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Erectile Dysfunction: Causes and Treatments

If you're experiencing erectile dysfunction (ED) or impotence, you're not alone. Learn about the causes of ED and what you can do to treat it.

What Causes Erectile Dysfunction (ED) & Impotence in Men?

Erectile dysfunction (ED), also known as impotence, is the inability to achieve or sustain an erection for satisfactory sexual activity. It can be devastating to the self-esteem of a man and of his partner. As many as 30 million American men are afflicted on a continuing basis, and transient episodes affect nearly all adult males. But nearly all men who seek treatment find some measure of relief.

There are many potential causes of ED, and sometimes, more than one cause is involved. In general, ED is divided into organic, psychogenic, or mixed etiologies.

Organic Causes

The most common organic causes of ED are vasculogenic, neurogenic, endocrinologic, and anatomic.

  • Vasculogenic—arterial insufficiency
  • Neurogenic—cavernosal nerve injury
  • Endocrinologic—testosterone deficiency, pituitary adenoma
  • Anatomic—pelvic surgery, pelvic radiation

Psychogenic Causes

Psychogenic ED, which is far less common than organic ED, is caused by psychological factors.

  • Performance anxiety
  • Guilt
  • Depression
  • Relationship problems

Mixed Causes

Mixed organic and psychogenic ED is not uncommon. In these cases, the organic component is often mild and may be difficult to diagnose.

The following are risk factors for developing ED:

  • Age. The risk of ED increases with age. Men younger than 40 are more likely to experience psychogenic ED, whereas older men are more likely to have organic ED.
  • Lifestyle choices. Smoking, excess alcohol consumption, illegal drug use, and being overweight can all contribute to ED.
  • Medical conditions. Conditions such as diabetes, hypertension, heart disease, and neurologic disorders can all lead to ED.
  • Medications. Many medications, both prescription and over-the-counter, can cause ED.
  • Pelvic surgery. Surgery in the pelvic area, such as prostate surgery, can damage the nerves and blood vessels responsible for erections.
  • Radiation therapy. Radiation therapy to the pelvis can damage the erectile tissue.

The good news is that ED is often treatable, regardless of the underlying cause. In many cases, simple lifestyle changes can improve ED. If more aggressive treatment is needed, there are a variety of effective options available.

Learn about what causes erectile dysfunction (ED) & impotence in men. Dr. Meschino explains what ED & impotence are, their causes & most importantly compares medical treatment to natural herbal remedies.…

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Video transcription:

