In the last episode, we examined Erectile Dysfunction (ED) and its causes. ED may be primary, in which case a man may never have achieved an erection at all, or secondary, meaning that erectile function had been normal, but became problematic.
It was also mentioned that one or a combination of any of stress, anxiety, alcohol consumption, smoking, cardiovascular diseases (narrowing of blood vessels), diabetes, hypertension, high cholesterol, hormonal disorders including thyroid conditions and testosterone deficiency, structural or anatomical disorder of the penis, hyperlipidemia, Parkinson’s disease, injuries in the pelvic area or spinal cord, multiple sclerosis, damage from cancer or surgery, injuries and obesity may be its trigger.
Let us add today that blood flow, nerve supply, inadequacy of some hormones have also been implicated in ED. It would be interesting to know that numerous prescription medications – antihypertensive, heart medications - digoxin, some diuretics, antidepressants, opioid painkillers, some cancer drugs, anticholinergics, hormone drugs and some peptic ulcer mediations may also cause ED. Psychological issues like guilt, fear of intimacy, depression, severe anxiety have also been pointed at in explaining the causes of ED. Less commonly, psychological factors cause or contribute to ED, with factors ranging from treatable mental health illnesses to everyday emotional states that most people experience at some time. It is important to note that there can be overlap between medical and psychosocial causes. For instance, if a man is obese, blood flow changes can affect his ability to maintain an erection, which is a physical cause. However, he may also have low self-esteem, which can impact erectile function and is a psychosocial cause.
Here is a comfortable point to draw the curtain on today’s edition.
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