteries in the penis to expand 2 times, allowing blood to enter the tissues of the penis.
3. When the blood enters the penis Will make the penile tissue expand And pressed over the veins into the sheath Causing the blood to be stored in the genitals The erection of the penis fully

The causes of erectile dysfunction can be divided into 4 causes which are

1. Abnormalities in the blood vessels in the genitals are

found in approximately 70 percent of patients and are the main cause of erectile dysfunction. Which can be divided into 3 types which are

• Arteries that feed on the clogged genitals Causing insufficient blood supply to the penis
• abnormalities in the mechanism of venous compression Causing the blood to not be able to store in the genitals.
• There is a joint disorder between arteries And abnormal venous suppression mechanism.

2. Neurological Disorders

Patients may have abnormalities from the brain, spinal cord, pelvic nerves. Nerves in the genitals etc.

3. Testosterone hypothyroidism disorders

Patients with hypothyroidism There may be other symptoms such as decreased sexual feelings Reduced sexual desire Erectile dysfunction, especially in the morning Feeling weak, exhausted, reduced working intentions Or may be found in patients with high or low thyroid hormones.

4. Disorders of the mental state.

In the past, it was believed that 90% of patients with erectile dysfunction were caused by mental state. But now found Caused by physical disease rather than mental illness
But psychological conditions that affect sexual performance Can be found in patients with stress, depression, schizophrenia, or may be caused by psychiatric drugs as well.

Examination and diagnosis

When patients see a doctor The doctor will perform a history taking. Regarding the erection Lust Frequency of intercourse Illness history In the past surgery, congenital disease and regular medication.

Physical examination to assess genital abnormalities Testicle size And check the prostate gland in some cases.

Laboratory diagnosis
1. Doctors may have blood tests to see underlying diseases such as blood sugar, blood lipids, liver and kidney function. Screening for prostate cancer And check for testosterone levels In patients with reduced sexual desire.

2. Detection of abnormalities in the blood vessels of the penis, which will be examined in some patients with severe problems By measuring the function of the arteries And veins in the genitals To find the cause and other treatment options.

Treatment
Begins with the need to treat chronic illnesses such as controlling blood sugar, blood lipids and blood pressure. No smoking. No drinking. Get enough sleep. Exercise regularly And weight loss.

Modify some drugs that affect erectile dysfunction If the patient has mental disorders Let the patient go to see a psychiatrist. In patients with hypothyroidism To be treated by providing testosterone replacement.