Written by: admin on April 30, 2010 @ 1:38 pm
Impotency / Erectile dysfunction
What is the erectile dysfunction (ED)?
The impotency, or erectile dysfunction, is disability to attain or maintain an erection more than 20 percents of a time. Erectile dysfunction affects million people.
Though in the past it was considered to be, is bound to psychologic problems, now it is known that from 80 to 90 percents impotence is caused the physical problems usually bound about blood supply of a penis. Many reachings occured as in preliminary treatment and treatment of erectile dysfunction.
What health risks for erectile dysfunction?
According to National institute of health protection, erectile dysfunction also is a symptom of many diseases and diseases.
The straight line health risks for erectile dysfunction can include the following:
* prostate problems
* Diabetes 2 types
* the Hypogonadism, in connection with variety of requirements the endocrinologic
* the Hypertonia (a high blood pressure)
* Vascular diseases and vascular surgery
* cholesterine High level in a blood
* Low level ЛПВП (липопротеины high density)
* Neurogenic disorders
* Bolezn Pejroni (contortions or chordees)
* the Priapism (a penis inflammation)
* alcohol Eat period
* Lack of sexual knowledge
* Poor sexual techniques
* Insufficient interpersonal ratios
* Many chronic diseases, specially renal insufficiency and a dialysis
* Smoking which one underlines action of other health risks, such as vascular diseases or a hypertonia
Age as it is represented, strong indirect a health risk that it is bound to augmentation of probability of direct health risks, some of which are enumerated above.
It is supposed that about 5 percents of men become powerless at the age of 40 years and from 15 to 25 percents at the age of 65 years. Exact identification of health risks and the performance have great value for protective treatment or treatment of erectile dysfunction.
What various types (and the parents) an ED?
Some of various types and the possible parents of an impotency are more low reduced:
* the Premature ejaculation (PE)
The premature ejaculation is disability to maintain an erection long enough for the mutual sufficing. The premature ejaculation to part it on primary and secondary forms:
About a primary premature ejaculation
Primary a premature ejaculation the behaviour from which one begins is when the man maiden become sexually active. As well as any behaviour lessons, it can be illiterate. This form of primary PE is psychogenic (unlike organic or physical), an impotency. (Congenital venous leak-off the main is a subset PE and is caused congenital venous leak-off in which one a venous vent system in a penis it is not folded properly).
* the Average of a premature ejaculation
The medial premature ejaculation happens, when, after many years of a standard ejaculation, duration of the sexual grows gradually more shortly. Average PE is conditioned by the physical parents, as a rule, with involvement sexual groundwater arteries, veins, or both.
* Efficiency of an alert
Alert indexes is one of forms of a psychogenic impotency – as a rule, caused by stress or disturbance.
Depression is one more parent of a psychogenic impotency. Some antidepressants the parent of erectile insufficiency.
* the Organic impotency
The organic impotency is bound from sexual groundwater artery, a vein, or both, and is the most abundant parent of an impotency, specially at elderly men. When a problem arterial, as a rule, bound to an atherosclerosis or склерозирование groundwater arteries though a groundwater artery injury can cause. Controlled health risks of evolution of an atherosclerosis – the ovenweight, a disadvantage of physical activity, cholesterine high level, a high blood pressure, and smoking can lead erectile defection often progresses to influences heart. Many experts consider that when veins case, venous leak-off or “cavernous the dip” is the most abundant vascular problems.
* the Sugar diabetes
The impotency is blanket at persons with a sugar diabetes. Is 5 million adult men in the USA with diabetes, and it is supposed that half from them powerless, and other half will be powerless in a time. This process is bound with premature and unusually inclement solidifications of groundwater arteries. The peripheric neuropathy, with engaging of the nerves, controlling erections, originates often at persons with a sugar diabetes.
* the Neurologic parents
Is a lot of neurologic (nerve problems) leads to an impotency. Diabetes, an alcoholism, a multiple sclerosis, venenatings with heavy metals, a spinal marrow and the excitatory injuries, and also cultivation of nerves of a foot bath of processes can lead to erectile dysfunction.
* Medicinal impotencies
A major diversity of drugs released under the prescription, such as drugs of a blood pressure, controls with an alert and antidepressants, drips of a glaucoma of an eye, and agents of chemiotherapy of a canker only some of many medicinal preparations it is bound to impotence.
