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Старый 08.07.2023, 13:52   #1
markbrown
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По умолчанию Fildena 150 Mg –What Is , Diagnosis & Treatment | buymedlife

Erectile dysfunction is a prevalent ailment that becomes more frequent as people get older. While it may only happen infrequently for some men because of weariness, stress, or alcohol consumption, it may happen more regularly for others.
The male erection is the consequence of two components of sexual function: a reflex component, which is managed by body nerves, and a psychogenic component, which is triggered by emotional or erotic stimuli and involves the limbic system of the brain (which regulates emotions and moods).
Some erectile dysfunction sufferers report either a complete lack of penile swelling or a partial erection that cannot withstand sexual activity.
The International Index of Erectile Function (IIEF-5) employs a questionnaire to classify erectile dysfunction as mild, moderate, or severe. It can be used to determine the severity of erectile dysfunction.
What causes erectile dysfunction?
While both mental and physical illnesses can contribute to erectile dysfunction, medical conditions may be a factor in about 80% of instances. It is crucial that all people with erectile dysfunction have their GP review them.
There are times when the hormones in the body are connected to physical diseases associated with erectile dysfunction.
Non-hormonal causes include illnesses that affect the penis' blood supply, such as high blood pressure, type 1 or type 2 diabetes, and smoking, as well as those that affect the nerves that supply the penis, like Parkinson's disease and nerve damage from either type 1 or type 2 diabetes.
Another possible side effect of a medical procedure or treatment is erectile dysfunction. Certain antidepressants and medications used to treat high blood pressure (antihypertensive) are examples of potential treatments that may be connected to the root cause of erectile dysfunction.
Some endocrine conditions, such as those that result in low testosterone levels (hypogonadism), are linked to erectile dysfunction. However, the exact mechanism by which this causes erectile dysfunction is not yet fully understood, and some men can still have normal sexual function despite low testosterone levels.
A hormone called prolactin is generated by the pituitary gland in the brain. Low testosterone levels can be the result of certain disorders that boost the prolactin level (hyperprolactinemia), which inhibits the production of other hormones from the pituitary gland, such as luteinizing hormone (LH) and follicle stimulating hormone (FSH). Erectile dysfunction may thereafter be predisposed to by low testosterone levels.
Impotence can have mental health issues as well as medical problems, according to research. These include relational issues as well as despair, stress, and anxiety. Erectile dysfunction can frequently have a substantial impact on relationships and quality of life, regardless of the underlying cause.
What are the signs and symptoms of erectile dysfunction?
The inability to obtain or sustain an erection is known as erectile dysfunction. Depending on the cause, this may occur exclusively in specific circumstances (patients may still experience early morning erections), or it may occur sometimes or frequently.
Patients may experience a slow onset of symptoms, which may occur across a number of contexts and varied triggers, when erectile dysfunction is primarily caused by a physical source.
Patients may describe a fast onset of symptoms with erectile dysfunction that varies depending on the situation when the psychological component is the primary factor.
Other indications and symptoms could exist, depending on the reason of impotence. For instance, patients may also mention lower sex-drive (low libido), reduced need to shave facial hair, and decreased muscular mass when hypogonadism (low testosterone) is the underlying cause.
Patients may also mention other symptoms that point to damage to other blood vessels or nerves, such as numbness and tingling in the feet, if diabetes has damaged the nerve or blood supply to the penis.
Diagnosis:
Based on a patient's symptoms, erectile dysfunction is clinically diagnosed. Therefore, it is crucial that patients receive a GP evaluation at the beginning. A thorough medical history, including the patient's current symptoms and other conditions, will be obtained at this consultation.
The use of regular drugs will also be examined to rule out any potential causes. There will also be inquiries about smoking and drinking.
The GP will conduct a general physical examination, which can involve measuring blood pressure and inspecting the genitalia. Additionally, the peripheral nerve system and vascular system may be examined.
It is also advised that all patients with erectile dysfunction undertake a cardiovascular risk assessment, including a risk factor assessment, given that erectile dysfunction might be a sensitive sign of vascular pathology.
Additional research, including blood testing, will be done based on the symptoms aroused. These blood tests will screen for other hormones, such as thyroid function and blood sugar (or glycosylated hemoglobin, or HbA1c, which may be used to monitor for diabetes), as well as testosterone (which is best examined first thing in the morning, preferably after fasting).
How is erectile dysfunction treated?
The underlying reason of erectile dysfunction affects how it is treated. Treatments will be required to handle any underlying physical causes (such as diabetes) that are discovered.
Any associated mental health conditions, such as anxiety and depression, may be treated with additional therapies, such as cognitive behavioral therapy (CBT). Psychosexual counseling may be suggested to deal with the implications of impotence on sexual relationships, regardless of the contributing circumstances.
Medical and non-medical remedies can both be used to treat erectile dysfunction.
Typically, phosphodiesterase inhibitors like Fildena 150 Mg and Fildena 25 Mg are used as the first line of treatment.
A topical cream (alprostadil, prostaglandin E1) that acts by relaxing blood vessels, boosting blood supply to the penis, and so inducing an erection are second-line treatments if they fail to alleviate symptoms. To relax blood vessels as an alternative, alprostadil (prostaglandin E1) may also be injected into the penis.
After more conservative treatments have been exhausted, more permanent surgical prosthesis may be considered.
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