Understanding Erectile Dysfunction: Causes, Diagnosis, and Treatment Options

Be aware of your men’s problems erectile dysfunction

erectile dysfunction or the penis is not fully erect or erection not long enough for sexual intercourse to be satisfactory Until it becomes a health problem that causes anxiety and undermine confidence for you man

Causes of Erectile Dysfunction

➮ getting older
➮ Decreased testosterone levels
➮ stress
➮ not enough rest
➮ smoking and drinking alcohol
➮ Certain diseases such as high blood pressure, diabetes, hyperlipidemia

When the cause of erectile dysfunction is known before knowing how to treat It is important to understand the erection mechanism first.

erection What is the mechanism?

1. There must be stimuli to stimulate the brain to secrete neurotransmitters. to stimulate the genitals to secrete nitric oxide
2. Nitric Oxide It stimulates the arteries in the penis to expand twice, allowing blood to enter the tissues of the penis.
3. When blood enters the genitals This causes the erectile tissue to expand and press against the veins against the genital sheath. causing blood to be retained in the genitals Therefore, the erection of the penis is fully formed.

Understand 4 Causes of Erectile Dysfunction

1. Abnormalities in the blood vessels in the genitals which can be found in about 70% of patients with this disease And is the main cause of erectile dysfunction. which can be divided into 3 types as follows
➮ The arteries that feed the genitals become clogged. As a result, the blood supply to the genitals is insufficient.
➮ Mechanism of venous stenosis abnormalities This makes the blood unable to collect in the genitals.
➮ There is a joint disorder between arterial occlusion. and abnormal vein pressure mechanism

2. Testosterone hypothyroidism which patients with testosterone deficiency There may be other symptoms as well, such as decreased sex drive. decreased sex drive Decreased erection, especially in the morning There is a feeling of lack of energy, exhaustion, and a decrease in the will to work. or may be found in patients with hyperthyroidism or hypothyroidism

3. Disorders in the nervous system Patients may have abnormalities from the level of the brain, spinal cord, pelvic nerves. genital nerves, etc.

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

How is Erectile Dysfunction Tested and Diagnosed?
When the patient comes to see the doctor The doctor will examine and diagnose as follows:
1. The doctor will take a history. On the nature of hardening Lust frequency of intercourse illness history Past surgeries, comorbidities, and current medications on a regular basis

2. Physical examination to assess abnormalities in the genitals testicle size and may examine the prostate gland in some cases

laboratory diagnosis
1. The doctor may test the blood for congenital diseases such as blood sugar. Blood lipids, liver and kidney function Screening for prostate cancer and check testosterone levels In some patients with reduced sexual desire as well.
2. Detection of abnormalities in the blood vessels of the genitals (Penile Doppler ultrasound), which will be examined in some patients with severe problems. It will measure the function of the arteries. and veins in the genitals to determine the cause and other treatment options

treatable, reduce anxiety when the bird does not crow
The treatment is divided into the following treatment groups:
➮ in a group of patients with congenital disease The doctor will start the treatment by treating the congenital disease first such as controlling blood sugar, blood lipids and blood pressure, refraining from smoking, refraining from drinking alcohol, and getting enough sleep. exercise regularly and weight loss This will change some of the drugs that affect erectile dysfunction. But if in the case that the patient has a mental disorder It is recommended that the patient visit a psychiatrist first.
➮ in a group of patients with testosterone deficiency will provide treatment by giving testosterone replacement

Method of treatment
1. Drug treatment It will use drugs in the PDE-5 Inhibitor group, such as Viagra, Levitra, Cialis. which must be eaten about 30 minutes before sexual intercourse – 1 hours. Drugs in this group cannot be used in conjunction with drugs in the Nitrate group, and drugs in this group can have side effects such as palpitations, headaches, and flickering lights. nasal congestion, etc.

2. Using a vacuum cylinder (Vacuum device) will use a vacuum cylinder to cover the genitals After that, the air will be pumped out of the pipe. causing blood to enter the genitals Until making the penis harden well After that, a rubber band will be applied to keep the blood from flowing.

3. Using low frequency sound waves (Shockwave therapy) It uses low-frequency sound waves to strike the tissues of the penis. This is a new technology and alternative that helps create new blood vessels in the penis. cause rehabilitation and treatment of erectile dysfunction by the way is uses low-frequency sound waves to exert external shocks on the genitals to receive treatment 1 times/week For 5 consecutive weeks, it was found that it can help create new blood vessels in the penis. cause a better erection of the penis Most often used in patients with insufficient blood supply to the genitals, such as in diabetic patients with erectile dysfunction. or in patients who respond to erectile dysfunction drugs and do not want to take regular medicine In patients treated with this method, it was found that there was no pain while doing it. And no side effects were found during and after the treatment.

4. Injectable drug treatment It is a drug that is injected directly into the genitals. 5-10 minutes before intercourse, about 70% effective. prostaglandin E1, which can make the penis erect about 1 hours, but the method of use must be under the supervision of a medical professional only.

however different treatment methods After the ineffectiveness of simple treatment, it is necessary to be examined by a special method. In which patients with erectile dysfunction problems do not necessarily need to be treated. If the patient and the partner do not feel anxious about not being able to have sex But if patients with erectile dysfunction problems and there are indications that it may be caused by diabetes high blood pressure hyperlipidemia Including other risk factors, even if you don’t want to have sex. It should be a health check.