Erectile Dysfunction And Its Reasons.

Orgasm is a voluptuous sensation that occurs during rhythmic contractions of the pelvic floor muscles. Orgasm can occur without an erection and ejaculation and retrograde ejaculation.

It is supposed that at decrease of erection after orgasm and ejaculation, the tone of the corpus cavernosum cells is enhanced by the contraction of smooth muscles (possibly due to stimulation of adrenergic receptors), resulting in decreased blood supply of the penis. During orgasm, it follows the refractory period, which duration depends on age, physical and mental condition. During this period, erection and ejaculation is impossible.

The erectile dysfunction is caused by endocrine, neurological and cardiovascular diseases, diseases of the penis, the use of medicines and drugs, and mixed causes.
Testicular deficit with decreased testosterone levels in the blood serum is rare, but its diagnosis and treatment is not difficult. At the level of testosterone at the lower limit of normal sexual function is not affected. Erectile dysfunction may develop on the background of hyperprolactinemia (pituitary tumors) due to suppression of GnRH production and reduce the level of gonadotropins and testosterone. Decreased sex drive and potency seen with Addison’s disease, hypothyroidism, hypopituitarism, Cushing’s syndrome, acromegaly, hypogonadism, Klinefelter syndrome, atrophic myotonia. In general, endocrine disorders – a rare cause of erectile dysfunction.

Erectile dysfunction is caused by many medications: antihypertensives (especially sympatholytic and Blockers), H2-blockers, MAO inhibitors, finasteride, neuroleptics (haloperidol, chlorpromazine, perphenazine, tiotiksen) and tricyclic antidepressants (amitriptyline, imipramine, desipramine, nortriptyline) .

Smoke may interfere with sexual function because of the vasoconstrictive action of tobacco smoke.
Penis deseases – priapism, trauma, Peyronie’s disease – causes erectile dysfunction due to fibrosis cells and the corpus cavernosum, occlusion of the deep penile artery and neurogenic disorders.

Erectile dysfunction occurs in various nervous diseases: the defeat of the anterior parietal lobe, spinal cord (including violations of sensitivity, such as the dorsal tabes), damage of parasympathetic fibers (eg, during pelvic surgery).

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