Intimate sphere of relationship between man and woman has always remained mystery behind seven locks. This trend is acceptable if sex is deprived of any problems and the man doesn`t complain about such important component as good erection. But with passage of time and for various reasons, not only general condition of body changes, but also ability to maintain and extend erection. What ways and means of extension exist today – about this later.
Known since 18th century, Peyronie’s Disease affects about 1-23% of men around the world and makes up for different complications. Although it is not a serious medical state, outcomes can be considerable, and in most cases treatment is obligatory. Find out what the peculiarities of Peyronie’s Disease are.
What is Peyronie’s Disease?
Initially it was described as a buildup (plaque) that changes anatomy of penis, making it bent or slightly curved. This condition is caused by scar tissues inside penis – they make it curving upward or to the side. It is mostly typical of men in their 40-60s: people in middle age and older are prone to this disease, but it is not a normal part of aging.
The erectile dysfunction is a common health condition, which depends on a range of factors. It can happen only once or become a continuous problem requiring medical interference. Anyway it cannot be isolated from other deviations and very often it should be regarded as a clue on some severe threat to men’s health.
You know, that in the past the scientists were sure that the erectile dysfunction was caused by wrong attitude of a man towards his surroundings. Today the physicians of course take into account psychological reasons but it is obvious that erectile dysfunction is connected with physical conditions and it is always a warning sign of some other medical disorder. More than half of all cases of erectile dysfunction are related to kidney and liver problems, heart disease and diabetes. Consider this, every man having difficulties in his sex life, should visit a doctor and get a thorough medical examination.
What can be discovered?
We are going to give you a general idea of those men’s health issues, which can cause ED or which are connected with it in some way or another. Being proactive a patient can improve his well-being. So, let’s start.
- Heart disease. The penis consists of spongy tissue and blood vessels crossing it in all directions and delivering blood making it erected. When there are problems with blood pressure and of blood flowing to the penis, it is natural to suggest that other parts of the body have the same problem. Thus, erectile dysfunction indicates other arterial diseases including stroke and heart attack. The relevant studies have shown that men with impotence sooner or later have heart attack even if they have never complained of heart problems. There is a strong link between impotence and coronary artery disease. Thus, the first thing that should be done visiting a doctor with ED is screening for the cardiovascular risk factors and checking the level of cholesterol and blood pressure. Usually when the causes are removed, the sex life improves.
- Diabetes. When diabetes damages nerves and blood vessels, it leads to problems with erection as far as these systems are vital for maintaining of an erection. So if you are 45 years old or even younger and you experience difficulties with erection, you should check your blood for sugar level. In order to treat such condition, it is recommended to work out regularly and improve diet habits and the erectile dysfunction symptoms should disappear.
- Thyroid diseases. The connection is obvious. The thyroid gland produces hormones needed for all human body to function including the genital system. If there are too many hormones or no enough of them, it is difficult for a man to get an erection. So ED can be a symptom both of too much thyroid when a man is anxious, irritated, having shaky hands, losing weight, and too little thyroid hormone when a man feels tired, lazy, gaining weight.
- HIV. It is not a must, but among HIV-positive men there are more sexually enable men. The scientists do not know for sure why it happens. There is a suggestion that hormonal changes and a particular psychological state influence on the ability to have erection.
Of course, we have not listed all health conditions that can be connected with ED. There are also kidney diseases, multiple sclerosis, neurologic deviations, and others.
It is quite clear that problems in sex life should not be left without attention. There are a lot of ways to solve the problem taking different pills providing steady and lasting erection but they do not cure the disorder and they do not help to understand the reason. That is why for both sexual health and overall health, you should find out what exactly makes you to take those pills.
Many men believe that a permanent or prolonged erection (up to several hours), this is a sign of a real man. Normally, men can manifest spontaneous erection in the morning and afternoon. However, the state of prolonged erections may indicate certain diseases. Priapism occurs suddenly. Pathological erection is accompanied by severe pain in the penis, the sacral region. The penis becomes tense, sharply painful, skin become bluish tint. The direction of the penis – is arcuate, at an acute angle to the stomach. The head of the penis and the corpus cavernosum of the urethra – are the soft, unstressed.
