Diagnosis of erectile dysfunction
Erectile dysfunction is a functional disorder that consists in the inability of a man to have sexual intercourse, due to the lack of hardness and straightness of the penis during sexual arousal.
It should be noted that earlier in the literature there was a slightly different name for this disease - impotence. To date, it is considered obsolete and officially excluded from the general medical register of diseases. The main difference between these two diseases is that with erectile dysfunction, a man loses the opportunity to engage exclusively in sexual intercourse, while impotence also results in ejaculation.
There are many reasons that lead to the loss of male power, but to date, doctors have not identified the main. It is believed that the origin of erectile dysfunction can be organic, psychological and mixed.
Now completely refuted the fact that the loss of male health is associated with age. As practice shows, much more harm to erection brings smoking, drinking alcohol and a sedentary lifestyle with fixed work. In addition, such somatic diseases as diabetes mellitus, arterial hypertension, atherosclerosis, hormonal disorders and pelvic injuries are bad for the urogenital system. All these reasons, and some consequences of operations on the genitals and lead to erectile dysfunction, which is considered organic.
Much more patients suffer from so-called psychological or psychogenic dysfunction. As one can guess from the title, it is associated with the influence on the consciousness of a person of certain traumatic factors. As a rule, psychogenic dysfunction is the lot of young people. According to recent sociological studies, the most common psychological trauma leading to disorders of the sexual function is the unsuccessful first sexual experience that causes psychological stress.
Well, the most numerous group of people suffering from erectile dysfunction has in the history of their disease, both those and other reasons. As a rule, the effect of summation is observed closer to the elderly, although there is no direct relationship between the year of birth and the reproductive system. Quite often described cases where men without weighty somatic pathologies maintain sexual activity up to 80 years.
Probably, it is not necessary to speak about the symptoms, because he is the only one. Although the inability to perform intercourse does not mean that you need to see a doctor immediately. If such a kurtosis has taken place, first of all, it is necessary to analyze the past day and concentrate on those facts that can distract from direct fulfillment of marital duty. In the event that the situation recurs, it is best to see a doctor. Specialist in this area is a sex therapist, but if there is no such doctor in your city, then the urologist can also help.
Erectile dysfunction is not a rare problem for today, because for its diagnosis, many methods have been developed. At the first stage it is necessary to mention ultrasound. It will help to assess the blood flow in the cavernous bodies of the penis and indicate the reserves of its functional readiness. A special test with the introduction of prostaglandin will lead to erection of the genital organ. This is necessary in order to assess the blood flow of the penis in the active and unregulated states.
It is worth noting that the deterioration of blood flow is not the only problem of violation of sexual function. It often happens that the problem lies in the nervous apparatus of the organ. Therefore, it is very important to test the innervation of the penis. This simple manipulation can immediately indicate the underlying cause of the disease. The test is performed as follows: the doctor presses the glans penis and observes or palpates the contraction of the anal sphincter.
Normally, there should be a sharp and rapid contraction of the anal sphincter for mechanical stimulation of the glans penis. If the delay of the reflex is determined, other tests directed directly at the elucidation of nerve function are carried out.
Another reliable method for diagnosing erectile dysfunction is the calculation of nocturnal erections. Normally, over a night a healthy man has up to six penile excitations. To calculate them, a small sensor is fixed to the organ. This allows for differential diagnosis between psychological and organic dysfunction.
In that case, night erections have set in the patient in norm, and in the afternoon there are no excitations, it can say that the reason of pathology lies in psychology. And if there are no erections day or night, then most likely, this is the result of some organic defect.
In addition to these classic methods, there are modern methods for determining the erectile capacity of the sexual organ buy brand (pfizer) viagra online. Biotesiometry of the penis is one of them. With this technique, the influence of vibration on the penis is evaluated. If reflexes are absent, then it can speak of a violation of innervation, which is most often observed during diabetes mellitus or polyneuropathy.
As mentioned above, erectile dysfunction may not be a primary disease, but a consequence of some other pathological process. This suggests that for its diagnosis, you may need other studies, used, for example, for diagnosis and during the treatment of diabetes mellitus or heart disease. So do not panic if, instead of dealing directly with the focus of your dissatisfaction, the doctor will direct you to an ultrasound examination of the heart or suggest recording a cardiogram.