What is Erectile Dysfunction and what can you do?

Erectile dysfunction, commonly referred to as impotence, is the persistent or repeated inability to obtain and/or maintain a sufficient erection until sexual activity is accomplished.

This is the essence of the definition, even if, according to the international classification of reference in psychiatry (DSM-IV-TR), in order to meet the diagnosis there must also be suffering in relation to this situation and the sexual disorder cannot be better explained by a cause other than sexual (drugs, medication, general illness…).

In practice, if the patient feels that he has a problem with erection (or lack of rigidity) during sexual intercourse, the doctor will admit that erectile dysfunction (ED) exists. This may be primary ED (i.e. it has always existed) or secondary ED (after a period without difficulties). It is also important to know whether it is permanent ED (in all situations, including masturbation, sleep, with other partners, etc.) or situational.

What is happening?

Erectile dysfunction (ED) is classically described as psychogenic (psychological cause), organic (physical cause) or mixed (both psychological and physical). Indeed, erection is a vascular mechanism, linked in particular to the filling of the spongy body and the cavernous bodies of the penis, under the control of the nervous and hormonal systems.

The originality of the erectile system of the penis is that it is a kind of active sponge whose muscle cells are contracted in the resting state (=flaccid) thanks to a permanent sympathetic nervous system tonus.

In certain situations (excitement, certain phases of sleep…), this tonus decreases and allows the tonus of the parasympathetic nervous system to act, which leads to a relaxation of the muscle cells of the penis, allowing blood flow into the penis and the erection.

  Erectile dysfunction, what is it?

It is important to note that it is the release of a chemical substance that allows the nervous system to trigger the relaxation of the muscle cells of the penis, and thus the erection. It should also be noted that the erection is maintained on the one hand by the maintenance of the excitement, and on the other hand by an internal “tourniquet effect” in the penis, the outflow of blood to the penis being made more difficult when a certain pressure is reached in the corpora cavernosa – this is known as “cavernous locking”.

After noting the erectile rigidity score that best matches your erections over the previous four weeks, the doctor will ask you to record the scores after each sexual encounter, in order to monitor progress during treatment.

What tests should be done?

The doctor will carry out a general examination which will include a genital, cardiovascular and neurological examination.

The recommended work-up is essentially biological:

  • Fasting blood glucose (with HbA1c in case of known diabetes).
  • Lipid balance.
  • CBC (blood count), ionogram, creatinine level, liver function tests.
  • PSA (= prostatic enzyme) measurement is sometimes proposed but within the framework of individual screening for prostate cancer.
  • Depending on the context, a hormonal assessment (search for an androgen deficiency) and a penile Doppler ultrasound or a cardiological assessment are sometimes added.

What is the treatment?

Treatment is based on knowledge of the physiology of the erection and its variations, dietary advice, modification (if possible) of a treatment implicated in the occurrence of ED and, possibly, oral medication.

Knowledge of the physiology of the erection and its variations

First of all, one should be aware of the fluctuating nature of the erection. Many men expect the erection to be (as in adolescence, if at all) automatic, predictable, long-lasting and easily reproducible within a relatively short period of time (or even to be maintained after ejaculation). This is called an unrealistic expectation.

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The man (and his partner!) must also accept that there may be a decoupling of arousal and erection. He can then stay in sexual connection (exchange, eroticism, sensuality, various sexual practices…) with his partner instead of focusing on the loss of his erection. This can reduce anxiety (and encourage the resumption of the erection) and, in any case, allow the couple to still achieve satisfactory emotional and sexual satisfaction.

Hygienic and dietary advice

It is classic to recommend a healthy lifestyle: regular physical activity, balanced diet, avoid smoking and alcohol, lose weight if overweight…

Modification of a treatment

If a drug is likely to be responsible, the doctor may replace it with another treatment that is better tolerated. Be careful, never stop one of your treatments without talking to your doctor or pharmacist.

Starting an natural treatment

Eroxel is a dietary supplement in pill form with an entirely natural composition. The formula was developed by a team of urologists and a group of specialists in alternative medicine. Eroxel are natural capsules with a bio-formula for greater male potency. The manufacturer focuses on combining organic extracts to provide men with more strength, stamina and pleasure in bed.

At any age, there is absolutely nothing wrong with wanting to improve sexual performance. On the other hand, we know that good performance also means a better relationship with your partner.

There are products on the market that can increase performance not exactly like a stallion, but in most cases, as you well know, they are high chemical content compounds, which have many side effects and contraindications.

The Eroxel’s bio-formula piqued our team’s curiosity and we decided to find out what it was. We looked at several key aspects related to it, but the most attention was given to customer feedback and opinions. After many researches we can definitly say that Eroxel is worth a try!!

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