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ERECTILE DYSFUNCTION

Erectile Dysfunction is defined as the persistent inability to attain and maintain penile erection that is sufficient to permit satisfactory performance. This may affect physical and psychological health and may have a significant impact on the quality of life of males and their partners. Erectile Dysfunction. shares both modifiable and unmodifiable common risk factors with Cardio vascular diseases (e.g. diabetes mellitus, metabolic syndrome, obesity, lack of exercise, smoking etc.).

CAUSES
ENDOCRINE DISORDERS
  • Diabetes
  • Adrenal Gland Disease
  • Hypogonadism
  • Hyperprolactemia

Diabetes can cause Erectile Dysfunction because it can damage the blood supply to penis and the nerves that are responsible for erection. During the arousal, nitric oxide is released in the blood stream that results in the relaxation of the muscles and the arteries, which allows more blood to flow into the penis and results in Erection. In case of Diabetes, the blood sugar level swings, and less nitric oxide is produced when blood sugar levels are high. This results in limited flow of blood into the penis and results in Erectile Dysfunction.

The proper erection mechanism depends on correct interrelationship between neurological, vascular, psychological and hormonal factors. Endocrine diseases affect sexual activity and leads to sexual dysfunction. Diabetes mellitus is the most frequently occurring endocrine disease causing erectile dysfunction due to the frequent vascular and neurological complications associated. Hyperprolactinemia causes disorders of the sexual sphere because it produces a descent of testosterone. Thyroid hormone disorders both (hyper and hypothyroidism) are associated with erectile dysfunction, which will subside in half the patients with thyroid hormone normalization. The role of adrenal hormones in erectile function is not clear. Among endocrine- metabolic disorders, hypercholesterolemia as an important risk factor for erectile dysfunction.

SMOKING and ERECTILE DYSFUNCTION

Smoking damage our blood vessels leading to the poor blood supply resulting in erectile dysfunction. The contents and chemicals in the cigarette/bidi/cigar smoke injure the inner lining of the blood vessels resulting in improper flow of blood in the penile region, thus resulting in erectile dysfunction.

ALCOHOL and ERECTILE DYSFUNCTION

Alcohol is a depressant, decrease sexual desire and makes it difficult to achieve erections or reach an orgasm while under the influence. Overdoing it on booze is a common cause of erectile dysfunction. During erection penis fills with blood and the vessels close preventing backflow so that erection stays for longer time. Overconsumption allows more of blood flow to enter penile region but back flow is not prevented. Intake of more than 40 units (400ml of pure alcohol/week) leads to double the risk of erectile dysfunction in comparison to moderate drinkers and those who don’t drink.

EVALUATION OF PATIENTS WITH ERECTILE DYSFUNCTION


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SYSTEMATIC SEQUENCE AND FRAMEWORK FOR DIAGNOSIS AND TREATMENT OF ERECTILE DYSFUNCTION


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LIFESTYLE AND DIETARY CHANGES REQUIRED TO CURE ERECTILE DYSFUNCTION

Quit smoking, limit intake of alcohol to less than 40 units per week (400ml of pure alcohol), balanced diet, brisk walk/cardio/yoga/exercise and proper sleep (7-8 hours).

Everyday must intake of- 1-2 walnuts, 10-15 almonds, 2-3 figs, 1-2 dates and 200-250 grams of fruits, except banana.

Weekly must intake of broccoli, fish, and black lentils (kali urad ki daal).

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