Causes of erection problems

Help with erectile dysfunction

Only those who know the cause of their erectile dysfunction can effectively combat them. Erectile dysfunction is mostly organic and can be treated very well.

Reasons for erectile dysfunction – tackle the problem at the root

In general, there is an erection disorder (also erectile dysfunction, short: ED or popularly also called impotence) if you are not able to build an erection that lasts until your own orgasm. In many cases, this even makes intercourse impossible. Only those who know the cause of their erectile dysfunction can effectively combat them.

Up to 90 percent of all cases of erectile dysfunction are organic.

Until about 25 years ago, it was believed that erectile dysfunction was largely psychological. In the meantime, research has progressed so far that we know that this is not the case!

We now know that in at least 55 to 90% of all cases of erectile dysfunction there is an organic (physical) impairment, such as changes in the penis directly, its blood supply (arteriosclerosis) or on the nerve tracts (e.g. diabetes).

Important to know: Men who have physical erectile dysfunction often develop a psychogenic problem afterwards (such as depression), which stresses them and their partner. This is easy to understand: the man who finds that he has not been able to achieve a good erection several times starts by worrying about the next intimate exchange. These thoughts are inhibitory and naturally have a reinforcing effect on erectile dysfunction.

In this case one speaks of a so-called mixed image. The root cause is usually an organic problem of the patient, a psychogenic problem has also developed from it. Causes of psychogenic erectile dysfunction can be, for example, an increased workload, especially with time pressure and stress, or also private problems (such as in a partnership or family problems). Overall, a distinction is made between

  • Organic causes
  • Psychogenic causes (e.g. depression)
  • Age as the cause of the fault

The term asexuality is often used in this context. The lack of desire for sex can also be due to psychological, organic or age-related causes.

In many men, the causes of erectile dysfunction are combined. For example, circulatory disorders often go hand in hand with the loss of smooth muscle cells in the erectile tissue and also a weak pelvic floor. On the other hand, it can also happen that a pelvic floor weakness is the most important and decisive point of an erectile dysfunction, which, however, occurs in combination with nervous changes.

During therapy, the specialist must carry out a careful diagnosis and weight the causes in order to develop a therapy concept that enables patients to have the maximum chance of success.

The diagnosis comes before the treatment of erectile dysfunction

Unfortunately, doctors are more and more often just taking the prescription block and prescribing a so-called potency pill without clarifying the causes of erectile dysfunction. Most men are reluctant to talk about erectile dysfunction, which is why this form of treatment comes in handy. Treatment with PDE-5 inhibitors (e.g. Viagra, Cialis or Levitra) is associated with risks and side effects and does not always lead to the desired result.

If you are affected and really looking for a cure, you should insist on a sound diagnosis to determine the causes of the erectile dysfunction. General tips without an exam rarely help. A thorough dignosis can also indicate an underlying disease to be treated, which can prevent serious consequences. In many cases, erectile dysfunction is also an important early symptom of cardiovascular disease.

Therapy for erectile dysfunction

Today, no man has to suffer from erectile dysfunction anymore. Often there is the possibility of a cure, so that the affected men can experience a spontaneously fulfilled sexuality again without any auxiliary tablets, medication and / or means. Depending on the cause of the erectile dysfunction, the patient's therapy options range from talk therapies / coaching to medicinal options and surgical procedures. Everyone can be helped.

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