Russia is a country in which only 10% of adult men do not have any problems with erection. You can not live with myths about this pathology, understanding erectile dysfunction will help to maintain health, self-confidence and harmony in relationships.

Erectile dysfunction or impotence refers to the inability of a man to achieve an erection or maintain it for sexual intercourse. If the cases when “not worth a member” are single, then impotence is not talking. The diagnosis is made with a stable erection, lasting not less than 3 months.

Severe impotence is rare in young people, but the first alarming symptoms may appear early. In Russia, only 10.1% of men did not show signs of this pathology. Weak erectile dysfunction was found in 71.3%, moderate in 6.6%, severe in 12% in the home study (Pushkar et al., 2012). According to American data, there are 26 new cases per year per 1000 men (MMAS study). Among men between 30 and 80 years, the prevalence of erectile dysfunction increased from 2.3% to 53.4% with increasing age and the addition of concomitant pathologies. The exact answer, in how many years this pathology develops, does not exist, but experts note that the disease is getting younger.

How does an erection occur?

Erection problems

Medical services
Treatment of impotence

Andrologist consultation

Urologist consultation

Diagnostic tests
Blood test for male sex hormones

Cavernography

Cavernosometry

Registration of night penile tumescence (NEVA)

Ultrasound examination of the scrotum

Ultrasound examination (ultrasound) of the penis

Types of erectile dysfunction

Isolate psychogenic impotence and organic (it includes all species associated with organ damage). The share of psychological impotence accounts for about 40% of cases, organic – 29%, mixed – 25%. In 6% of cases, the cause can not be determined. The guidelines of the European Association of Urology detail the forms of erectile dysfunction, depending on the mechanism of development. Below are its types with the diseases and risk factors that cause them.

  • Vascular impotence:
  • diabetes,
  • hypertonic disease,
  • hyperlipidemia,
  • damage to the pelvic vessels.
  • Neurogenic impotence:
  • degenerative diseases (Parkinson’s disease, multiple sclerosis),
  • trauma and spinal cord disease,
  • stroke,
  • tumors of the central nervous system,
  • polyneuropathy,
  • chronic renal failure.
  • Anatomical or structural impotence:
    mirapenis,
  • Peyronie’s disease,
    trauma (penile penile or pelvic bones).
  • Hormonal impotence:
  • hypogonadism,
  • hyperprolactinemia,
  • hyper- and hypothyroidism,
  • Cushing’s disease.
    Drug impotence. When you receive:
  • antihypertensive,
  • antidepressants,some hormones,drugs.
    Psychogenic impotence:
  • General (reduced excitability and sexual disorders, regardless of the circumstances),
  • Situational (depends on the partner and circumstances).
  • Symptoms and signs of erectile dysfunction
    The main symptoms of impotence are indicated in her definition: difficulty in achieving and maintaining an erection. This is often accompanied by a decrease in sexual desire, violation of ejaculation and orgasm.
  • The dynamics of the symptoms can help to clarify their nature. In Table 1 we compare the psychogenic and organic erectile dysfunction (ED) (Papagiannopoulos D, et al., 2015).
  • Sign Predominantly psychogenic ED Primarily organic ED
  • Start Acute Gradual
  • Circumstances of Situation Does not depend on the circumstances
  • Current Variable Permanent
  • Erection outside sexual intercourse Stable Bad
  • Morning or nocturnal erections Normal Less common and weaker than normal
  • Psycho-sexual problems Present for a long time Secondary to ED
  • Anxiety, fear Primary Secondary to ED
  • In parallel with the signs of erectile dysfunction, symptoms of diseases that are associated with it are often found. In mature and old age, it often accompanies rapid urination, difficulty urinating, a feeling of incomplete emptying of the bladder. The main disease that causes these symptoms is prostate adenoma.