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350, B2, Shiv Colony Pinjore, Panchkula, Haryana, India.
+918168962948
350, B2, Shiv Colony Pinjore, Panchkula, Haryana, India.
+918168962948

Erectile Dysfunction

Facts About Erectile Dysfunction

    • Studies suggest 8-10% of men aged 20-30 suffer from ED.
    • Studies have shown roughly one half of American men over the age of 40 have some degree of ED.
    • About 30 million men in the U.S. are affected by ED.
    • More than 150 million men worldwide experience some form of Erectile Dysfunction.
    • 52% of men in the United States are affected by ED.
    • 40% of men in their 40s have ED, while 70% of men in their 70s suffer from the condition.
    • Studies have shown that erection problems affect 25% of men under 40.
    • While it is often thought of as a condition affecting older men, Erectile Dysfunction can actually affect men as young as their 20s.
    • About 7 in 10 men respond well to oral medications for ED.
    • 1 in 10 men is estimated to have ED at some point in his lifetime.
    • The worldwide prevalence of Erectile Dysfunction is expected to increase to 322 million men by 2025. (International Journal of Impotence Research, 2000).
    • Recent study shows that ED was prevalent in 26% of men younger than 40. (Boston University School of Medicine, 2002) (The Journal of Sexual Medicine, 2013).
    • 35% to 75% of men who have diabetes will also experience ED. (Boston University School of Medicine, 2002).
    • 30% of men with COPD have impotence. (Boston University School of Medicine, 2002).
    • Obesity and Diabetes are responsible for 8 million cases of ED. (Polski Merkuriusz Lekarski, 2014).
    • The majority (79%) of men with ED are higher weight (BMI of 25kg/m2 or higher). (Polski Merkuriusz Lekarski, 2014).
    • People with depression have a 39% higher chance of developing ED than those without depression.
    • Sexual dysfunction is present for 20% to 25% of infertile couples. (Reproductive Partners Medical Group, 2020).
    • 1 in 4 men who seek ED treatment is younger than 40. (The Journal of Sexual Medicine, 2013).

What is Erectile Dysfunction

Erectile Dysfunction is the inability of a male to achieve or to maintain the erection of penis sufficient enough to penetrate during intercourse or during sexual activities. It is also called Impotence. So, Erectile Dysfunction is very common and one of the many sexual problems. It is the major cause of broken marriages. And it is also a major cause of couple’s fight. Male partner feels very embarrassing due to this condition.

Myths about Erectile Dysfunction

Myth: Erectile Dysfunction only affects men over age 70.
Fact: Erectile dysfunction is more common in older men, but it can occur at any age. And It affects about half of men ages 40–70.

Myth: Erectile Dysfunction is embarrassing but not dangerous.
Fact: Erectile Dysfunction can be a alarming that you are at greater risk for some life-threatening conditions such as heart disease, Type 2 diabetes and stroke.

Myth: Erectile Dysfunction is psychological only.
Fact: In the past, psychological factors alone were thought to cause Erectile Dysfunction. But now sexologists know that physical conditions can cause and contribute to erection problems.

Myth: Erectile Dysfunction means there is something wrong with the penis.
Fact: To achieve an erection, a man needs a healthy brain and penis, healthy blood vessels and nerves, and adequate amounts of the male hormone testosterone. So, If any aspect of this system is affected, erectile dysfunction can result.

Myth: Taking testosterone supplements will cure Erectile Dysfunction.
Fact: Hormonal changes, like low levels of testosterone, can cause Erectile Dysfunction but this is not the only cause. So,Talk with your Sexologist before beginning testosterone supplements.

Myth: Medications are the only way to treat Erectile Dysfunction.
Fact: Many treatments are available to treat Erectile Dysfunction. Medications work for some men but others benefit from simple mechanical devices, surgery and counseling.

