Impotence (Erectile Dysfunction)

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Impotence (Erectile Dysfunction) Diagnosis and Treatment Methods

The most important indicator for performing sexual function in men is penis hardening and this event should be maintained at a sufficient time and consistency. It is known as impotence or erectile dysfunction in medicine.

Hardening problem; It is seen in 1 of 10 men under the age of 40 and in 1 of 2 men over the age of 40.

Diabetes; 30% hardening problem is seen in 5-year patients and 50% in 15-year patients. Diabetes is a common metabolic disease in 1 out of 11 people. In summary, erectile dysfunction is three times more common in DM than in normal population.

Up to 30% of the population over the age of 18 has hypertension. 30% hardening problem is seen in hypertension.

Male sexual health;It requires physical, mental well-being, socioeconomic sufficiency and good agreement with the spouse or partner.

Normal sexual performance;Psychological energy for satisfactory sexual intercourse for both sides is defined as bodily strength and penis hardening.

For normal sexual performance;

  • our Psychology
  • Our nervous system
  • Our vascular system
  • Our sexual hormonal system needs to be intact.

Sexuality is normal 2-3 times a week. It is known that there are 100.000.000 sexual intercourse in the world and 1180 per second. We have to know the action that happens so often and break down the taboos.

The real sex organ is our brain. The penis is just an organ that fulfills the wishes of the brain. The penis is composed of 3 rod-shaped chambers, 10-18 cm in length when hardening, and sponge-shaped vessels inside these chambers. In other words, the penis is an almost “vascular organ yakın. Emotional desires provide blood to the penis through the nerves and result in hardening. Because hardening is a hormonal, emotional, vascular and nervous event.

Risk factors in male sexuality

  • Age
  • Cigaret
  • Alcohol
  • Substance abuse
  • Psychological problems
  • Hypertension
  • Diabetes (diabetes)
  • Obesity (obesity)
  • Other chronic diseases

Evaluation of male sexuality

Patient's history

Physical examination

Laboratory evaluations

  • Routine blood tests; For the recognition of diseases such as cardiovascular, metabolic diseases, obesity, diabetes etc.
  • Gonadal hormones; FSH, LH, PRL, Testosterone measurement.
  • Penile colored doppler-ultrasound; Vascularization of the penis, evaluation of blood flow through blood vessels.
  • Measurements with special electronics such as RigiScan Plus that assess hardening. It is often used today during “Sexual Stimulation Tests” (CUT).
  • he is . Measurement of night hardening (Nocturinal penile integrity test).
  • he is . Hourly tests with sexual arousal (CUT = provocative tests).
  • one . Genetic investigations if necessary
  • one . Detection of other concomitant diseases and habits

Spouses should consult a doctor if possible. Even if the subject is male sexual health, the result concerns both sexes.

Common mistakes

  • Unnecessary medication.
  • Disable the doctor at the onset of the disease.
  • Two out of every three men are taking drugs that are unknown to the doctor and the internet.
  • Most drugs used in this regard are fraudulent and rely on exploitation of trust; The idea that ilaç all drugs are made from plants, plants are not harmful ”is not always true. Also included in counterfeit drugs: arsenic, boric acid, brick dust, parquet polish, shoe polish, other additives without effect.
  • To entrust your sexual health to irrelevant people
  • Believe in sex-related nonsense and exaggeration.

The above errors can protect you from trained urologists. Our sexuality is not insignificant enough to be left to porn, sex traffickers, actresses and other healers.

Treatment; If the cure problem lasts for 3 months and shows significant loss of cure, treatment should be started. Penile erection is the most important indicator of our sexual health. but it does not express sexuality at all. Therefore, a wide variety of treatment methods are used and different branches such as psychiatry and obstetricians are frequently involved.

Some treatment methods

  • To create an environment of mutual love and understanding with the spouse,
  • Medications taken by mouth; Type 5 phospho diesterase drugs (tadalafil, vardenafil, udenafil) are used 1 hour before contact.
  • ESWT treatment with shock waves
  • Vacuum devices
  • Injection into the penis.
  • Medicated tape treatment on penis skin.
  • Penis vascularization treatment.
  • Penile prosthesis treatment.

As a result; Everyone has the right to a good sexual life, must live in a healthy way according to the rules of our society. In the treatment of penile stiffness, we should be treated according to the information given above and use our minds. We can turn our television on and off with a remote control device, but the penis never has such a control device, but “love and reconciliation“ is like a vitamin of penile hardening.