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Erectile dysfunction [1]

Erectile dysfunction [2]

Liver Disease

Erectile dysfunction is common in men over the age of 40, particularly in those who have secondary medical conditions. It has numerous negative effects on your mood, mind, and overall quality of life.

Erectile dysfunction is a very sensitive subject. Most people used to believe that it was purely psychological rather than physical, but studies have shown that more than 80% of it is due to more physical causes. Let us go over this in greater detail below.

The physical factors that cause erectile dysfunction are divided into two categories:

Hormonal related factors:
- These factors are caused by hormones and then lead to erectile dysfunction. For example, testosterone is an extremely important hormone and it plays a big role in a man’s sexual drive. Therefore, high levels of testosterone can make it hard for men to achieve their sexual needs.
Factors not related to hormones are divided into the 3 points below:
- Caused by blood vessels or poor circulation, which is one of the most common causes.
- The body’s poor functioning nervous system.
- Those who are on long-term medications or post-surgery (side effects)

Erectile dysfunction is a dangerous signs of cardiovascular disease

Erectile dysfunction affects approximately half of all men suffering from angina. This is because the arteries that supply blood to the penis are smaller than those that supply blood to the heart, making them more prone to clogging. As a result, those experiencing erectile dysfunction must take precautions to avoid the risk of angina and stroke within the 5-year window of initial symptom onset.

When compared to people of the same age who do not have erectile dysfunction, men who are younger and have unexplained erectile dysfunction have a 50-fold increased risk of developing cardiovascular disease.

As a result, it is critical to emphasize that erectile dysfunction is a warning sign of hidden cardiovascular disease, and a proper diagnosis is required in order to take serious preventive measures. Chelation therapy is one of the most highly recommended forms of preventive treatment.

According an analysis of 14 clinical studies involving over 90,000 patients with erectile dysfunction, affected men have an increased risk of cardiovascular problems. According to the study’s findings, 44 percent have an increased risk of myocardial infarction, 62 percent have ischemia, 39 percent have an increased risk of stroke, and 25 percent have an increased risk of death when compared to those who do not have erectile dysfunction issues.

Medication-related erectile dysfunction and surgery

Erectile dysfunction was discovered to be caused by pharmacological side effects in about a quarter of individuals. Eight of the twelve drug users in the United States were found to have erectile dysfunction as a result of this.

Medicines for depression, gastritis (cimetidine), antifungal medication (ketoconazole), diuretics (spironolactone, thiazide), and pharmaceuticals that suppress the sympathetic nervous system (spironolactone, thiazide) are all possible causes of erectile dysfunction (such as methyldopa, clonidine, guanethidine, and certain antihypertensive drugs). ACE inhibitors and calcium channel blockers, on the other hand, are rarely associated with erectile dysfunction. While beta blockers have little impact, alpha blockers can help with erectile dysfunction.

According to a recent study, % of prostate cancer patients who undergo surgery would experience erectile dysfunction afterward. Only 25% of those who received irradiation had erectile dysfunction, compared to 75% in the control group.

In a separate study from 2020, 3,330 bikers were compared against 1,524 non-cyclists. Cyclists were shown to have a higher risk of getting erectile dysfunction, according to the study.

Mental and emotional related erectile dysfunction

Although most cases of erectile dysfunction are caused by physical disorders, some cases are caused by mental or emotional concerns. This is particularly prevalent in younger men, and while they may not have a physical condition, some may be influenced by psychological problems.

Clinical evidence reveals that erectile dysfunction induced by psychological causes is usually the outcome of a person’s life altering circumstances. Symptoms can appear when there are no morning erections or when there is flaccidity during masturbation, for example.

As a result, examining both a patient’s mind and body can help to narrow down the difficulties more quickly. A blood test to examine the blood count (CBC), liver and kidney function, blood lipid levels, blood glucose levels, and testosterone levels is usually required by the treating physician. They’re all employed as baseline measures to help a doctor come up with a treatment plan.

Some of the questions a treating physician might ask include:

When did you first realize that you had a sexual problem?
Do you have erectile dysfunction only occasionally, frequently, or all of the time?
Do you have any additional health issues or chronic conditions?
Have your sexual desires changed at all?
Do you have erections while masturbating, with a partner, or sleeping?
Are there any issues in your sexual partner’s relationship?
Do you suffer from anxiety, depression, or stress?

The treatment strategy might be more precise and effective if the cause of the problem has been identified. At Absolute Health, we strive diligently to find the most efficient way to help our patients and their partners regain their confidence and happiness.

