Male Erectile Disorder
If a male is unable to maintain an erection
throughout sexual activity, he may have male erectile disorder. This problem
must be either persistent or recurrent in nature. Also, the erectile
disturbance must cause difficulty in the relationship with the sexual
partner to be defined as a disorder. Some males will be unable to obtain any
erection. Others will have an adequate erection, but lose the erection
during sexual activity. Erectile disorders may accompany a fear of failure.
Sometimes this disorder is present throughout life. in many cases the
erectile failure is intermittent and sometimes dependent upon the type of
partner or the quality of the relationship. There are several reason that
can result in erectile dysfunction which include medical, physical and
psychological. Short of
any physiological cause, male erectile disorder is typically a result of
‘performance anxiety’ or fears of not being able to achieve or maintain an
erection.
Primary erectile dysfunction:
Primary ED is the condition, when a man has never been able to attain or sustain erections. Primary ED is rare and is almost always due to psychological factors (guilt, fear of intimacy, depression, severe anxiety) or clinically obvious anatomic abnormalities.
Secondary erectile dysfunction:
Secondary ED has a reason behind erectile dysfunction, it could be medical, physical or psychological. Most of the cases of ED are secondary erectile dysfunction.
Physical Causes of Male Erectile Disorder:
Illness and disease-
Following is a small common list of the diseases which can cause erectile problems in the males. There are several other diseases but these are the common ones.
Alcoholism (neuropathy)- Chronic alcohol use and abuse
Diabetes mellitus- Causes nerves degeneration in body
Arterial disease: Leriche syndrome, atherosclerosis of penile arteries
Renal failure- non functioning of kidneys
Carcinomatosis- Spread of cancer in body
Neurosyphilis- Last stage of syphilis
Hypothalamo-pituitary dysfunction
Liver failure
Multiple sclerosis and many others
Peyronie's disease-Causes curving of penis and can lead into painful intercourse.
Surgery- Prostate and other genital and perineal area surgeries can be a reason.
Stroke, Seizures and multiple sclerosis-
The list for drugs causing erectile dysfunction is enormous as several of the prescription medications causes erectile dysfunction and most of the street drugs causes erectile dysfunction and may make men infertile.
Beta-blockers-commonly used for high blood pressure and heart diseases
Thiazide diuretics- Used in high blood pressure and kidney disease
Tricyclic antidepressants- for depression
Phenothiazines
Spironolactone-used in kidney diseases
Cimetidine-used to be a common drug for acidity and ulcers
Cannabis-abused as street drug
Anti-epileptics