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Organic Causes of Erectile Dysfunction in Men Under 40.

Washington, DC 20037 (USA) Related Articles for " " Abstract FullText PDF References Extras : 2. There are a significant number of men under 40 who experience erectile dysfunction (ED). In the past, the vast majority of cases were thought to be psychogenic in nature. Studies have identified organic etiologies in 15-72% of men with ED under 40.

Organic etiologies include vascular, neurogenic, Peyronie's disease (PD), medication side effects and endocrinologic sources.

Vascular causes are commonly due to focal arterial occlusive disease.

Young men with multiple sclerosis, epilepsy and trauma in close proximity to the spinal cord are at increased risk of ED. It is estimated that 8% of men with PD are under 40, with 21% of these individuals experiencing ED.

Medications causing ED include antidepressants, NSAIDs and finasteride (Propecia), antiepileptics and neuroleptics. Hormonal sources are uncommon in the young population, however possible etiologies include Klinefelter's syndrome, congenital hypogonadotropic hypogonadism, and acquired hypogonadotropic hypogonadism.

The workup of young men with ED should include a

thorough

The significant prevalence of vascular etiologies of ED in young men should prompt consideration of nocturnal penile tumescence testing and penile Doppler ultrasound. Treatment options that may improve ED include exercise and oral PDE-5 inhibitors. Our understanding of erectile dysfunction (ED), defined as the inability to achieve or maintain an erection sufficient for sexual performance, has changed drastically over the last 50 years [1]. Once assumed to viagra require prescription be a problem primarily rooted in the psyche, ED is now understood to frequently have a physiological basis viagra require prescription [2].

Organic sources including vascular, neurologic and hormonal abnormalities, with occasional psychogenic overlay, are often the causes attributed to ED in older men, while men under the age of 40 are often thought to have only psychogenic factors contributing to their ED.

However, a review of the literature reveals that many cases of ED are organic in origin, including vascular, neurogenic, hormonal or due to medication side effects. Assuming that ED is psychogenic may miss significant underlying disease, a correction of which could lead to considerable improvement in many men's lives. 52% of men aged 40-70 have some degree of ED and moderate to severe cases increase sharply with age [2]. The percentage of men under 40 with ED varies greatly according to the study and methods used to determine the cause of ED, as shown in table 1.

Erectile dysfunction (impotence) is the inability to get and keep an erection. Occasional erection trouble isn't necessarily a cause for concern.

However, if erectile dysfunction is an ongoing issue, it can cause stress, affect your self-confidence, and cause relationship problems. Problems getting or keeping an erection can also be a sign of an underlying health condition that needs treatment, and it is a risk factor for heart disease. If you're concerned about erectile dysfunction, talk to your doctor. Sometimes, treating an underlying condition is enough to reverse erectile dysfunction. In other cases, medications or other direct treatments might be needed.

See your doctor if: You have concerns about your erections or you're experiencing other sexual problems such as premature or delayed ejaculation You have diabetes, heart disease or another known health condition that might be linked to erectile dysfunction You have other symptoms along with erectile dysfunction. Male sexual arousal is a complex process that involves the brain, hormones, emotions, nerves, muscles and blood vessels. Erectile dysfunction can result from a problem with any of these.

Likewise, stress and mental health concerns can cause or worsen erectile dysfunction, and sometimes a combination of physical and psychological issues causes erectile dysfunction.

In many cases, erectile dysfunction is caused by a physical issue.

Common causes include: Heart disease Clogged blood vessels (atherosclerosis) High cholesterol High blood pressure Diabetes Obesity Metabolic syndrome — a condition involving increased blood pressure, high insulin levels, body fat around the waist and high cholesterol Parkinson's disease Multiple sclerosis Certain prescription medications Tobacco use Peyronie's disease — development of scar tissue inside the penis Alcoholism and other forms of substance abuse Sleep disorders Treatments for prostate cancer or enlarged prostate Surgeries or injuries that affect the pelvic area or spinal cord. The brain plays a key role in triggering the series of physical events that cause an erection, starting with feelings of sexual excitement.

A number of things can interfere with sexual feelings and cause or worsen erectile dysfunction.

These include: Depression, anxiety or other mental health conditions Stress Relationship problems due to stress, poor communication or other concerns.