Study author Dr. Daniel Stein said, that we were talking not about massive problem. “There are patients who suffer from this disease. Its symptoms and visible signs appear after taking Viagra or other generic. Sickle-cell disease – is a consequence of improper drug administration, just a side effect does not occur. All generic drugs are tested, so to talk about the exact diagnosis, caused by reception of medicines we cannot”. The pathogenesis of priapism is defined by inadequate inflow and outflow of blood in corpora cavernosa. There are two types of abnormal erection: arterial and veno-occlusive.
Causes of Priapism
Many doctors of ambulance US say that for a year, according to statistics, they have received more than 10,000 patients with the disease. Of this number, it is not known who addresses again, and who is ill for the first time. The presence or absence of pain in the penis is one of the diagnostic features that distinguish veno-occlusive priapism from the blood one. In addition to general clinical methods in the differential diagnosis of these types of priapism are using data and Doppler blood gasometry aspirated from the corpora cavernosa.
During arterial priapism ultrasound picture would indicate a violation of the integrity of the arteries of the penis. The partial pressure of oxygen (pO2) and blood pH does not change. Veno-occlusive priapism is characterized by hypoxia, acidosis. Long-term local hypoxia (anoxia) of the cavernous tissue is a damaging factor leading to erectile tissue sclerosis and eventually to the development of impotence. There are more than 50 of etiological factors of priapism.
How does the Disease
Dr. Stephen Freedland, associate professor of surgery at the Duke University School of Medicine, said, that the problem may occur not because of Viagra and other pills. On average, these diseases are found every week, but the cause is not Viagra. Priapism must be distinguished from satyriasis in which is stored and sharply increased sexual desire; sexual intercourse is accompanied by orgasm and ejaculation. The diagnosis is not difficult and is based on the survey data of the patient (the duration of erection and pain, alcohol, drugs, drugs, trauma, etc.) and inspection. Laboratory and instrumental methods are used to determine the form, as the method of medical cupping of the disease depends on its type.
The most important and serious complication – is erectile dysfunction. The duration of priapism is the most important prognostic factor. Fibrosis (seal) of the penis that develops against the backdrop of prolonged priapism, and is substituted cavernous tissue of the penis to the scar, is the main cause of erectile dysfunction. Recurrent (night, returnable) priapism is a type of ischemic priapism, in which episodes of unwanted painful erections are interspersed with short periods of extinction and re-appearance at regular intervals, usually at night. The reasons are the same as in ischemic illness, and they can occur by psychogenic factor.
Treatment of Priapism
Dr. Stephen Freedland said that the treatment could be done, but it was very painful. Treatment should be directed to the relief of the disease, removing pain and preservation of erectile function. It is necessary to find and eliminate the root cause that led to priapism. When arterial priapism produce ligation of the damaged vessel, with veno-occlusive – are treated with topical lotions cold, ice; prescribe painkillers and sedative, antispasmodic. Various types of novocaine blockade (Presacral, epidural, perirenal blockade of the spermatic cord) are used. Conservative measures can be effective only if their execution in the early stages of the disease (6-12 hours).
In the absence of a positive effect of conservative treatment measures is applied decompression corpora cavernosa by a puncture with aspiration of penile blood and followed by washing with saline supplemented with alpha-agonists. This leads to a decrease in blood supply to the tissues of the penis. Scientists believe this method is the “gold standard” of the start of treatment of acute ischemic priapism, regardless of the timing of the disease. From invasive techniques are executed bypass surgery. Their purpose – is the improving the venous outflow from the corpora cavernosa through the venous system by intact greater saphenous femoral vein (sapheno-cavernous anastomosis) or via subcutaneous veins of the penis (spongy-cavernous anastomosis, spongy-cavernous fistula).