Hi I’m dr. James Meschino what causes a rectal dysfunction and impotence in men, while erectile dysfunction is defined as a consistent inability to obtain or maintain an erection for satisfactory sexual relations. Now, there’s also complete erectile dysfunction or complete impotence where there’s an inability to have any penetrative relations at any stage. So it’s just this is where you have complete: erectile dysfunction. How common is it about 50% of men by the age of 50 have some degree of erectile dysfunction? Maybe not complete erectile dysfunction, but some degree of erectile dysfunction and by age 60 about 75% of men, complain about these this situation. What are the causes? Well, the aging process works us over a little bit after the age of 40. Testosterone levels dropped down by 1% each year, so between age, 40 and 70, your blood levels of testosterone they’re down by 30% as they drop 1% every year. Also, if you’re clogging your arteries, because you have high cholesterol, because your diet and lifestyle hasn’t been great. As you clog your arteries, it’s less blood flow. They can get to the the tissues to the around the genitalia. That’s going to impede flow and erectile function. Diabetes diabetics have a much greater propensity to clog those blood vessels up, so less blood flow can get there. Many diabetics complain of erectile dysfunction problems, so keeping your cholesterol low and your blood sugar, low and being fit and not overweight. Over your lifetime. It’s is going to help decrease the likelihood you’ll even run into erectile dysfunction. Problems. Remember that alcohol actually increases erectile dysfunction problems, as do psychosocial problems, relationship difficulties, lack of attraction to your mate in the stress of life. A lot of stress, of course, as can kill your sex life kill. Your six does desire your sexual desire and your libido and your ability to even perform and a lot an enlarged, prostate gland can also wreak havoc with the erectile dysfunction problems and over time there are fewer nerve endings that are still alive in the genitalia so that it takes more stimulation, actually wait. Those nerve endings up to produce the arousal effects. So, just with time, some of those nerve endings that are so sensitive when you’re young are no longer there anymore, there’s fewer of them, and there are a lot of drugs that can cause erectile dysfunction problems, beta blockers, which are often used to control high high blood pressure, drugs like propranolol or any, if you’re taking a blood pressure lowering drug and it ends in oh lol. That’s a beta blocker. Many diuretic drugs have been shown to decrease erectile function or cause erectile dysfunction. Many antidepressant drugs have the side effect of erectile dysfunction. Excuse me, anti-anxiety drugs, like add a van and and vali a histamine blocker and ask is like tagamet and zantac can caused a problem. Antihistamines like benadryl, naproxen and indomethacin, which are anti-inflammatories often prescribed for joint pain, linked to erectile dysfunction, as well as parkinson’s drugs do as well. Anti-Seizure drugs like dilantin and drugs that are used in the treatment of prostate cancer that are either increasing that are blocking the effects of testosterone or having an estrogen like effect and certain chemotherapy drugs as well. So those are the things that are primarily causing your problem. What’s the medical treatment? Well, drugs like Viagra, Cialis levitra, what they’re doing is they’re helping to maintain a chemical in the blood vessel wall that keeps the blood vessels dilated, so blood will stay in the genitalia. The problem with the drugs is that they sent they tend to cause this dilation or opening effect across the whole circulation of the body, and that sudden dilation effect can lower the blood pressure quickly, and so the heart has to respond to start pumping. It can go into atrial, fibrillation and lead to heart attacks and other cardiovascular complications I’m, not making this up. There’s there’s a major study called the cedars-sinai hospital study out of Los Angeles, where they looked at 1,400 adverse events and men that just recently used Viagra and they saw all kinds of cardiovascular complications, including sudden death, just within hours of men using Viagra, sometimes for the first time. So there are some concerns about these drugs. Medical doctors also sometimes will prescribe testosterone I’m, not crazy about the idea. If you have any prostate cancer cells in your prostate gland that are just lying there, dormant putting putting testosterone in your body could cause those cells to start dividing and growing, and now you’ve got prostate cancer, that’s alive and could be a very serious terminal, type of condition for you. What I really like and what’s really underappreciated, are the natural herbal remedies which have been shown in clinical studies to be really useful at reversing erectile dysfunction. So the combination of tribulus terrestris Moira, Palma Venus sativa maca root at the epitheli herb with Damiani. These herbs, you may not have heard of them, but when you put them together in a combination, you get an incredible synergistic effect that increased blood flow to the genitalia. The increased sensitivity of the genitalia and some studies show the increased libido and sexual desire even in women. Some of these herbs work really well in women as well to increase to increase sensitivity, easier time reaching orgasm and also a greater a sort of sexual desire response. So the clinical studies on these things are really impressive. Although they don’t get enough limelight, I know they don’t get the attention they deserve. At the same time, some supplements are actually dangerous and you would want to avoid them even though they could improve erectile dysfunction. They actually have side effects that can lead to bleeding disorders and toxicity, so I want you to stay away from those things anyway. I’ve explained all of this. In a little a book that’s available right here, an e-book is called effective natural remedies for sexual performance and libido, a guide for men and women. So if there’s any erectile dysfunction issues or if there’s a female in your life, who’s having trouble reaching orgasm or she’s lost her libido to a certain degree, she’d download the e-book right now it explains the whole program. All the scientific references are there, so you’re getting really solid and sound information from me on this topic and shows you things you can do what natural things you can even sort of put together effective and we and affordable. So you can do things in a more natural way that are safer. Remember that a machine, Oh health, calm, you’ll, see my other research review papers. You’ll see other videos. I’ve created footage from my live professional seminars, other downloads and resources that I have there for you. That will help you lead a long, healthy, functional life. All my research review papers and teaching materials have all the scientific references in them, so you’re getting only evidence-based information from me on any health topic that you may be looking for. So you should really make an ongoing reliable health and wellness resource for both you and your family members thanks. So much for watching you.

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