Most cases are caused by physical factors. Erectile dysfunction is most commonly caused by reduced blood flow to your penis. This is caused by a narrowing penis's arteries. Psychological causes typically result in the sudden onset of the condition. If a person can get and maintain a healthy, regular erection when they are awake, this could indicate that their erectile dysfunction may be psychological.
Medicines that can help produce erections – such as sildenafil or Viagra(r), tadalafil or Cialis(r), or Vardenafil or Levitra(r), - are commonly used in conjunction with other therapies or devices. Penile injections and vacuum devices might be available to help you erection. To learn more, see Managing Male Sexual Problems Associated with Cancer. These cases may be helped by psychological counseling with your partner and you. 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 aspects to erections. The pelvicfloor plays an important role. Normally, when arousal occurs there's an increase in blood flowing to the penis. There are also 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 as blocking the drainpipe when you turn on the tap 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 for the penis is determined based on the extent of contraction of cavernosal Smooth Muscle. The balance between relaxation and contraction is controlled by central and periphery factors that include many transmitters.
Does your mental state impact how well you can keep it up. Are weak erections a sign there is a bigger problem you should be looking at? We asked a few experts about all your questions. As we age and our relationships get more familiar, we require more and different sexual stimuli to keep things fun.
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