References

Yafi FA, Jenkins L, Albersen M, et al. Erectile dysfunction. Nat Rev Dis Primers. 2016;2:16003. Published 2016 Feb 4. doi:10.1038/nrdp.2016.3
Orimoloye OA, Feldman DI, Blaha MJ. Erectile dysfunction links to cardiovascular disease-defining the clinical value. Trends Cardiovasc Med. 2019 Nov;29(8):458-465.
Miner M, Nehra A, Jackson G, Bhasin S, Billups K, Burnett AL, Buvat J, Carson C, Cunningham G, Ganz P, Goldstein I, Guay A, Hackett G, Kloner RA, Kostis JB, LaFlamme KE, Montorsi P, Ramsey M, Rosen R, Sadovsky R, Seftel A, Shabsigh R, Vlachopoulos C, Wu F. All men with vasculogenic erectile dysfunction require a cardiovascular workup. Am J Med. 2014 Mar;127(3):174-82.
Miner M, Parish SJ, Billups KL, Paulos M, Sigman M, Blaha MJ. Erectile Dysfunction and Subclinical Cardiovascular Disease. Sex Med Rev. 2019 Jul;7(3):455-463.
Corona G, Rastrelli G, Isidori AM, Pivonello R, Bettocchi C, Reisman Y, Sforza A, Maggi M. Erectile dysfunction and cardiovascular risk: a review of current findings. Expert Rev Cardiovasc Ther. 2020 Mar;18(3):155-164.
Randrup E, Baum N, Feibus A. Erectile dysfunction and cardiovascular disease. Postgrad Med. 2015 Mar;127(2):166-72.
Gandaglia G, et al. A systematic review of the association between erectile dysfunction and cardiovascular disease. Eur Urol. 2014;65:968–978.
Montorsi F, Briganti A, Salonia A, Rigatti P, Margonato A, Macchi A, Galli S, Ravagnani PM, Montorsi P. Erectile dysfunction prevalence, time of onset and association with risk factors in 300 consecutive patients with acute chest pain and angiographically documented coronary artery disease. Eur Urol. 2003 Sep;44(3):360-4; discussion 364-5.
Orimoloye OA, Feldman DI, Blaha MJ. Erectile dysfunction links to cardiovascular disease-defining the clinical value. Trends Cardiovasc Med. 2019 Nov;29(8):458-465.
Imprialos K, Koutsampasopoulos K, Manolis A, Doumas M. Erectile Dysfunction as a Cardiovascular Risk Factor: Time to Step Up? Curr Vasc Pharmacol. 2021;19(3):301-312.
Miner M, Nehra A, Jackson G, Bhasin S, Billups K, Burnett AL, Buvat J, Carson C, Cunningham G, Ganz P, Goldstein I, Guay A, Hackett G, Kloner RA, Kostis JB, LaFlamme KE, Montorsi P, Ramsey M, Rosen R, Sadovsky R, Seftel A, Shabsigh R, Vlachopoulos C, Wu F. All men with vasculogenic erectile dysfunction require a cardiovascular workup. Am J Med. 2014 Mar;127(3):174-82.
Inman BA, Sauver JL, Jacobson DJ, McGree ME, Nehra A, Lieber MM, Roger VL, Jacobsen SJ. A population-based, longitudinal study of erectile dysfunction and future coronary artery disease. Mayo Clin Proc. 2009 Feb;84(2):108-13.
Vlachopoulos CV, Terentes-Printzios DG, Ioakeimidis NK, Aznaouridis KA, Stefanadis CI. Prediction of cardiovascular events and all-cause mortality with erectile dysfunction: a systematic review and meta-analysis of cohort studies. Circ Cardiovasc Qual Outcomes. 2013 Jan 01;6(1):99-109.
Slag MF, Morley JE, Elson MK, Trence DL, Nelson CJ, Nelson AE, Kinlaw WB, Beyer HS, Nuttall FQ, Shafer RB. Impotence in medical clinic outpatients. JAMA. 1983 Apr 01;249(13):1736-40.
Wein AJ, Van Arsdalen KN. Drug-induced male sexual dysfunction. Urol Clin North Am. 1988 Feb;15(1):23-31.
Ko DT, Hebert PR, Coffey CS, Sedrakyan A, Curtis JP, Krumholz HM. Beta-blocker therapy and symptoms of depression, fatigue, and sexual dysfunction. JAMA. 2002 Jul 17;288(3):351-7.
Kirby RS, O’Leary MP, Carson C. Efficacy of extended-release doxazosin and doxazosin standard in patients with concomitant benign prostatic hyperplasia and sexual dysfunction. BJU Int. 2005 Jan;95(1):103-9; discussion 109.
Hunt AA, Choudhury KR, Nukala V, Nolan MW, Ahmad A, Ashcraft KA, Koontz BF. Risk of erectile dysfunction after modern radiotherapy for intact prostate cancer. Prostate Cancer Prostatic Dis. 2021 Mar;24(1):128-134.
Gan ZS, Ehlers ME, Lin FC, Wright ST, Figler BD, Coward RM. Systematic Review and Meta-Analysis of Cycling and Erectile Dysfunction. Sex Med Rev. 2021 Apr;9(2):304-311.