Increased understanding of the male erectile process and the development of several agents to improve erectile function have generated great public interest among men and their sexual partners. These advances are expanding the treatment options available to primary care physicians in the management of erectile dysfunctions.

Define the causes of erectile dysfunction?

Causes The penis contains two cylindrical, sponge-like structures that run along its length, parallel to the tube that carries semen and urine (urethra). When a man becomes sexually aroused, nerve impulses cause the blood flow to the cylinders to increase about seven times the normal amount. This sudden influx of blood expands the sponge-like structures and produces an erection by straightening and stiffening the penis. Continued sexual arousal or excitation maintains the higher rate of blood flow, keeping the erection firm. After ejaculation, or when the sexual excitation passes, the excess blood drains out of the spongy tissue, and the penis returns to its non-erect size and shape.

Specific steps take place to produce and sustain an erection

Arousal
The first step is sexual arousal, which men obtain from the senses of sight, touch, hearing and smell, and from thoughts.

Nervous system response
The brain communicates the sexual excitation to the body's nervous system, which activates increased blood flow to the penis.

Blood vessel response
A relaxing action occurs in the blood vessels that supply the penis, allowing more blood to flow into the shafts that produce the erection.
If something affects any of these factors or the delicate balance among them, erectile dysfunction can result.

Nonphysical causes
Nonphysical causes may account for impotence. They may include.

Psychological problems                     
The most common nonphysical causes are stress, anxiety and fatigue. Impotence is also an occasional side effect of psychological problems such as depression.

Negative feelings
Feelings that you express toward your sexual partner — or that are expressed by your sexual partner such as resentment, hostility or lack of interest also can be a factor in erectile dysfunction.

Physical causes

• Physical causes account for many cases of erectile dysfunction and may include:

• Nerve damage from longstanding diabetes (diabetic neuropathy)

• Cardiovascular disorders affecting the blood supply to the pelvis

• Certain prescription medications

• Operations for cancer of the prostate

• Fractures that injure the spinal cord

• Multiple sclerosis]

• Hormonal disorders

• Alcoholism and other forms of drug abuse

In fact, erectile dysfunction may be one of the first signs of an underlying medical problem.

The physical and nonphysical causes of erectile dysfunction commonly interact. For instance, a minor physical problem that slows sexual response may cause anxiety about attaining an erection. Then the anxiety can worsen your erectile dysfunction.

How can erectile dysfunction be detected?

There are certain symptoms that can help us to judge that weather a person is suffering from erectile dysfunction or not

• Loss of sexual desire

• Weak erection

• Shortening of penis length and girth

• Loss of self confidence

• Weakness in body

• Fatigue

How can erectile dysfunction be diagnosed?
The amount dysfunction may vary from an individual to an individual. More over the time factor may also be a consolidation factor. Erectile dysfunction may last from few days to months and years. There are three main diagnosing techniques that are applied for diagnosing the impotence or erectile dysfunction.

Physical examination – This is the most primary diagnostic method that is also the preference. In this few methods are judged like the sensitivity of the penis to the sexual arousal or examining the factor that may be caused by any injury to penis or erectile tissue.
History of patient – It is also a very important factor to determine the extent of ED (erectile dysfunction). In this the past sexual behavior and other physical as well as well as medical history is considered. It has been seen that people might suffer from erectile dysfunction due to some chronic ailments like diabetes etc.
Psychological examination – This is also an important factor that is to be considered while diagnosing the erectile dysfunction. In this the psyche of a person is judged and a relation is being established between is ailments and mental sate of mind.

Are there any prevention erectile dysfunction?

• Avoid unhealthy life style

• Do not eat junk food

• Avoid masturbation

• Prevent daily sexual indulgence

• Avoid over usage medicines

• Avoid wearing tight underpants and under wears

What diet is recommended for person suffering from erectile dysfunction?

• Dairy products are recommended but should be taken in limits

• Reduce salt content in your diet

• Avoid eating junk food

• Eat fruits and vegetables

• Avoid eating non-vegetarian food at night

• Avoid fatty diet.

Is there any treatment for erectile dysfunction?

Yes, as per herbal treatment two types of treatments are undertaken. One is psycho therapy and other is the medication. Depending upon the cause of erectile dysfunction, the treatment path of the patient is planned and then it is applied on the patient.

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