Erectile dysfunction can be caused by many diseases

Erectile dysfunction, known as Sexual Impotence is part of the life of 45% of Brazilians, whether mild, moderate or complete. The prevalence and severity of cases increase with age, and the presence of diseases such as diabetes and high blood pressure can compromise erection.

Diabetes is the major disease that can cause erectile dysfunction, according to the experts consulted by E + . Urologist Emilio Sebe Filho, founder of the Lifemen Clinic, states that the uncontrolled glucose in the blood causes inflammation of the inner lining of the arteries. With fat accumulation, there is an obstruction, total or partial, that prevents blood flow.

As the penis needs to be irrigated further with blood to be erect, a blockage of both arteries of the organ causes dysfunction. This adds to the fact that these arteries are only one millimeter in diameter, which eases the obstruction.

"Diabetes causes vascular damage in peripheral areas, and the penis is considered a peripheral organ, which changes the penile irrigation," Filho summarizes. Urologist Marco Túlio Cavalcanti points out that "only controlling blood sugar can significantly improve erectile function".

His son, who has examined more than 47,000 men in 17 years, says that 80% of people with diabetes have erectile dysfunction. "The first point of attack for diabetes is the penis and second place is the heart.Most diabetics who do not take care of themselves will soon have heart problems," he said. he declares.

Although it is more common in people over the age of 40, erectile dysfunction affects men between the ages of 15 and 90, according to Cavalcanti. "Most malfunctions in people under 40 are psychogenic, that is, they are caused by trauma, anxiety, loss of employment, the change of relationship, "says the doctor. In these cases, the problem has a negative effect on the self esteem of the man. "Over 40 years, much of it is organic – that it's a hormonal, vascular or neurogenic problem."

Problems Leading to Erectile Dysfunction

Erectile dysfunction caused by diseases called organic . In addition to diabetes, the main causes are, according to Cavalcanti, hypertension dyslipidemia (which is the change in cholesterol levels and the triglycerides ) and the # 39; obesity.

Second child, high cholesterol is present in 90% of cases of male impotence . He also cites neurological diseases such as Parkinson's disease, multiple sclerosis and tumors in the nerve area.

All these diseases, at a given moment, are related to an obstruction of the arteries of the body, mainly of the penis. Cavalcanti says that, in the case of obese men, the disease increases inflammatory factors and predisposes to the accumulation of fat in the microvessels. "This, on the penis, causes the decrease of blood flow."

Another obesity factor that compromises the complete function of the bad organ is the low level of testosterone, the main male bad hormone. "The low testosterone content is due to the accumulation of fat, mainly visceral fat, which prevents the pituitary gland from producing hormones releasing testosterone," says the urologist. Add to that the smaller libido, which also compromises erection.

Experts also point out that smoking is a factor of badual impotence. Cigarette warnings are not for nothing. "In the composition of the cigarette, a substance causes the contraction of the arteries.Contracting an artery of one millimeter, it is to cause a dysfunction," explains Son.

Men undergoing prostate surgery, radical vasectomy or bad surgery may also become powerless. In these cases, depending on age and plans for the future, the preservation of fertility by freezing spermatozoa should be considered.

Treatment of Erectile Dysfunction

According to the Cavalcanti urologist, the treatment is essentially medicated for the organic cause. However, 30% to 35% of patients do not respond well to remedies, which can lead to a more invasive type of treatment.

But the treatment of these diseases already solve the problem of badual impotence? Not necessarily. The doctor explains that a person suffering from hypertension for example, may have damaged penile arteries even after the treatment of the problem and thus continue with a dysfunction. "Both must be treated simultaneously."

"In addition, antihypertensive drugs reduce potency.Only the treatment of hypertension does not improve the dysfunction," he adds. He states that even when controlling comorbidities, most patients need to specifically treat drug-related dysfunctions.

Tips to Avoid Erectile Dysfunction

Cavalcanti guides men to follow six recommendations to prevent badual impotence. They are: sleep well, eat well (in good health), practice regular and moderate exercise, avoid unnecessary stress, control possible factors (pressure, diabetes, cholesterol) and avoid cigarettes, drugs and alcoholic beverages in excess .

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