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Erectile Dysfunction: 4 Pillars of the ED problems causing

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Soarawee Weerasopone, MD

Andrologist
Royal Phnom Penh hospital, Kingdom of Cambodia

No doubt that nowadays the so- called ED or the Erectile Dysfunction would be a major concern for gentleman. It’s so surprised that this problem is happening frequently in a juvenile. I often take care of this problem for patients who are at age 20 years old. Let’s get start it! What is ED?  It is a “Persistent inability to attain and maintain the erection sufficiently in order to permit the satisfactory sexual performance”

Couple on the bed
Erectile dysfunction is common issue

The ED is more importantly than we’ve thought, it can be the indicator to evaluate the future of the cardiovascular events and the impact of the marital distress – unhappy partner which possibly drive the risk of the divorces. More than 50% of the 40 years old and elderly U.S. men were in the ED problem, lately, literature shows that  25% of new-onset ED was a group of the juvenile whose age under 40 years old.

Let’s jump to the 4 main points that cause and affect the ED.

  1. Hormonal issue

Everyone knows that Testosterone is an essential sexual hormone that stimulates the sexual characteristics. Testosterone normal level will reach the maximum at age 20 and then slowly decline by aging. There is a normal value of testosterone level changes by ages which you can easily go on Google check for more information. The symptom of low testosterone hormone can be presented with depressed mood (Emotional changes), feeling ran out of energy (Decrease strength). If this issue is suspected so the early morning blood test for testosterone level would be recommended. Generally, elderly men with ED from testosterone deficiency can get benefit from testosterone replacement therapy, but either way be careful when consider about testosterone replacement in younger age or it will be worse than that.

  1. Neurogenic issue

While our cannon – penis is under controlled by the brain itself so the neurological system must be in good structural and functional well. Brain lesions from Stroke or a Parkinson disease can extremely impact the ED. And also spinal cord lesions from a spinal dissection that caused from any trauma, literally, it will cause ED which is very difficult to fix and deal with.

Cigarette
Cigarette is one of major cause in ED
  1. Vasculogenic issue

Low in vascular quality affected 75% of ED cases, the history of smoking is very crucial to ED due to the Nicotine and other substances in the cigarette will damage the vessel quality all over the body especially the small vessels inside our penis. All condition that makes our blood vessels remain unhealthy and malfunction we must be concerned and be well-controlled. Obesity, Hypertension, Diabetes Mellitus and Hypercholesterolemia must be well-monitored and well-maintained.

Obesity
Keep yourself in good shape is good for ED
  1. Mental issue

Such kind of this activity must be fantasy things, so joyful and happiness shall not ignorance. From your life struggling stuffs like a stress from work, taking care of kids, household daily routine job etc…, and these kinds of stuffs are distracted and harmed your mind and emotion while performing this activity. On the contrary, if you sleep well, good recreation and working out regularly it will beneficial your Mental and solve the ED issue properly.

Honestly, it is tons of information that I cannot compose in 1 topic, if you’d like to discuss with me related to this topic above. Please give me a text or PM me! See you guys with the next topic.

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