What is erectile dysfunction?
Erectile dysfunction (ED) is sometimes known as impotence. It is the inability to achieve and maintain an erection sufficient for satisfactory sexual performance.
It can have a significant effect on the quality of life of sufferers, partners and families.
What are the symptoms of erectile dysfunction?
Unable to achieve an erection
Able to achieve an erection but unable to penetrate partner
Able to achieve an erection but unable maintain an erection throughout sexual intercourse
What causes erectile dysfunction?
Erectile dysfunction (ED) occurs because not enough blood flows into the penis for an erection to happen. ED can be caused by a many factors which can be emotional or physical problems.
Physical causes of erectile dysfunction can include:
- Cardiovascular disease (CVD)
- high Cholesterol
- major pelvic surgery
- Neurological conditions such as multiple sclerosis, Parkinson’s disease, stroke, spinal cord trauma or diseases, central nervous system tumours
- Anatomical or structural problems that change the physical structure of your penis (Peyronie's disease or penile cancer)
- Hormonal conditions such as— hypogonadism, hyperprolactinaemia, hyperthyroidism, hypothyroidism, Cushing's disease,panhypopituitarism and multiple endocrine disorders, hypopituitarism following traumatic brain injury.
Psychological causes of erectile dysfunction may be:
- Generalized — for example due to lack of arousability and disorders of sexual intimacy.
- Situational — for example due to partner-or performance-related issues, stress, and psychiatric illness (including depression, anxiety, and schizophrenia).
Drugs associated with erectile dysfunction include:
- Antihypertensives — beta-blockers, verapamil, methyldopa, and clonidine.
- Diuretics — spironolactone and thiazides.
- Antidepressants — tricyclics, monoamine oxidase inhibitors, selective serotonin reuptake inhibitors.
- Antiarrhythmic drugs — digoxin, amiodarone.
- Antipsychotics — chlorpromazine, haloperidol.
- Hormones and hormone-modifying drugs — antiandrogens (flutamide, cyproterone acetate), luteinising hormone releasing hormone agonists (leuprorelin, goserelin), corticosteroids, 5-alpha reductase inhibitors (for example finasteride).
- Histamine (H2)-antagonists — cimetidine, ranitidine.
- Recreational drugs — alcohol, heroin, cocaine, marijuana, methadone, synthetic drugs, anabolic steroids.
How can erectile dysfunction be treated?
If your erectile dysfunction is caused by an underlying condition then it is best to see your doctor and treat your underlying condition before buying erectile dysfunction medicines online.
The available treatments for erectile dysfunction are: