ERECTILE DYSFUNCTION (ED)

WHAT IS ED?

It is the constant inability to get or sustain an erection enough for satisfactory sexual performance. It has a profound effect on intimate relationships, quality of life and overall self-esteem. It has been said to be a symptom of undiagnosed cardiovascular disease. [1;2]

 

RISK FACTORS [1]

  • Obesity.

  • Advancing age.

  • Diabetes mellitus.

  • Dyslipidaemia.

  • Metabolic syndrome.

  • Cigarette smoking.

  • Excessive alcohol intake.

CAUSES [1;3]

  • Excessive smoking and alcohol abuse.

  • Chronic diseases such as hypertension, diabetes, hyperlipidaemia and coronary artery disease.

  • Major surgery on the pelvic area or pelvic organs.

  • Radiotherapy on the pelvic area.

  • Other illnesses such as Parkinson’s, strokes, central nervous system tumours, spinal cord trauma or diseases and chronic renal failure.

  • Structural problems of the penis such as hypospadias, micro-penis and peyronie’s disease.

  • Hormonal imbalances such as hypogonadism, hyperprolactinemia, hyper-/hypothyroidism and hyper-/hypercortisolism.

  • Drugs such as antihypertensives, antidepressants, antipsychotics, antiandrogens or recreational drugs such as heroin, cocaine, marijuana, methadone and steroids.

  • Phycological: partner-related, performance related to stress and lack of arousability.

  • Traumatic causes such as penile fractures or pelvic fractures.

 

TREATMENT OPTIONS [1;3]

  • Pharmacological

    • First line: phosphodiesterase type 5 (PDE5) inhibitors such as:

      • Viagra, vacuum erection devices, shockwave therapy

    • Second line: Intra-cavernous injection therapies

    • Third line: penile prostheses/implants

  • Non-pharmacological

    • Psychotherapy.

    • Counselling.

    • Relationship or sex therapy.

    • Treatment or management of current conditions such as

      • diabetes, high blood pressure and hormonal control (e.g. testosterone levels).

      • Change in chronic medication if necessary.

 

LIFESTYLE MODIFICATIONS [1]

  • Regular exercise for weight loss and to release natural endorphins.

  • Stop smoking and reduce drinking alcohol as it contributes to impotence.

  • Visit your doctor regularly to manage your chronic conditions.

  • Ask your doctor for methods to manage stress. Find a method which works for you and stick to it.

  • Stop being anxious about performance.

  • Get treatment for drug and alcohol abuse.

  • Avoid watching pornography.

HOW TO IMPROVE QUALITY OF LIFE WHEN DIAGNOSED WITH ED [1]

  • Be able to discuss about impotence with partner.

  • When you have a doctor’s, appointment take your partner with you for support, write down symptoms or experiences you have had during the week, write down all medications you are taking and any personal dealing such as stress or recent life changes.

  • Seek counselling for psychological therapy for yourself and with your partner.

  • Attend sex therapy for you and your partner to find other ways of being intimate.

 

REFERENCES

  1. Mayo Clinic Staff [Internet]. Erectile dysfunction. America: Mayo Clinic; [updated 2018 Mar 09; cited 2019 Aug 22]. Available from: https://www.mayoclinic.org/diseases-conditions/erectile-dysfunction/symptoms-causes/syc-20355776.

  2. WebMD [Internet]. Understanding Erectile Dysfunction- the Basics. America: WebMD LLC; [updated 2019 April; cited 2019 Aug 22]. Available from: https://www.webmd.com/erectile-dysfunction/understanding-erectile-dysfunction-basics.

  3. Heyns, C., Barnes, D. 2008. Introduction to Urology. Cape Town: Chris Heyns and Dick Barnes.

  4. Health Express [Internet]. Erectile Dysfunction. United Kingdom: The Uk’s Online Clinic; [cited 2019 Sep 11]. Available from: https://www.healthexpress.co.uk/erectile-dysfunction.

  5. Consumer Health Digest [Internet]. Erectile dysfunction. India: Consumer Health Digest; [cited 2019 Sep 11]. Available from: https://www.consumerhealthdigest.com/male-sexual-health/top-6-ways-to-treat-erectile-dysfunction.html.

Disclaimer


The contents of this website are for informational purposes only and do not constitute medical advice; the Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment.  Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.

 

Ukuziphendulela

Okuqukethwe kule-webhusi(website) kungokwaziswa izinhloso kuphela futhi azibandakanyi iseluleko sezokwalapha,okuqukethwe akuhlosiwe ukuba kube yingxenye esikhundleni sobungcweti besiluleko sezokwelapha,ukuxilongwa,noma ukwelashwa. Njalo ufune iseluleko sodokotela noma omunye umhlinzeki wempilo oqeqeshiwe nganoma yimiphi imibuzo ungase ube nayo mayelana nesimo sezokwelapha. Ungalokothi unqabeiseluleko sezokwelapha ochwepheshe,noma ukubambezeleka ekufuneni  ngenxa yento oyifunde kule-webhusi(website).

BoitatolÔ

 

Tshedimosotlopolo ya website ena ke ho thlahisa lesedi fela, ha eme   lehatong la ngaka hoba baoki. Otlamehile ho bona ngaka hoba mooki hore ba arabe dipotso ka bolwetsi. O seke wa thlokomologa hoba wa diega go bona ngaka ka morago ga go bala website

Boikemelo 

 

Dintho tse ka hare ho website ke bakeng  sa morero ea tlhahisoleseding feela. Lula o batla keletso ho ngaka kapa mooki hore  a arabe lipotso ka maloetse. Oseke oa hlokomoloha le ho lieha ho etela ngaka ka mora ha hore o bale website

 

© 2023 by Health Window(cc) South Africa. Proudly created with Wix.com