Weak Erection, or Erectile Dysfunction


“Weak erection and erectile dysfunction, is inability maintain an erection to satisfy a sexual partner. Erectile dysfunction is expressed in the impossibility of increasing the volume of the penis, its hardening and straightening, sufficient for sexual intercourse before ejaculation”

Varieties of erectile dysfunction

Psychogenic erectile dysfunction develops under the influence of stress, overwork, sexual phobias, depression, emotional conflicts, in the absence of attraction to a sexual partner. The psychogenic form is characterized by a sudden weakening of the erection during intercourse, while maintaining spontaneous and masturbatory erections.

Organic erectile dysfunction (neurogenic, hormonal, arterial, cavernous, iatrogenic) is a consequence of vascular diseases, disorders of endocrine activity and nervous regulation. Mixed erectile dysfunction

is also observed, the cause of which lies in organic and mental disorders. Separately, drug-induced erectile dysfunction due to the influence of drugs should be considered. Possible Causes of Erectile Dysfunction

Schematically, the occurrence of an erection can be described as follows. During sexual arousal, the brain affects the nerve endings and the hormonal system. Under the influence of nerve impulses, the arteries expand and the veins of the penis narrow. Blood fills the tissues of the penis, which are like a sponge, and provides an erection. Based on this scheme, it becomes clear that a weak erection may be the result of a violation of any component of this process.

A sufficiently large number of drugs have been established that adversely affect sexual arousal and the possibility of sexual intercourse. These include drugs for the treatment of diabetes and cardiovascular diseases, antidepressants, antipsychotics, etc. When prescribing any medication, the patient can ask the doctor about side effects, and if the corresponding symptoms appear, notify the doctor in order to be able to change the treatment.

A weak erection is largely due to the wrong way of life of a man. In the presence of bad habits (drinking alcohol, smoking), as well as with a sedentary lifestyle, prolonged abstinence from sexual intercourse, blood circulation in the pelvic area worsens, which leads to impaired erectile function.

At what diseases there is a weak erection

vascular diseases. Vascular damage, which can lead to erectile dysfunction, is largely associated with arterial hypertension. In almost half of the cases, those suffering from arterial hypertension note episodes of weak erection. The reason for this is a decrease in the elasticity of blood vessels, their lumen and the gradual formation of atherosclerotic plaques, which in total leads to a decrease in blood flow to the penis.

Quite often, along with erectile dysfunction, coronary heart disease develops, since changes in the vascular wall of the coronary and penile vessels (vessels of the penis) occur synchronously.

Another cause of weak erection in hypertensive men is the effect of certain antihypertensive drugs. However, you should be aware that not all antihypertensive drugs weaken the erection, it is very important to choose the right therapy that will contribute to rational treatment. 
Nearly half of men with diabetes there is a weakening of erection. The incidence of this complication increases with the age of the patient and the duration of the disease. Diabetes mellitus not only causes sclerosis of large and small vessels, but also leads to damage to peripheral nerves due to high blood glucose levels. Another factor in the pathological impact of diabetes is a change in the hormonal background - a decrease in the level of testosterone (male sex hormone).

Chronic renal failure leads to deterioration of s*xual function in more than 50% of patients.  In men with chronic renal failure, there is also a change in the hormonal background - a decrease in testosterone levels against the background of an increase in female sex hormones: estradiol, follicle-stimulating, luteinizing hormones and prolactin. Anemia (a decrease in the level of red blood cells that carry oxygen and nutrients to the tissues), as a concomitant factor in chronic renal failure, also has a negative effect on erection.

Central nervous system lesions (Parkinson's disease, Alzheimer's disease, cerebrovascular disease, multiple sclerosis, trauma and tumors of the brain and spinal cord). Almost all parts of the central nervous system are involved in the mechanism of erection, so damage at any level of it weakens the erection or makes it impossible. In addition, the participation of the central nervous system in the mental component of erection (thoughts of a sexual nature, sexual desire) also makes it an integral part of sexual intercourse.

Perineal injuries and pelvic surgery. Weak erection occurs as a complication after operations on the rectum, bladder or prostate gland. Injuries in the genital area can cause sclerosis of the cavernous bodies of the penis. This process is accompanied by the replacement of the elastic cavernous bodies of the penis with poorly extensible connective tissue, which prevents blood filling and enlargement of the penis. This complication can also lead to priapism (prolonged and unrelated to sexual arousal erection)

or frequent prolonged sexual intercourse.

With prostatitis, erectile dysfunction is caused by hypotestosteronemia (low testosterone), circulatory disorders and, of course, psychological factors - pain during ejaculation (ejaculation), premature ejaculation led to the expectation of failure during intercourse.

Psychogenic factors. There are many reasons that negatively affect the psychological state of a person and sexual arousal: fatigue, stress, depression, fear of not being able to have sexual intercourse - all these factors cause erectile dysfunction.

The doctor will usually ask you to complete a sexual health questionnaire. Analyzing the responses of the patient, we can assume the presence of erectile dysfunction and its severity.
Physical examination of patients with weak erection includes assessment of arterial pulsation, assessment of sensitivity in the genital area, in the perineum and lower extremities, and assessment of the mammary glands, penis and testicles. For urologist Click Here 

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