Erectile dysfunction (impotence) is inability to get an erection or problem keeping an erection firm enough for sex and/or a reduced sexual desire that, when on an ongoing basis, it usually affects your self-confidence and causes stress, and relationship problems, frequently creating an issue for you or your partner.
An erection is an emotional event that begins in the brain. Physical and/or mental stimulation cause nerves in the brain to send chemical messages to nerves in the penis telling the penile blood vessels to relax so that blood can flow freely into the penis. Once in the penis, high pressure traps the blood within both corpora cavernosa. This causes the penis to expand and sustain an erection. Erection is reversed when the inflow of blood is stopped and opening outflow channels open, allowing the penis to become soft
Erectile dysfunction is significantly common in men who have diabetes and is most often caused by poor long-term blood sugar control, which damages nerves and blood vessels. Erectile dysfunction can be linked to other conditions common in men with diabetes, such as high blood pressure and coronary artery disease. ED is three times more common in patients with diabetes mellitus. ED in diabetes is associated with vascular and neural factors. Hyperglycemia (increased glucose in blood) is believed to give rise to these microvascular changes. ED in diabetes is strongly correlated with glucose control, duration of disease and diabetic complications. The incidence increases with increasing age, duration of diabetes and deteriorating metabolic control, and is higher in individuals with type 2 diabetes than those with type 1. ED in men with diabetes often affects their quality of life and, as patients are often reluctant to come forward with their symptoms losing a great opportunity to correct their ED.
Male sexual arousal is an intricate process that involves the brain, hormones, emotions, nerves, sexual arousal, muscles and blood vessels. Erectile dysfunction can result from a problem with any of these. In most cases, erectile dysfunction is caused by something physical. Specific causes other than diabetes are:
A medical history and a physical exam are all that's needed before a doctor is ready to recommend a treatment. Common tests for possible underlying problems may include:
Treatment is often more successful when a man involves his partner. Getting the right treatment for any health problems that could be causing or worsening your erectile dysfunction should be your first step. For years the treatment has been either medical/drugs or surgical. Today the regenerative medicine offers you a new approach: Stem cells from your own fat or bone marrow, Platelet rich plasma (PRP) from your own blood can be used to repair the problem rather than putting a band aid on the problem with drugs like Viagra, Cialis.