* impotencies are Hormonal conditioned
Hormonal disturbances such, as Prolactinum rising (the hormone which is worked out by cells of a front share of a pituitary body), steroids an organ builders, is too much or not enough hormone of a thyroid gland and hormones control at a canker of a prostate can lead to an impotency. Rarely low Testosteron-Depotum is responsible for impotence.
How ED the diagnosis?
For ED the following can include diagnostic routines:
* Patients hospital / sexual life – can tap a requirement and illnesses which one impotencies lead and helps to differentiate problems from an erection, ejaculations, an orgasm, or sexual desire.
* at Medical inspection – to look at retention of system problems, such, as:
About a problem from the excitatory system can be attracted, if the member does not respond, predictably, spotted touchingly.
About the secondary sexual characters, such as structure of hair, can point hormonal problems which one consists in endocrine system.
About circulation problems aneurysms can be pointed.
About unusual performances of the member could tender an impotency bottom.
* Laboratory tests – to help to troubleshoot impotence to include assayings of a blood, urine, determination of a lipide cross-section, and indexes of a creatinine and liver ferments. At low the sexual desire is a symptom, Testosteron-Depotum measuring in a blood can gain the information on problems with endocrine system.
* Psychosocial examination – to help to tap psychologic factors. The sexual associate there can be also an interview to spot waitings and the submissions which have originated during sexual intercourse.
Specific treatments of erectile dysfunction it will be spotted by the doctor on a bottom:
* your age, health and case history shared state
* disease Levels
* your tolerance for specific drugs, routines or treatment
* Hopes of a clinical course
* your judgement or preference,
Some from accessible to treatment an ED concern the following:
силденафил Citras (ViagraTM)
ViagraTM is a drug have appeared Pfizer Pharmaceuticals, and is maiden stated without a surgical treatment of erectile dysfunction which one should not be or injected or it is interposed directly into a penis to attain and maintain an erection. It has been countenanced by yields and drugs of the USA (FDA), released under the prescription sale in the end of March, 1998.
Viagra directly not to cause sexual an erection, but influences the answer to sexual stimulation. FDA recommends, that men following across-the-board measures of precaution before to accept Viagra:
* If you accept drugs which one contain nitrates, such as explosive oil, you should not use viagra. 2 aggregates can lead to decrease of a blood pressure too much.
* Viagra it is not necessary to use women and children.
* to Have the complete case history and physical survey to spot the parent of erectile dysfunction.
* People with diseases which one can cause steady exponentations such as a sickemia, a leukaemia either a plural myeloma, or the person which one abnormally to the penis form cannot accept some viagra.
* Report to the doctor about all drugs that you accept – including at retail from them – because there Are drugs, it is known to interact with viagra.
* Viagra usage in a combination to others ED treatments it is not learnt, therefore its usage in a combination to other methods of treatment is not recommended.
Replaceable hormonal therapy
Testosteron-Depotum replaceable therapy can enhance energy, mood, density of a bony tissue, augmentation of muscular mass and weights, and to enhance a sexual tendency at elderly men who can have insufficient level of Testosteron-Depotum. Component Testosteron-Depotum is not recommended for the men having normal level of Testosteron-Depotum for their age class in connection with hazard of augmentation of a prostate and other by-effects. Testosteron-Depotum replaceable therapy is given in the oral form and, as a skin a patch.
There are three types of the implants used for treatment an ED, including the following:
* the Hydraulic pompe – the pompe and two barrels are allocated in exponentation of chambers of a penis that leads to an erection, having exhausted physiological solution, it also can delete the solution for penis conversion.
* the Prosthesis – 2 semihard, but slender columns are in exponentation of chambers a penis which one allows keying in a straight line or not a verticality.
* Interdependent blocks from the soft plastic material is to lay within the limits mounting of cameras of a penis and can be uprated or lowered by means of a cable which one transits through them.
The taint is the most abundant cause of a failure of an implant of a penis and yields to treatment by means of antibiotics. In certain cases, infected the implant should be exchanged new an implant., As a rule, it is not considered implants, while other methods of treatment have been tried.
Control with ED:
Erectile dysfunction can lead to strain on a pair. Many times people will shun sexual situations in connection with their emotional pain bound about an ED therefore the associate feel baked or inadequate. Was very relevant openly to communicate with your associate. Some pairs consider, converted apropos an ED together while other people prefer to be converted behind medical aid without the knowledge of the associate. Lack of connection is the main hindrance for are converted behind treatment, and can extend travails. Loss of an erection of a potential can have deep action per capita. Good news consists that the ED can be surveyed, as a rule, securely and efficiently.Erectile dysfunction, Impotency