What is ED or Erectile Dysfunction?
Erectile dysfunction, or ED, is the most frequent men’s sex problem that reports to their doctors. It affects as many as 50 million men.
Erectile dysfunction is defined as trouble getting or keeping a strong and hard 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 gradual or happens routinely with sex isn’t normal, and it must be treated.
Finding the cause(s) of your ED will help treat the problem and help with your overall well-being. As a rule, what’s good for your heart health is good for your sex health.
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
How Erections Work
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 an 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, the second set of nerve signals reaches the penis and causes 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.
Non-invasive treatments are often tried first. Most of the best-known treatments for ED work well and are safe. Still, it helps to ask your health care provider about side effects that could result from each option:
- Oral drugs or pills for ED (VIGO EXTRA 1000, VIGO CH 450, VIGO FM 100)
- Testosterone Therapy (when low testosterone is detected in blood testing, often prescribed drugs are Golden Express, Hard SAmurai)
- Penile Injections.
- Intraurethral medication.
- Vacuum Erection Devices
- Penile Implants
- Surgery to bypass penile artery damage for some younger men with a history of severe pelvic trauma. Penile vascular surgery is not recommended for older men with hardened arteries.
Oral Drugs (PDE5 inhibitors)
Drugs known as PDE type-5 inhibitors increase penile blood flow. These are the oral agents most using worlwide for the treatment of ED.
For best results, men with ED take these pills about an hour or two before having sex. The drugs require normal nerve function to the penis. PDE5 inhibitors improve on normal erectile responses helping blood flow into the penis. Use these drugs as directed. About 7 out of 10 men do well and have better erections. Response rates are lower for Diabetics and cancer patients.