Impotence / Erectile Dysfunction Treatment
In India, up to 50% of men between 40 and 70 years of age have some degree of erectile dysfunction. Learn the causes and available options for erectile dysfunction treatment in Delhi.
Erectile dysfunction is a male sexual dysfunction that is characterized by the persistent inability to obtain or maintain a penile erection that allows satisfactory sexual performance.
Who can suffer from erectile dysfunction?
It is more common at older ages but can occur in any age group.
A study carried out in India, showed that up to 50% of men between 40 and 70 years old had some degree of erectile dysfunction, and this percentage could reach 85% over 75 years.
It is recognized that erectile dysfunction results in a significant decrease in the quality of life, in the patient and his partner.
What are the causes of erectile dysfunction?
Penile erection is the result of a neurovascular phenomenon that occurs in a favorable hormonal and psychological environment. Thus, the integrity of all intervening systems is necessary.
The development and maintenance of a normal erection requires the activation of neurological pathways that:
- Relax the trabecular smooth muscle.
- Increase blood flow in the corpora cavernosa (through the cavernous arteries).
- They reduce venous return by collapsing veins and thus allowing erection.
These neurological pathways are activated by the brain, through different tactile and visual stimuli, among others.
They are also modified by psychological stimuli, such as sexual desire and the hormonal environment, such as testosterone.
Thus, changes to any of these factors that allow erection, can lead to erectile dysfunction.
The main causes of erectile dysfunction are:
- Psychogenic – for example, anxiety and depression.
- Vascular – for example, obstruction of the cavernous arteries.
- Neurological – for example, the surgical section of the cavernous nerves.
- Anatomical – for example, the severe curvature of the penis.
- Hormonal – for example, low testosterone.
- Drug-induced – for example, antidepressants and some hypotensive drugs.
- Mixed – for example, vascular and psychogenic at the same time.
What are the risk factors for erectile dysfunction?
These are risk factors for erectile dysfunction:
- Diabetes mellitus.
- Arterial hypertension.
- Cardiovascular disease.
- Sedentary lifestyle.
- Some medications.
How is erectile dysfunction diagnosed?
The diagnostic evaluation begins with obtaining a psychosexual history as complete as possible. This should include:
- The description of sexual habits.
- The onset and duration of the dysfunction.
- Previous treatments.
- The obtained results.
Self-answer questionnaires, such as the international index of erectile function (IIFE), can be used.
It is necessary to distinguish whether it is a circumstantial erectile dysfunction (e.g., only with a certain type of stimulation) or generalized, that is, it manifests itself in all situations.
Diagnostic procedures include assessing the patient’s tolerance to exercise in order to obtain guidance for an eventual cardiological assessment and correction of risk factors.
The most used laboratory tests are:
- Total testosterone.
- Blood glucose.
- Lipid profile.
Other diagnostic tests that can be performed are:
- Penile vasodilator injection.
- The echo doppler of the cavernous arteries.
What is the options of erectile dysfunction treatment in Delhi?
In most cases, it is possible to treat erectile dysfunction effectively, however, there is no definitive cure.
Lifestyle changes should be adopted, promoting regular physical exercise, weight loss and smoking cessation.
Existing diseases that may affect the blood vessels and nerves that exist in the penis (e.g., diabetes mellitus and dyslipidaemia) should also be monitored.
Preferably, the partner should be involved in the therapeutic approach, in order to increase the couple’s compliance, satisfaction and complicity in the best erectile dysfunction treatment in Delhi.
Therapeutic options for erectile dysfunction:
First-line pharmacological therapy consists of drugs administered orally, with a high success rate.
Second-line therapies consist of more invasive and less convenient methods, such as.
- The application of a vacuum device.
- Penile injection of vasodilator drug.
- The application of pill or urethral cream.
Third line therapy consists of a penile prosthesis, which results in an artificial erection with rigidity that allows penetration and control of the duration of sexual intercourse.
Facing sexual dysfunction as a taboo – for oneself, within the relationship or for the family doctor – makes it an underdiagnosed and untreated problem.
However, we are at a time when there are several therapeutic options available and effective.
On the other hand, there is increasing evidence that erectile dysfunction may be an initial manifestation of coronary heart disease and peripheral vascular disease. This can be a sign of undiagnosed cardiovascular disease.
Book an appointment today with best sexologist in Delhi as we can provide you with many new and effective options for erectile dysfunction treatment in Delhi. For several men, the solution is as easy as taking a pill. Getting additional exercise, losing weight, or stopping smoking might also facilitate.
Dr P K Gupta Super Specialty Clinic Pvt. Ltd.
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