I don’t get any harder: what are the possible causes?
Contents
- I don’t get any harder: what are the possible causes
- Cause
- Psychological causes
- A hormonal problem
- The importance of lifestyle
- What solutions are available
- Let’s start with communication
- Oral treatments
- Local treatments
- Solutions for low testosterone levels
Erectile dysfunction, also known as impotence, is the persistent inability to have an erection that is strong enough for penetration and / or an erection that lasts long enough for sexual activity to complete.
Erectile dysfunction can have a significant effect on the sex life of a man and his partner.
Erectile dysfunction can occur with or without other sexual dysfunctions, including decreased libido, hence decreased interest in sexual activity, orgasmic dysfunction, resulting in difficulty reaching orgasm, and ejaculatory dysfunction, i.e. problems with fluid released during sex, including lack of ejaculation, ejaculation of small volume, ejaculation that is too rapid, and pain following the
Erectile dysfunction is common, and the risk of developing this disorder increases with age. Causes
Causes of erectile dysfunction include aging, high blood pressure, diabetes mellitus, smoking, atherosclerosis, depression, nerve or spinal cord damage, drug side effects, alcoholism or other substance abuse, pelvic surgery, including radical prostatectomy, pelvic radiation, penile / perineal / pelvic trauma such as pelvic fracture, Peyronie’s disease, and lower than normal testosterone levels.
Erectile dysfunction is treatable in all age groups.
Treatments include psychotherapy, adopting a healthy lifestyle, oral phosphodiesterase type V inhibitors, intraurethral prostaglandin E1, intracavernous injections, prosthetics and vascular surgery, and in some cases medication changes.
Researches for erectile dysfunction treatments are always active and aim at improving the cure. Psychological Causes
Some psychological conditions can cause erectile dysfunction.
These include stress, anxiety, depression, widower syndrome, low self-esteem, post-traumatic stress disorder, and fear of sexual failure or performance anxiety.
It is also worth noting that some medicines for depression and other ailments of the same type may have erectile dysfunction as a contraindication. A hormonal problem
Below average testosterone, which is the main sex hormone in men, can cause impotence.
In fact, testosterone is not only necessary because it stimulates sexual desire, but it is also essential to keep nitric oxide in the penis at an acceptable percentage. Hence, men with hypogonadism (low testosterone with symptoms) can have libido problems and erectile dysfunction. The importance of lifestyle
Quitting smoking, exercising regularly, losing excess weight, limiting excessive alcohol consumption, controlling hypertension, and optimizing blood glucose levels in patients with diabetes are not only important for maintaining good health, they can also improve or even prevent the progression of erectile dysfunction.
It is unclear whether these lifestyle changes can reverse erectile dysfunction. However, lifestyle improvements can prevent the progression of erectile dysfunction. Some studies suggest that men who have improved their lifestyle experience higher success rates with oral medications. What Solutions Are Available
There are several treatments for erectile dysfunction.
First of all, you need to improve your lifestyle; for example, quitting smoking and exercising more can help improve symptoms or prevent erectile dysfunction from worsening.
Take oral therapies to treat erectile dysfunction, such as sildenafil (Viagra), vardenafil (Levitra, Staxyn), tadalafil (Cialis), or avanafil (Stendra).
There are also suppositories, intracavernous injections, prostheses, vascular surgery to improve blood flow to the penis (but the latter is used only in very serious cases .
Talking about your problem is the first step to solving it. Erectile dysfunction is a pathology, so there are specific treatments and ignoring it can only make the situation worse, until it becomes unsustainable.
There are several approaches to solving this problem; the approaches to be used depend on the origin of the problem, which can be psychological, organic, can be linked to other pathologies, or caused by drugs. In short, the reasons are many, and to establish which is your own is important in order to deal with and solve the problem.
Talk to your partner about it, who will offer her support. Not talking about it can only make the situation worse. Oral treatments
Common approved PDE5 inhibitor drugs are sildenafil (Viagra), vardenafil (Levitra and Staxyn, the generic form), tadalafil (Cialis), or avanafil (Stendra).
All currently approved PDE5 inhibitors work the same way. They differ in the number of doses available, how fast they work and last within the system, the dosage, and the side effects.
However, they generally share the same indications and contraindications. Currently, tadalafil is the only drug that patients can take on a daily basis and is approved for the treatment of erectile dysfunction. Local treatments
Local treatments include prostaglandin E1 (intraurethral alprostadil) which can be inserted in the form of a suppository into the urethra to achieve an erection.
Prostaglandin E1 is contained in a small suppository located at the tip of an applicator. You should urinate first as this lubricates the urethra and makes it easier to insert the applicator into the tip of the urethra. A patient can release the suppository into the urethra by gently moving the applicator and pressing the button at the end. Rubbing the penis allows the suppository to dissolve, and the prostaglandin is absorbed through the urethra tissue into the penis. It takes 15 to 30 minutes for this to happen.
Once in the penis, prostaglandin causes increased blood flow into the penis. Prostaglandin can be present in the ejaculate, and therefore doctors recommend men to use a condom when having sex with a pregnant partner. Solutions for low testosterone levels
In patients with low testosterone, testosterone treatment can improve libido and erectile dysfunction, but many men may still need additional oral medications such as sildenafil, vardenafil or tadalafil.
Some studies suggest that men with erectile dysfunction and low testosterone may respond better to PDE5 inhibitors when given testosterone therapy, but scholars still disagree on this.
Men with erectile dysfunction without hypogonadism should not use testosterone therapy.
Before starting testosterone therapy, it is important for the doctor to carry out a thorough evaluation of the patient.
Patients should continue testosterone therapy only if there is improvement in hypogonadal symptoms and should be monitored regularly. You will need periodic blood tests for testosterone levels and blood tests to monitor the blood count and PSA. Testosterone therapy has health risks, and so doctors need to closely monitor its use. Testosterone therapy can worsen sleep apnea and congestive heart failure.
