Most cases, if not all, of erectile problems are caused by physical factors. Reduced blood flow from the penis is the most common reason for erectile problems. This happens because of narrowing of the arteries within the penis. The sudden onset is usually due to psychological reasons. If a person is able to get and maintain a healthy erection sometimes, for example when masturbating or on waking, it may be a sign that their erectile dysfunction is psychological in
Medicines that assist with erections - such as sildenafil, tadalafil,Cialis(r), and vardenafil - are often combined with other therapies and devices. Penile injections may be offered for penile problems. For more information, please see Managing Male Sexual Problems related to Cancer. In these cases, treatment incorporating psychological counseling with you and your sexual partner may be successful. One episode of failure, regardless of cause, may propagate further psychological distress, leading to further erectile failure. Low testosterone levels can cause a loss of interest or desire to engage in sexual activity.
There are many factors that go into achieving erections. The pelvic floor plays an important role. Normally, when arousal occurs, there's an increased blood flow into the penis. This is accompanied by simultaneous mechanisms to reduce blood loss. Contraction of the bulbocavernosus & ischiocavernosus muscular muscles improves erectile tensile hardness by preventing blood losses from the penis, temporarily blocking blood vessels that drain it away in a flaccid state. This can be compared to blocking the drain pipe when the tap is turned on to fill it up.
NO is thought act in the medial postoptic area and paraventricular nucleus. Injecting NOS inhibitors stops rats from responding to erectogenic agent injections. The functional state of the penis is determined by the degree of contraction of the cavernosal smooth muscles. The balance between contraction and relaxation is controlled by central and peripheral factors that involve many transmitters and transmitter systems.
Is your mental state a factor in your ability to keep it up? Are weak erections a sign you need to look into a bigger health issue? We asked experts to answer any questions you might have. As we age, our relationships become more established and we need to have more and more sexual stimuli in order to keep things fresh.
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