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Fecha de Publicación:
14 de octubre, 2012 

Erectile Dysfunction

What is erectile dysfunction? Erectile dysfunction is defined as the man's repeated incapacity to obtain or maintain an erection. Although all men experience sporadic problems to maintain an erection, they are only considered as erectile dysfunction when it occurs in 25 percent of attempts. Erectile dysfunction affects around 152 million men in the world and ...

Erectile Dysfunction

What is erectile dysfunction?

Erectile dysfunction is defined as the man's repeated incapacity to obtain or maintain an erection.

Although all men experience sporadic problems to maintain an erection, they are only considered as erectile dysfunction when it occurs in 25 percent of attempts.

Erectile dysfunction affects around 152 million men in the world and can cause infertility due to the lack of erection or ejaculation, the entry of the sperm into the woman's uterus is complicated.

When it is a consequence of the diabetes mellitus, this also contributes to the decrease of the sperm concentration in the ejaculate and affects their motility and morphology.

Causes of erectile dysfunction

Some of the main causes of erectile dysfunction are:

•    Diabetes
•    Hypertension
•    Arteriosclerosis
•    Multiple sclerosis
•    High cholesterol
•    Parkinson's Disease
•    Cardiovascular or neurological conditions
•    Kidney or liver conditions
•    Cancer treatments such as chemotherapy and radiation therapy
•    Prostate or bladder surgery
•    Prostatic hyperplasia or growth of the prostate
•    Wounds in the penis, the spinal column, the prostate, the bladder or the pelvis
•    Hormonal imbalances
•    Some drugs for arterial pressure, as well as antihistamines, tranquilizers, anti-depressants and appetite suppressants
•    Smoking
•    Excessive alcohol consumption or other drugs, such as cocaine and marijuana
•    Emotional problems, such as stress, anxiety or depression

Although it can affect men of all the ages, erectile dysfunction is more common in men older than 65 years. Erectile dysfunction is usually a symptom of other health problems that require treatment; therefore, it is very important that you see a doctor.

How are the causes of erectile dysfunction diagnosed?

The more information you can provide your specialist with about your medical history, he will be better able to identify the causes of erectile dysfunction.

In the same way, your doctor will ask you to answer the International Index of Erectile Function (IIEF) Questionnaire, which contains five questions that will allow him to establish the severity of the erectile dysfunction.

Besides a physical examination in search of evidence of other conditions, your doctor may carry out a blood analysis to determine your level of testosterone, luteinizing hormone, prolactin, thyroid hormones, glucose or cholesterol.

Knowing the causes of erectile dysfunction is fundamental when selecting a treatment to reestablish the normal function of the penis and achieve pregnancy with the least-possible effort.

If erectile dysfunction is caused by drugs, your doctor will ask you to suspend their use and he will help you find other options, whereas if there is an underlying medical condition, treating it may be sufficient to revert the erectile dysfunction.

If the treatment of the causes of the erectile dysfunction does not suffice, your doctor may prescribe a drug. The use of oral medicines is very effective because they increase the blood flow towards the penis during sexual stimulation.

The treatment of erectile dysfunction must always be accompanied by healthy living advice, which can help to prevent the illnesses that causes this condition.

In the event that these methods are insufficient to achieve pregnancy, your options include:

•    Intrauterine insemination, in which the man's previously capacitated sperm are inserted into the woman's uterus at the exact time of ovulation. This method is only recommended when when the woman is under 35 years of age and there are no other infertility causing factors

•    in vitro fertilization, which joins the egg and the sperm on a laboratory plate, thus increasing the probability of fertilization

•    In vitro fertilization with intracytoplasmic sperm injection (FIV + ICSI), which consists of injecting a single sperm directly in the cytoplasm of a mature egg by a microscopic needle. This technique offers the greatest pregnancy rate because it avoids the sperm from having to be transferred to fertilize the egg. The technique can also help men with conditions that until a short time before could not have children to achieve their dream of becoming fathers

Erectile dysfunction is an emotionally exhausting condition and requires immediate professional support. At Ingenes, we are convinced that as stress reduces, reproductive potential increases; therefore, we have an emotional support unit to accompany our patients from their first consultation.

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