Erectile dysfunction

Erectile dysfunction (ED) or impotence is defined as the inability of the male to obtain and / or maintain an erection sufficient to allow satisfactory sexual activity. ED is a fairly frequent situation. It has been calculated through various statistics that can affect, to a greater or lesser extent, about half of men between the ages of 40 and 80.

  • Impossibility of having an erection that allows satisfactory sexual activity.
    It is important that the population knows that erection is an eminently vascular mechanism. Therefore, all pathologies that affect circulation can cause erectile dysfunction, such as: diabetes, hypertension, increased blood fats, obesity, smoking, etc. Other causes can be hormonal, neurological or even secondary to certain surgeries or medical or pharmacological treatments.
  • Diabetes.
  • Arterial hypertension.
  • Dyslipidemia.
  • Obesity.
  • Smoking.
  • Advanced age.
  • To diagnose erectile dysfunction it is very important to carry out a medical history with special emphasis on psychosexual data, as well as a thorough physical examination. There are questionnaires (IIEF) for the patient to fill in and thus determine the degree of ED. Other tests are the intracavernous injection of vasoactive drugs (IID) with or without visual erotic stimulation, the penile Eco Doppler that allows assessing the hemodynamic component of the erection, the night erection test (NPT-test or Rigiscan) that requires the patient is admitted three nights and what he values ​​are the episodes of erections that men have in certain phases of sleep. Since ED can be a first symptom of other undiagnosed underlying diseases, a blood and hormonal analysis is essential.
    Sexual life not satisfactory.
  • A healthy diet, physical activity and control over tobacco and alcohol can help prevent ED. Another way to prevent it is to control the underlying diseases. For example, if a patient is diabetic, it will be important to have good diabetes control. Therefore, it is very important to go to the urologist when the first symptoms appear.
 
 

Medical specialties

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