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What most widespread reasons erectile dysfunctions?

Frustration erectile functions can arise for very many reasons and is frequent enough these developed infringements represent only a symptom of other disease. As a whole, as a rule, the reasons influencing development of frustration of erections can be divided into five groups:

Psychological frustration:

  • Depressions
  • Narcotism
  • Alcoholism
  • Specific psychopathological frustration - "fear of sexual powerlessness", the impoverished sexual technics, etc.

Endocrine frustration:

  • Hypogonadism
  • Diabetes
  • Adiposity
  • Prolactinoma (a brain tumor)
  • Sarcoidosis with involvement of the hypothalamic region

Frustration of vascular system:

  • Atherosclerotic arterial system of the penis with diabetes mellitus, smoking, high blood cholesterol, hypertension
  • Occlusion (ie, blockage), the pelvic arteries (usually occur after a fracture of the pelvis)
  • Disorders of the venous system, increased blood flow to the penis
  • Combining different types of vascular lesions of the penis.

Organic changes of a penis:

  • Peyronie's disease (a penis curvature)
  • Traumas, the wounds, the transferred inflammations etc.

Neurologic frustration:

  • Infringements of brain blood circulation (strokes)
  • Spinal cord diseases
  • A multiple sclerosis
  • Parkinson's Disease.

However it is necessary to mean that the combination of these reasons to some extent is possible when to define the leading reason of occurrence of infringements of erections happens difficult. More often it happens at the general aging of an organism.

The diabetes, hypertension, smoking and vascular diseases make about 80% of all reasons erectile dysfunctions. The diabetes operates on the nervous terminations of a penis, breaking their normal functioning and damages smooth muscles which make erectile a fabric. The hypertension (the raised arterial pressure) and the therapy directed on decrease of arterial pressure, can harm also to blood circulation in a penis. Smoking is a principal cause of occurrence so-called "penile angiospasm" when there are frustration at level of capillary blood circulation of a penis. For this reason smoking, to be exact - "tobacco smoking" many experts carry in separate group of the reasons of occurrence erectile dysfunction. Penile angiospasm also develops and at a diabetes.

So, in 60% of cases the impotence reason is that blood doesn't arrive in a penis or there is its fast outflow back. In 15% of cases it is necessary to search for the reason in the latent frustration of nervous system. 5% of cases develop against various hormonal illnesses. And only 20 % are caused by psychological motives.