Causes of erection problems
Problems with erection (erectile dysfunction) can be caused by organic causes associated with blood vessels, nerves and hormones or by psychological factors. Current statistics show that 80% of all erectile problems brand cialis 5mg were caused by organic causes.
Normally, an erection occurs when your imagination or senses (sight, hearing, touch, smell, taste) are stimulated and the person experiences excitement. Central nervous system sends nerve impulses that increase blood flow to the penis. Blood fills the spongy tissue (corpora cavernosa) in the penis, causing it to increase in volume and the attainment of rigidity.
For an erection, you must have the following four factors:
A normally functioning nervous system, which will send the necessary signals to the penis.
Intact system of blood vessels (cardiovascular system), which allows blood to flow freely to the penis blood vessels and flow smoothly.
Healthy penis smooth muscle tissue which must relax so that the penis can be filled with blood and increase in volume.
The ability to hold blood in the penis so that it remains rigid.
Among the organic causes of erectile dysfunction include long-term (chronic) or short-term (acute) injuries and complications from prostate surgery, or any other operation related to nerve impulses or blood flow to the penis.
In men older than 50 years, cause difficulties with erection problems often become physical.
Problems with the blood vessels (vascular problems) may prevent the filling of the penis with blood or its finding in the penis long enough to maintain an erection. For example, prolonged high blood pressure can damage blood vessels and cause erectile dysfunction.
Problems with the nerves (neurological problems) may interfere with the signals of the excitation of the brain and spinal cord to reach the penis. Nervous disorders such as Parkinson's disease, Alzheimer's disease, multiple sclerosis and angina can adversely affect a man's ability to achieve an erection and reduce sexual desire. Nerve damage from diabetes, of postoperative complications and spinal cord injury can also cause erectile dysfunction.
Problems with the structural feature of the penis or its surrounding tissues may prevent an erection.
Hormonal factors, such as low levels of the hormone testosterone, can cause problems with erection.
Side effects of medications (eg, those that are prescribed for high blood pressure or depression) may include erection problems. In some cases it is possible to change the dose of the drug or to replace it with another.
The use of tobacco, alcohol or illegal drugs can lead to problems with erection. Termination of their admission or restriction in the use of these substances may alleviate the problem with erection.
Types activity limiting blood flow to the penis, may also lead to erectile dysfunction. Some doctors have noticed that men who regularly overcoming long-distance cycling, have erection problems more often than those who use the bike from time to time, especially if their bicycle seat narrow and rigid. However, the possible link between cycling and problems with erectile dysfunction has not been proved.
Vasectomy does not usually cause problems with erection. However, post-operative pain can be for some time a negative impact on sex life, and if a man uncomfortable feeling due to the decision to undergo a vasectomy, or on reflection, he came to this conclusion, that fact may have a negative affect on his psychological state.
Psychological causes of erection problems include depression (which also has an organic component), anxiety, stress, grief or problems with current or past relationships. This has a negative effect on erection, distracting the man from things that would normally excite it. Erectile dysfunction in men younger than 40 years without any organic risk factors are more likely to be caused by psychological rather than physical causes.
Hormonal factors and problems with erection
Hormonal factors may play a role in problems with erection (erectile dysfunction). Men with low testosterone hormone (a disorder called gipogenitalizme) may have a reduced sex drive. Generally, if the doctor suspects a problem, you appoint to pass a blood test for testosterone. However, only a small percentage of men with erectile dysfunction have low testosterone levels in the blood.
The increased production of the hormone prolactin (hyperprolactinemia) may also be the cause of erectile problems. High levels of prolactin hormone testosterone breaks, leading to gipogenitalizme.
There are special treatments for low testosterone and elevated prolactin.
Prescription drugs and problems with erection
Some medicines may cause problems with erection (erectile dysfunction). Tell your doctor that taking such drugs. If you have problems with erection, these drugs can cause or aggravate them. Your doctor may change the dose of medicines or appoint an alternative treatment.