Articles | An overview of erectile dysfunction

Erectile Dysfunction in men had been a problem for centuries. A medical or psychological problem, treatments have changed with the years.

Erectile Dysfunction (ED) is sexual dysfunction defined as the inability of a man to get or keep an erection of the penis during sexual performance.

Men have a lot of fears about erectile dysfunction. Fight those fears with facts. Stop worrying and start learning about why men sometimes don't get erections. ED occurs when a man has consistent and repeated problems sustaining an erection. Without treatment, ED can make sexual intercourse difficult.

Types

Psychological Erectile Dysfunction. After all, erections do start in the brain.
Priapism. This is a persistent, usually painful, erection that lasts for more than four hours and occurs without sexual stimulation.
Peyronie's Disease. This is caused by scar tissue, called plaque, which forms along the length of the penis in the corpora cavernosa.

Talking with a Partner

It's called communication. Erectile dysfunction affects both partners in a relationship. So talk about it. The emotional impact of erectile dysfunction takes a toll on both parties involved.

There's more to sex than erections. Stay intimate. ED can create barriers to intimacy. Learn how to overcome them. Work together to relight the fire. Fortunately, there’s plenty both of people can do to overcome ED and enjoy better and more intimate sex

Depression and Erectile Dysfunction

When stress persists, the body begins to break down and problems, like ED, can occur. The key to coping with stress is identifying the conditions causing the stress and learning ways to reduce them. It is not uncommon for men with ED to feel angry, frustrated, sad, or even insecure. Such feelings, if not dealt with, may lead to depression.

Pathophysiology

Penile erection is operated in two parts: the physical erection, which is accomplished by directly touching the shaft, and the mental erection, which is achieved by erotic stimuli.

In both cases, intact nerves are needed for a successful erection. Stimulation of the shaft leads to the creation of nitric oxide, which causes the smooth muscles of the penis to relax, and causes an erection. Adequate levels of testosterone and a working pituitary gland are needed for the growth of a healthy erectile system. Impotence may develop due to low testosterone levels, nervous system disorders, shortage of blood, or psychological problems.

History

During the late 16th and 17th centuries in France, male ED was a crime, as well as grounds for divorce. Cases involved inspection of the complainants by court experts, but that was declared obscene in 1677.

Dr. John R. Brinkley started a boom in male ED remedies in the US in the 1920s and 1930s. His radio program suggested costly goat gland surgery and "mercurochrome" shot as the path to a cure for ED.

Modern drug therapy for ED made a major step forward in 1983, when British physiologist Giles Brindley, Ph.D. dropped his pants and demonstrated to a shocked audience his papaverine-induced erection. The drug Brindley injected into his penis was an alpha-blocking agent. The effect that Brindley discovered established the fundamentals for the later development of specific, safe, effective drug therapies.
 

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