The erectile dysfunction and their causes

The erectile dysfunction is defined by insufficient rigidity of the corpora cavernosa to allow normal sexual intercourse and, in particular vaginal penetration. Relatively common, these disorders have multiple origins. Doctissimo reviews the key.

This disease is very common because it affects 152 million men worldwide. With an aging population, the number of cases expected to double by 2025. In France, according to studies, between 2 and 3.6 million men suffer. Faced with this real problem, various causes are advanced. There are basically causes psychological and organic causes.

Organic causes
Hypertension, diabetes, hormonal disorders or neurological origins of erectile dysfunction are multiple and it is possible to act on most of them.

 Vascular:

All diseases can affect the arteries can affect the quality of erections. Thus, atherosclerosis (thickening and hardening of the arteries) is the leading cause of erectile dysfunction of organic origin. But other risk factors can have similar consequences: hypertension, smoking, dyslipidemia and diabetes, which triples the risk of erectile dysfunction.

 Hormonal:

After a certain age, men suffering from androgen deficiency to age (DALA). This hormone deficiency virilizing par excellence, testosterone can cause decreased interest in sex, reduced muscle mass, loss of bone density, mood swings, lack of energy and erectile dysfunction.

 Neurological Origin:

Some neurological disorders can lead to erectile dysfunction. We distinguish:

The central living as multiple sclerosis;
Stroke or spinal cord injury damage devices;
Erector nerve damage following surgery (eg prostatectomy);
Nerve damage related to alcohol or diabetes (diabetic neuropathy or ethyl).
Drug:

Some medications can cause erectile dysfunction. The main accused are antihypertensives (mainly beta-blockers), hormonal treatment (estrogen, antiandrogens central agonists of LH-RH), antidepressants, antiparkinsonian, anticonvulsants, amphetamines, digitalis derivatives, finasteride or opiates.

The psychological causes
These causes are called psychological or psychogenic. Their distinction is debatable. However, we can roughly discuss individual cases or relational:

The individual causes cover anxiety, stress, performance anxiety, depression, phobias and fears;
Relational Causes include the psychological impact caused by conflicts within the couple, the negative or aggressive partner, rupture, guilt related to an extramarital relationship or the death of the wife.
The erectile dysfunction of psychogenic or psychogenic is readily identifiable. The absence of organic cause is characterized by preservation of nocturnal and morning erections.

But he must know that the more often the cause of the malfunction is mixed. A psychological effects always ends up on top of an organic cause and may even maintain the symptom while the underlying cause is treated.

 

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