Myth: I am too young to have ED.
Fact: You might think that you won’t have to worry about ED until you are in your 60s or 70s. But the most common age group for taking treatment for ED is in the late 40s and early 50s. And one 2013 study published in the Journal of Sexual Medicine establishes that about 25% of men who sought care for ED for the first time were under age 40.

Myth: Erectile Dysfunction leads to infertility.
Fact: Erectile dysfunction does not directly lead to infertility. But, it causes difficulties in conceiving and can delay pregnancy. Any underlying fertility conditions and not being able to maintain an erection may cause a man to refrain from sexual activity. So,There are good chances of restoring their fertility after recovering from ED.

When to approach a Sexologist

Your family physician is the first place to start if you are experiencing problems related to erectile dysfunction.

Reasons for a visit may include (but are not limited to):

    • Problems getting and/or maintaining an erection.
    • You have other medical issues, such as heart disease, diabetes, or obesity.
    • Problems with premature or delayed ejaculation.
    • Problems in sexual desire.

Sign and Symptom of Erectile Dysfunction

    • Unable to attain erection:- Patient is not able to erect penis at the time of sexual activities.
    • Unable to maintain erection:- Sometimes erection of penis occurs but unable to sustain that erection. Erections goes away at the time of penetration, for example.
    • Decreased Libido:- Sex drive of patient is also low due to ED.He excuses of being fatigue.
    • Low Self Esteem:- There is a decrease in the self confidence of the patient not only for sexual activities but also in all other aspects of the life.
    • Performance Anxiety:- There is fear of failure in the mind of Patient, so he try to escape from sexual act.
    • Cardiovascular Diseases:- Suffering from other cardiac or systemic disease such as CAD, HTN, DM causes ED.
    • Drug Abused:- Patient is consuming some substances to combat ED.

Physiology of Erection of Penis

Erection of penis is a complex process and it involve the combine impact of vascular system, nervous system, Hormonal and muscular and psychological factor after a sexual stimulation. After stimulation nerve endings in penis releases NO i.e.Nitric oxide. Which causes muscular relaxation in penis. Penile muscles expands. Expansion leads to veno-occlusion, which is the process of reducing the rate of blood flow out of the corpora cavernosa, and this results in blood accumulation and rigidity. So,it is clear that veno-occlusion is necessary for erectile function.

 

1.Stimulation of Nerves

We arouses on getting visual, auditory, touch or psychological sexual stimuli. These stimuli reaches to the brain. And the sexual center of brain gets activated and sends sexual signal to penis via spinal cord.

2.Release of Neurotransmitters

The sexual signal which brain sends are travels downward to the nerve endings of penis. Nerve endings of penis in cavernosal tissues releases a neurotransmitter Nitric Acid i.e.NO. This nitric acid plays an important role in penile erection.

3.Formation of cGMP

Neurotransmitter Nitric Acid i.e.NO activates an enzyme GC that is Guanylate Cyclase, which in turn converts GTP that is Guanosine Triphosphate into cyclic Guanosine MonoPhosphate that is cGMP. So, in addition to cGMP, cAMP is also formed from ATP that is Adenosine TriPhosphate with the help of enzyme Adenylate Cyclase that is AC.

4.Smooth Muscle Relaxation and Vasodilation

On accumulation of cGMP, the relaxation of smooth muscles of penis take place and blood vessels of cavernosal tissues dilates. So,the blood fills in the arteries and arterioles of penis and penis erects.

5.Tumescence

With the expansion of penile muscles blood fills into the arterioles of penis and this initiates a process called Veno-occlusion. Because of this process rate of blood flow out of corpora cavernosa reduces, and it results in blood accumulation and rigidity.

6.Detumescence

After getting orgasm, semen is ejaculats out and an enzyme PDE5 that is Phosphodiesterase type 5, converts cGMP to GTP. As concentration of cGMP reduces smooth muscles of penis contracts and vasoconstriction take place. and penis slowly comes into flaccid condition.

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