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Riyadh: Dr. Hassan Mohamed Sondakji
From the medical point of view, erectile dysfunction is one of the body's most complex processes that requires a rapid and complex interaction between a number of vital organs of the body, such as the brain and the nervous network that connects it to the body. body through the spinal cord located in the spine, nerves located outside the spinal cord. The heart and blood vessels and a number of endocrine glands in regions other than the body, such as the lower brain and pelvis, blood flow and a series of biochemical processes in the blood vessels of the male genital area .
– sexual impotence
In the simplified definition, erectile dysfunction means that a man can not get the proper erection of the penis, or maintain it enough to practice the sexual process.
It is true that this problem is natural to some people, and does not necessarily represent a source of concern, but repeated and continuous access to erectile dysfunction can lead to some psychological pressure and may weaken the relationship with his wife. From the medical point of view, this may be a warning sign indicating a clearly undiagnosed condition, requiring treatment, or a complication of a satisfactory condition in a region and members of the body closely related to the completion of erection.
With multiple causes of erectile dysfunction, most erectile dysfunctions are due to impaired functioning of the blood vessels, which provide the penis with the amount of blood needed to contain it and erect erection. These disorders of the work of the blood vessels result either from the constriction and the hardening of the arteries, or from the dysfunction of the work of the lining of the arteries which inhibits the expansion and the circulation of the blood, in the same way as the arteries of the heart. cardiac people.
– Integrated event series
And details about the relationship between the brain, heart, blood vessels, endocrine system and others, and between erectile dysfunction, illustrated by understanding how to get an erection.
According to medical sources, for an erection to occur in normal cases, a complete series of psychological, chemical, physiological and organic events must occur.
> The first event in this series is in the brain where you get a state of "psychosexual stimulation" (psychosexual stimulation). The basis and foundation for the emergence of this stimulus is the presence of a male sex drive for libido. Based on the integrity of this motivation, the brain is stimulated in two ways: the first is the mental excitation caused by visual stimuli and others, the second the local excitation of the male organ, the arousal is stronger in younger men and the second highest in older men.
Therefore, the level of response to the excitation can be disrupted by men because of brain disorders, hormones, emotions or nerves, and can lead to erectile dysfunction of tension and anxiety and concerns, as well as disorders of the purity and comfort of conjugal relationships and other mental disorders. There are also cases of sexual impotence, caused by the low desire to practice the sexual process, and other cases caused by a number of hormonal disorders resulting in decreased desire to exercise a process or a weak response, in addition to the treatment of certain types of drugs that cause one. As well.
> The second event in the series of erections consists of sending cerebral signals to the male nerve for the preparation of the erection, which first requires security lines for communication between the brain and the genitals of the erection. the man. These signals release the smooth muscles of the arteries that feed the penis with blood.
Relaxation of these smooth muscles is necessary to increase blood flow, resulting in congestion of the penis by blood and erection. At the same time, these nerve signals activate the retention of blood in the penis, that is to say, prevent the discharge and leakage of the amount of blood that has caused erections in the penis. Therefore, there is a work of the arteries and another action of the veins, both of which are necessary to complete the continuation of the erection status until the realization of the sexual process.
> The third step, which begins after the end of ejaculation, is the return of the blood flow changes in the penis to the pre-erection, which requires the return of blood flow to him naturally and to the patient. opening veins for blood flow and return to normal circulation in the penis.
– Brain and sex
To illustrate one of the biochemical aspects of what is happening between the brain, blood vessels and male organs, medical sources indicate that when sexual arousal occurs, the messages pass from the brain to the nerves feeding the male organ, then chemicals called neurotransmitters are released nerve endings of the penis. . These neurotransmitters produce another chemical called monoposphate (GMP), which in turn dilates the arteries of the penis, allowing more blood to drain and swell. Because of this swelling, pressure is exerted on the veins, which usually escape from the blood trapped in the penis, so that the blood stays in the penis and the erection is strengthened. Once exercise is stopped, the level of cGMP decreases, blood flow returns to normal and the penis gradually returns to erectile dysfunction.
– Heart and sex
Medical sources point out an important fact: in many cases of erectile dysfunction, the cause is a physical disorder of an organ. These include narrowing, stiffening and weakening of the lining of the arteries of the heart and arteries that fuel the penis, high cholesterol, diabetes, obesity, smoking, consumption alcohol, sleep disorders, taking medications that cause erectile dysfunction or low sexual desire. As side effects. Add to that a number of neurological diseases such as Parkinson's disease, multiple sclerosis, prostate and testicular dysfunction.
Among the organic diseases mentioned above, we note that cardiovascular disorders are actually an important cause of erectile dysfunction. The first is that erectile dysfunction may be a condition associated with the presence of satisfactory problems in the arteries of the heart, and the second is that the case of erectile dysfunction may be an early sign of the existence of current heart problems, or most likely to start in the future, and the third that erectile dysfunction is the result of the presence of heart disease in the original. This adds to a fourth aspect related to the effects of treatment of heart disease, by catheterization or cardiac surgery, on erectile dysfunction or sexual exercise.
Causes of heart disease and erectile dysfunction
> Anxiety, marital difficulties and depression can cause erectile dysfunction. Erectile dysfunction can increase the suffering of these emotional and psychological disorders. As a general rule, the psychological cause of erectile dysfunction may be more likely than the organic cause, in some cases, when a good erection is performed, such as waking up in the morning with an erection, even if that does not happen the more often. On the other hand, medical records indicate that 7 out of 10 men with persistent and recurrent erectile dysfunction result from narrowing of the small arteries of the penis, which causes poor blood circulation in the body, a problem that occurs with other vessels blood vessels of the body, such as the arteries of the heart and arteries. Peripheral in the legs. According to doctors at the Mayo Clinic, erectile dysfunction and heart disease share a number of risk factors, including:
> Diabetes: A diabetic man is at high risk for erectile dysfunction and heart disease.
> Smoking: smoking doubles the risk of blood vessel disease and can cause erectile dysfunction.
> Alcohol Use: Alcohol abuse can lead to heart disease and can aggravate other causes of heart disease, including high blood pressure and abnormal cholesterol. Alcoholic beverages also hinder erections.
> Hypertension: Over time, high blood pressure damages the membranes of the arteries and accelerates the disease of the blood vessels. Some medications taken to treat high blood pressure can affect sexual activity.
> High cholesterol levels: High levels of low-density lipoprotein (LDL) can lead to atherosclerotic atherosclerosis.
> Age: Due to age, the erection requires more time and may not be firm enough or solid. The younger you are, the more erectile dysfunction is likely to cause heart disease. A man under 50 is exceptionally vulnerable. Erectile dysfunction in men over 70 reduces the risk of heart disease.
> Obesity: Being overweight often exacerbates other risk factors leading to heart disease.
> Low Testosterone: Men with low testosterone have erectile dysfunction, heart disease and blood vessels, compared to men with normal testosterone levels.
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