What erectile dysfunction is?
• It is defined as if the penile erection will not be maintained by a man during sexual performance is called erectile dysfunction.
• This sexual dysfunction increases with increasing age.
• It affects the man’s self-esteem and has a great impact on his partner’s sex-life.
• The systems involved in the process of erection are Central nervous system, peripheral nervous system, vascular and hormonal system.
What are the causes of erectile dysfunction?
• History of the patient.
• Kidney disease.
• Cardiovascular disease.
• Obesity.
• Drug abuse.
• Multiple sclerosis.
• Diabetes.
• Hypothyroidism.
• Psychological factors such as:
stress,
nervousness,
anxiety,
guilt,
depression or relationship problems.
• Hormonal disorders.
• Chronic alcoholism and smoking.
What are the sign and symptoms of erectile dysfunction?
• Premature ejaculation.
• Man is not able to complete the act of sexual intercourse as he unable to attain an erection or keep it maintained.
• Reduce sexual desire.
• Weakness
• Irritability of mind.
How to investigate erectile dysfunction?
• Physical examination of the patient.
• History of the patient.
• Family history of the patient.
Lab investigations are done to rule out the underlying condition.
• Duplex ultrasound.
• Penile nerve function.
• Nocturnal penile tumescence (NPT).
• Dynamic Infusion Cavernosometry.
• Corpus cavernosometry.
• Digital Subtraction Angiography.
• Magnetic resonance angiography (MRA).
How to treat erectile dysfunction?
• Psychotherapy, as well as daily exercises, are beneficial because these increase the flow of blood to all parts of the body and also increase male hormones level.
• When psychotherapy fails to help, interventional modes are adopted.
• Testosterone replacement- In case ED is due to low testosterone levels.
• Vacuum constriction devices.
What is the dietary management of erectile dysfunction?
• Educating the patient regarding treatment options.
• Periodic follow up of efficacy and side-effects.
• Lifestyle modifications to reverse erectile dysfunction.
Diet:
• Diet rich in zinc.
e.g. soy food, peanuts, almonds, oysters.
• Avoid fatty food and red meat.
• Consume whole grains as they are the richest source of vitamins, fiber, and anti-oxidants.
• Food rich in vitamin A, C, E, B1, and B2 should be included in the diet, this helps in maintaining normal libido.
What are the complications of erectile dysfunction?
• Stress or anxiety.
• Low self-esteem.
• Unsatisfactory sex life.
• Impotence.
What are the indicated medicines of erectile dysfunction?
• Lycopodium
• Argentum Nit
• Caladium
• Selenium
