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Erectile dysfunction is an illness that can be kept under control but first one must understand the origins and what causes it.
Erectile dysfunction, or ED, is the most common sex problem that men report to their doctor. It affects as many as 30 million men.
ED is defined as trouble getting or keeping an erection that’s firm enough for sex.
Though it’s not rare for a man to have some problems with erections from time to time, ED that is progressive or happens routinely with sex is not normal, and it should be treated.
ED can happen:
Most often when blood flow in the penis is limited or nerves are harmed
With stress or emotional reasons
As an early warning of a more serious illness, like: atherosclerosis (hardening or blocked arteries), heart disease, high blood pressure or high blood sugar from Diabetes.
During sexual arousal, nerves release chemicals that increase blood flow into the penis. Blood flows into two erection chambers in the penis, made of spongy muscle tissue (the corpus cavernosum). The corpus cavernosum chambers are not hollow.
During erection, the spongy tissues relax and trap blood. The blood pressure in the chambers makes the penis firm, causing an erection. When a man has an orgasm, a second set of nerve signals reach the penis and cause the muscular tissues in the penis to contract and blood is released back into a man’s circulation and the erection comes down.
When you are not sexually aroused, the penis is soft and limp. Men may notice that the size of the penis varies with warmth, cold or worry; this is normal and reflects the balance of blood coming into and leaving the penis.
With Erectile Dysfunction (ED), it is hard to get or keep an erection that is firm enough for sex. When ED becomes a routine and bothersome problem, your primary care provider or a Urologist can help.
ED may be a major warning sign of cardiovascular disease indicating blockages are building in a man’s vascular system. Some studies have shown men with ED are at significant risk of getting a heart attack, stroke or circulatory problems in the legs. ED also causes:
Distress for the man and his partner .
ED can result from health problems, emotional issues, or from both. Some known risk factors are:
Being over age 50 ;
Having high blood sugar (Diabetes);
Having high blood pressure ;
Having cardiovascular disease;
Having high cholesterol
Using drugs or drinking too much alcohol;
ED happens when:
There is not enough blood flows into the penis.
Many health issues can reduce blood flow into the penis, such as hardened arteries, heart disease, high blood sugar (Diabetes) and smoking.
The penis cannot trap blood during an erection.
If blood does not stay in the penis, a man cannot keep an erection. This issue can happen at any age.
Nerve signals from the brain or spinal cord do not reach the penis.
Certain diseases, injury or surgery in the pelvic area can harm nerves to the penis.
Diabetes can cause small vessel disease or nerve damage to the penis.
Cancer treatments near the pelvis can affect the penis’ functionality.
Surgery and or radiation for cancers in the lower abdomen or pelvis can cause ED. Treating prostate, colon-rectal or bladder cancer often leaves men with ED. Cancer survivors should see a Urologist for sexual health concerns.
Drugs used to treat other health problems can negatively impact erections.
Patients should talk about drug side effects with their primary care doctors.
Sildenafil is a common medication used to stimulate erections in men with erectile dysfunction (ED) and treat pulmonary arterial hypertension (high blood pressure affecting the lungs and heart).
For treating ED specifically, Sildenafil is the well-known brand-name version of this drug.
Many factors can influence how long Sildenafil takes to start working. In general, Sildenafil takes about 30 minutes to produce noticeable effects.
On average, Sildenafil usually lasts between 2 and 3 hours before its effects start to diminish. Sildenafil can last up to 5 hours or longer depending on your dosage, your body’s metabolism, and other external factors.
Depending on how your body metabolizes it, you may be able to get an erection several times with Sildenafil in your body.