Once identified with the generic and inelegant term of impotence, erectile dysfunction is defined as the inability to achieve or maintain an erection that is sufficient to achieve satisfactory sexual performance.
The prevalence is estimated at around 20 per cent in the total male population and, although the older age group is the most affected, at least one in four men is under the age of 40 and suffers from a severe form. This suggests that this pathological condition is not necessarily associated with aging. After all, when the younger age is affected, the emotional and relational sphere is also strongly compromised.
Erectile Dysfunction: Main Causes
The causes of erectile dysfunction can be psychological or organic. In many cases the two factors can combine: an initial organic difficulty can for example be amplified by anxiety and the fear of failing. Causes of psychological origin include depression, performance anxiety, guilt, fear of intimacy, and stress.
Among the organic causes that can lead to erectile dysfunction are: chronic diseases (diabetes, hypertension, thyroid disease and heart disease), hormonal disorders (such as low testosterone levels), neurological diseases (Parkinson’s disease, multiple sclerosis), trauma leading to nerve injuries (e.g. vertebral fractures) or the outcome of prostate surgery. Erectile disorders can also be the consequence of taking certain medications (antihypertensives, beta-blockers, some antiarrhythmics, some antacids, antidepressants and sleeping pills). The same effect also has the abuse of alcohol and nicotine and the use of narcotic substances such as cocaine.
The causes also vary depending on which moment of the erective process is subject to malfunction.
When an onset deficit is recognized, the causes are neurological: a lesion of the pelvic nerve bundles leads to the inability to release neurotransmitters necessary to initiate relaxation of the smooth muscle of the corpora cavernosa. This type of injury was often caused by radical removal of the prostate.
Arterial impotence, on the other hand, manifests itself with a filling deficit: an erection occurs but the rigidity of the penis is not sufficient to allow penetration. It occurs because the blood pressure in the cavernous arteries is too low to fully distend the corpora cavernosa.
Finally, the pharmacological causes: certain classes of drugs can cause erectile dysfunction as a side effect; the same principle applies to the abuse of alcohol and drugs, while smoking alters erective processes because it compromises the cardiovascular system, drugs include those taken for arterial hypertension as beta-blockers and diuretics, anti-ulcer drugs, chemotherapy, antidepressants, anxiolytics, antipsychotics, antifungals, antihistamines, anticholinergics.
Erectile Dysfunction: Cures and Remedies
Treating the cause of erectile dysfunction directly can help solve the problem. Lifestyle change can make a positive difference especially for younger men. However, you may benefit from taking medications or other treatments. Ignoring the condition is not a wise choice, especially since it can be a sign of other health problems.
Eating healthily, getting more exercise , and losing weight can help minimize ED problems. Quitting smoking and reducing alcohol consumption as much as possible are other important choices to make.
Communication with the partner is essential. Performance anxiety can aggravate the other causes of erectile dysfunction. A therapist or other mental health professional may also be able to help you; for example treating depression can help improve ED and can bring additional benefits.
Medicine to treat Erectile Dysfunction
5-phosphodiesterase (PDE5) inhibitors can help treat this condition. PDE5 is an enzyme that interferes with the action of nitric oxide (NO), which is a neurotransmitter with a dilating action on the blood vessels of the penis, which increases blood flow and produces an erection. A perfect example of medication in this class is Viagra, which contains Sildenafil Citrate as it active substance. Kamagra, Cobra or Cenforce are very popular generic Viagra versions with the same active compound, but with the stronger effect for a better price.
Kamagra is well known for its high effectiveness and lower price. Kamagra has various forms and versions. The most popular is Kamagra Gold that contains 100mg of Sildenafil.
The strongest erectile dysfunction medicine is Cenforce with 200mg of Sildenafil in one potency pill. You can buy Cenforce from any reliable internet pharmacy. The Cenforce price starts from 26 Eur which is still the half price of popular Viagra.
These Viagra generics can be easily ordered and shipped to you discreetly. However, always ensure you read the product description before use to avoid side effects.
The second level therapy is represented by the intracavernous injection of PGE (prostaglandins) which have a direct action in stimulating the blood flow to the penis favoring an erection regardless of arousal. It is a drug-induced erection, through an injection in a specific point of the penis, useful in the most severe cases of erectile dysfunction, not responsive to oral drugs only.
Finally, patients who do not want or cannot inject prostaglandins into the corpora cavernosa or who do not have a satisfactory erection with this therapy can resort to penile implants.