Various risk factors can contribute to erectile dysfunction, including: Medical conditions, particularly diabetes or heart conditions Tobacco use, which restricts blood flow to veins and arteries, can — over time — cause chronic health conditions that lead to erectile dysfunction Being overweight, especially if you're obese Certain medical treatments, such as prostate surgery or radiation treatment for cancer Injuries, particularly if they damage the nerves or arteries that control erections Medications, including antidepressants, antihistamines and medications to treat high blood pressure, pain or prostate conditions Psychological conditions, such as stress, anxiety or depression Drug and alcohol use, especially if you're a long-term drug user or heavy drinker. Complications resulting from erectile dysfunction can include: An unsatisfactory sex life Stress or anxiety Embarrassment or low self-esteem Relationship problems The inability to get your partner pregnant.

Erectile Dysfunction (ED) is another name for impotence and refers to the inability to maintain an erection that is firm enough or lasts long enough to engage in sexual intercourse.

ED is common in men, with over 100 million living with the difficulty.

ED is easily treatable and there are several options to choose from. ED is typically caused by a physical problem: Diabetes – this disease can damage the nerves or blood vessels that control the blood flow to the penis Cardiovascular Problems – these issues can decrease the blood flow to the penis through blocked arteries or leaking veins Trauma or Surgery – if you’ve had trauma or surgery in the prostate, bladder, colon, or rectal area, these nerves can be damaged and lead to ED Spinal Cord Injury – this injury can stop nerve impulses from reaching the penis Medications – some medications, including those for high blood pressure, can restrict blood flow to the penis Hormone Problems – any viagra require prescription issues caused by kidney or liver failure can result in ED Alcoholism – large intakes of alcohol over an extended period of time can lead to permanent nerve damage.

There are several treatment options for Erectile Dysfunction, including medications, devices, therapy, surgery, and implants. Oral Medications – Viagra, Levitra, Cialis, and Stendra all help improve blood flow to the penis and help produce an erection Vacuum Erection Devices – help draw blood to the penis via a vacuum chamber Intraurethral Suppositories – inserted into the urethra and is absorbed in the penis resulting in an erection Injection Therapy – requires the injection of medicine directly into the penis prior to intercourse Penile Implants – an effective surgical option for men who have unsuccessfully tried other treatment options. To receive a viagra tablet 50 mg price consultation with a physician and learn which option is best for you and your spouse, schedule an appointment at either our Macon or Warner Robins locations. You can also learn more about Erectile Dysfunction here. Common drug treatments for erectile dysfunction are effective, but also have side effects.

A new ‘trade-off’ study can help viagra require prescription men – and their doctors and partners – choose the drug that best meets their needs Losing

weight

er, difficult time achieving or maintaining an erection long enough for sex.

Erectile dysfunction – or impotence as it used to be called – is indeed a very common condition that can affect men at any age but particularly as they get older (1).

In fact, erectile dysfunction is an issue for about 50% of all men aged 40 to 70 (2) with potentially damaging impacts on their emotional well-being, relationships and quality of life. That’s a downer, but there are simple and effective solutions, including the above mentioned pills. They are among seven different drugs commonly prescribed for erectile dysfunction. They all work in a similar fashion with some variation depending on the specific drug. Most are taken on an “as-needed” basis, an average of an hour before sex (3).

The good news is that they are easy to take, considered safe and work for the majority of people (4). But like most drugs, there can be bothersome side effects, the most common of which are headaches, facial flushing and indigestion (4). In this review of the ‘trade-offs,’ the most effective drug treatment was the 50mg dose of sildenafil (the active ingredient in Viagra, and also sold in generic forms).

However it also had the highest risk of side effects – on average, men taking this drug had 18% increased risk of side effects compared to men taking a placebo.

If that’s a concern, the 10mg does of tadalafil (sold as brand name Cialis, as well as in generic form) may be a preferred option (just 10% increased risk of side effects), but it comes at the expense of being less effective.

A decision about which drug to choose involves weighing the risks and benefits of each treatment.

A chart comparing seven common drugs for erectile dysfunction is available in our evidence summary of this review. An alternative to medication may be lifestyle changes.

There is evidence that losing

weight

While there are many causes, the most common physical causes include: Diabetes High Blood Pressure Heart Disease Obesity Atherosclerosis Prescription Medications Smoking Alcoholism or Substance Abuse. The most common psychological causes include: Relationship Issues Stress Depression or Anxiety.