Around 20% of all German men between the ages of 30 and 80 years suffer from erectile dysfunction. But the number of unreported cases is probably much higher, Because the term “impotence” is decidedly negative connotations be shy, many men, the Problem in your partnership, or even to the doctor.
New drugs and exact terms
Although it Viagra and co. are always in the negative headlines, but the so-called power means, one of which is a supposed miracle, things are expected to be during Sex, in fact, allows for a more open discussion of erectile dysfunction. In the meantime, namely, the term “impotence, has been” replaced more and more by the medically correct Term “erectile dysfunction”.
Also, the theme is addressed across the ages in any and all media, because the proportion of the German population increases over 50 years strong and many men are affected in this age group of potency problems.
Basically, two different forms of erectile dysfunction can be distinguished
Erectile dysfunction (Impotentia coeundi): doctors call the inability to achieve an erection sufficient for sexual intercourse. Also, some men are not able to control the timing of ejaculation that occurs either prematurely or delayed. In very rare cases, no ejaculation (Anejaculation).
Infertility (Impotentia generic Randi): Can be conceived in the case of a normal erection not a child, is the Diangnose “Infertile”. While ejaculation is taking place, but the quality of the sperm preventing conception. There are a number of causes: number and motility of sperm are also crucial for a successful production, such as the shape of the sperm.
Symptom of more severe disorders
In order for an erection to come to pass, must work together in a complex set of rules made up of nerves, blood vessels, hormones and Psyche. Just as diverse are the options when it comes to erectile dysfunction. In the vast majority of cases there are organic causes that trigger especially in men over 50 years of erectile dysfunction. These include in the first line
- Cardiovascular Diseases
- High blood pressure
- increased cholesterol values
- Kidney damage
- Operations on the prostate or injury
- Spine damage, based for wear
- Hormonal Disorders
- Diseases of the nervous system, such as, for example, Multiple sclerosis
- Drugs, Alcohol Abuse, Smoking
- Personality conflicts
Thus, potency disorders are also serious warning signs of a possibly more severe disease that must be treated. Therefore, the erection should be taken disorders are always serious, and a doctor, usually a urologist, will be taken care of.
Hazard Bicycle saddle
In about percent of disorders in men up to 35 years, erectile dysfunction is due to psychological. According to the latest findings, but there is at least a much more trivial reason for disorders of potency: Poor Bicycle saddles. After a series of studies that were published in the September issue of the American journal of sexual medicine in summary, a researcher enters the world of insight that Bicycle saddles can substantially contribute to erectile dysfunction.
By the drop-shaped Design of the saddle parts is when Sitting about a third of the entire body weight on the Perineum, the area between the Anus and the external genital. Therefore, long and frequent Sitting on a bike takes saddles, blood is limited in supply and conduction on arteries and nerves to the Penis, and not enough pressure can be built up to achieve a complete erection.
Investigations and diagnosis
To get to the causes of a erectile dysfunction on the track, extensive studies will be necessary. To do this, the person Concerned must not only overcome the fear of the first visit to the doctor, but be prepared that the doctor will ask a series of very personal questions, life, sexual, partnership, professional life and leisure time activities. An experienced doctor will in addition include the particular life partner in the consultation and treatment.
During the investigation, in practice, Penis and testes will be sampled, the blood pressure is measured and blood and urine tests. With a provision of the hormonal status can be clarified, whether hormonal Changes are the cause of the erectile dysfunction. Because in the case of a healthy man in the deep stages of sleep involuntary erections occur, which can be obtained with the aid of the respective partner or with the measuring devices demonstrated (tumescence measurement), we can assume in these cases that a physical disorder is present.
Will continue the search for organic causes, then ultrasound can be examinations of the blood vessels of the Penis at rest and after injection of an erection-promoting drug (cavernous injection test SKIT). However, this Test can fail as a result of nicotine enjoyment or Stress at study, false negative. In diabetic patients, electrical stimuli are used to determine whether nerve damage is the cause of the fault.