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What does
Erectile Dysfunction
(ED) means? |
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What
Is
Erectile Dysfunction (ED)?
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Also known as impotence, is the inability to
achieve or sustain an erection for satisfactory sexual activity.
Erectile dysfunction is different from other conditions that interfere
with sexual intercourse, such as lack of sexual desire and problems with
ejaculation and orgasm. This article focuses on the evaluation and
treatment of erectile dysfunction.
How Common Is Erectile Dysfunction?
Erectile dysfunction varies in severity; some men have a total inability
to achieve an erection, others have an inconsistent ability to achieve
an erection, and still others can sustain only brief erections. The
variations in severity of erectile dysfunction make estimating its
frequency difficult. Many men also are reluctant to discuss
erectile
dysfunction with their doctors, and thus the condition is
under-diagnosed. Nevertheless, experts have estimated that erectile
dysfunction affects 20 % of male in the Untied States.
While
erectile dysfunction can occur at any age, it is uncommon among young
men and more common in the elderly. By age 45, most men have experienced
erectile dysfunction at least some of the time.
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What Are The Risk Factors For Erectile Dysfunction?
According to the National Institutes of Health, erectile dysfunction is
also a symptom in many disorders and diseases. Direct risk factors for
erectile dysfunction may include the following: Type 2 diabetes, high
blood pressure, prostate problems, depression, alcohol, high
cholesterol, and smoking.
Information About Sexual Dysfunction
Sexual
dysfunction is difficulty during any stage of the sexual act (which
includes desire, arousal, orgasm, and resolution) that prevents the
individual or couple from enjoying sexual activity.
According
to recent research cited in a study on sexual dysfunction in Europe,
sexual dysfunctions are highly prevalent in both sexes, ranging from 10%
to 52% of men and 25% to 63% of women. Sexual difficulties can begin
early in a person's sex life or they may develop after an individual has
previously experienced enjoyable and satisfying sex. A problem may
develop gradually over time, or may occur suddenly as a total or partial
inability to participate in one or more sexual acts. The causes of
sexual difficulties can be physical, psychological, or both.
What Causes Sexual Dysfunction?
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Physical causes include diabetes, heart and vascular (blood vessel)
disease, neurological disorders, hormonal imbalances, chronic
diseases such as kidney or liver failure, and alcoholism and drug
abuse. In addition, the side effects of certain medications,
including some antidepressant drugs, can affect
sexual desire and
function.
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Psychological causes include work-related stress and anxiety,
concern about sexual performance, marital or relationship problems,
depression, feelings of guilt, and the effects of a past sexual
trauma.
How Do Sexual Dysfunction Affect Men?
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Premature ejaculation refers to ejaculation that occurs before or
soon after penetration.
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Inhibited or retarded ejaculation is when ejaculation is slow to
occur.
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Retrograde ejaculation occurs when, at orgasm, the ejaculate is
forced back into the bladder rather than through the urethra and out
the end of the penis.
How Is Male Sexual Dysfunction Treated?
Many
cases of sexual dysfunction can be corrected by treating the underlying
physical or psychological problems. Treatment strategies may include the
following:
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Medical - treatment of any physical problem that may be contributing
to a man's sexual dysfunction.
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Natural
Medications -
Scientific evidence suggests, but does not prove that Yohimbe,
Arginine, Ginseng and other natural herbs may improve sexual
behavior.
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Hormones - men with low levels of testosterone may benefit from
testosterone replacement therapy.
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Psychological - therapy can help a person address his feelings of
sexual anxiety, fear or guilt.
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Education and communication - Education about sexual behaviors and
responses may help a man overcome his anxieties about sexual
performance. Also, open dialogue with your partner about your needs
and concerns also helps to overcome many barriers to a healthy sex
life.
Man's
Sex Drive Decline
Whether the
decline of your
sex drive is a new problem or something you've always
experienced, you don't have to just live with it. Whenever a person's
sex drive is on the decline, it may cause problems in a relationship
with their partner. The man's significant other may enjoy sex very much,
and feel that their needs are not being met. Some people tend to think
that sex is a way to express your love for another person. Without it, a
person may not feel attractive nor loved.
Signs of a low sex drive include:
- Less
frequent sexual thoughts and fantasies
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Reduced sexual desire
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Reluctance to initiate sex
- Less
frequent masturbation
Ejaculation and the Male Orgasm
The male orgasm
is a complex
experience. The major function of the male orgasm usually includes the
ejaculation of sperm. In the 1950s, Robert Kinsey, a scientist who first
explored human sexuality in any detail, described the orgasm as "an
explosive discharge of neuromuscular tension" There is still a lot
about the male orgasm that is not entirely understood.
The male orgasm is not just about
ejaculation. It is possible to have an
orgasm without ejaculation.
- Some men do
not have an
ejaculation until several seconds after orgasm.
- Some men, who
are incapable of ejaculation, are still capable of orgasm.
- Some men, may
experience several ejaculations and go on to have further orgasms,
but without ejaculation.
The male orgasm
seems to have psychological as well as a physical effects. Some men say
that they have a more focal experience, feeling the orgasm in the
scrotum and the genital area. Other men report their orgasm as a feeling
that spreads over to some parts of the body and others that their orgasm
is felt all over. How much of this is physical and how much
psychological is difficult to judge.
Controlling Ejaculation During A Man's Orgasm
Ejaculation is often felt to be disappointing if it happens too quickly.
A disappointment that may also be felt by your sexual partner. Men
report multiple orgasms more than women in the Kinsey report. 14% of
women reported being multiple orgasmic and between 15-20% of men.
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