Erectile dysfunction is the continuous inability to produce or maintain a penile erection powerful enough for gratifying sexual performance. 1 709 guys between the ages of 40 and 70 who took part in the Massachusetts Male Aging Study between 1987 and 1989 had an overall erectile dysfunction rate of 52%.
In 1995, it was estimated that 152 million men worldwide had ED. In 2025, 322 million people are anticipated to have ED worldwide.
Once upon a time, psychological problems were assumed to be the cause of erectile dysfunction. It is now known that the main reason for erectile dysfunction in the majority of men is a medical problem, usually involving the blood flow to the penis.
There have been major advancements in the diagnosis and treatment of erectile dysfunction.
What are the different types (and causes) of ED?
The following are some of the numerous manifestations and potential causes of erectile dysfunction:
Biological erectile dysfunction:
The organic form of ED, which involves anomalies in the penile arteries, veins, or both, is the most common cause of ED, especially in older men. The most common cause of arterial issues is arteriosclerosis, or the hardening of the arteries, though trauma to the arteries may also be to fault.
The risk factors for arteriosclerosis, which typically first harms erectile function before moving on to the heart, include being overweight, not exercising, having high cholesterol, having high blood pressure, and smoking.
Premature ejaculation (PE):
Premature ejaculation, often known as male sex dysfunction, is characterized by: Ejaculation that always or almost usually occurs just before or shortly after vaginal penetration.
Unfavorable personal effects, such as discomfort, annoyance, frustration, and/or avoiding sexual intimacy; inability to delay ejaculation on all or nearly all vaginal penetrations
What are the risk factors for erectile dysfunction?
Erectile dysfunction is a symptom that many ailments and diseases share, according to the NIH.
The following are possible direct risk factors for erectile dysfunction:
- Prostate issues
- Diabetes type 2
- Hypogonadism in connection with certain endocrinologic disorders
- High blood pressure, or hypertension
- Vascular surgery and vascular disease
- High blood cholesterol levels
- Low hdl (high-density lipoprotein) values
- Chronic sleep problems (insomnia, obstructive sleep apnea)
- Drugs
- Neurological conditions
- Penis distortion or curvature due to peyronie’s disease
- Priapism (penis inflammation)
- Depression
- Use of alcohol
- Insufficient sexual knowledge
- Shoddy sexual methods
Given the increased chance of direct risk factors, some of which are stated above, age looks to be a significant indirect risk factor.
For the prevention or treatment of erectile dysfunction, accurate risk factor identification and characterization are crucial.
How is ED diagnosed?
The following diagnostic techniques for ED may be used:
- Sexual or medical history of the patient. This may assist distinguish between issues with erection, ejaculation, orgasm, or sexual desire and uncover disorders or diseases that cause impotence.
- Examination of the body. To search for signs of systemic issues, such as these:
- If the penis does not react as expected to certain contact, there could be an issue with the nerve system.
- Hair pattern is an example of a secondary sex feature that can indicate hormonal issues involving the endocrine system.
- An aneurysm could be a sign of circulatory issues.
- Unusual features of the penis could point to the impotence’s root cause.
- Tests in the lab. These can include creatinine and liver enzyme assessments, blood counts, urinalyses, lipid profiles, and lipid profiles. Men with ED frequently have their blood testosterone levels checked, especially if they have a history of diabetes or low libido.
- Psychosocial assessment. In order to identify psychological aspects that might be influencing performance, this is done. To find out what expectations and views were experienced during sexual activity, the sexual partner may also be interviewed.
What is the treatment for ED?
Medical treatments:
A prescription men’s health drug like Cenforce 25 Mg administered orally to treat ED. Many men might have an erection 30 to 60 minutes after taking the prescription, although it works best when taken on an empty stomach. Sildenafil citrate has to be sexually stimulated in order to be most effective.
Penile prostheses:
To treat ED, two different types of implants are employed, including:
- Penile prosthesis that is inflatable (3-piece hydraulic pump). The penis contains two cylinders and a pump that are inserted inside the erection chambers. The pump releases a saline solution to produce an erection; it may also remove the fluid to deflate the penis.
- Penile prosthesis that is semi-rigid. Two flexible but semi-rigid rods are inserted into the penis’ erection chambers, allowing manipulation into either an erect or non-erect posture.
Less than 2% of the time, infection is the most frequent reason for penile implant failure. Implants are typically not considered until after all treatment options have been exhausted, but in the right patient, they are a fantastic therapy option with a very high patient satisfaction rate.