Research and investigations have found that men's sexual desire is much stronger than women's. Therefore, when men have sexual fantasies or sexual stimulation, their penis will naturally have a physiological reaction. It is very difficult for the penis to recover in a short time after erection, and it is necessary to slowly adjust the mood so that the mood can slowly recover. When men do not have a normal erection when they are sexually stimulated or preparing to have sex, they should consider penis dysfunction, which can usually be attributed to several major factors and must be carefully judged and understood. There are many causes of erectile dysfunction, but they can generally be classified into two categories. One is psychological erectile dysfunction; the other is organic erectile dysfunction. In the past, it was believed that 80% to 90% of erectile dysfunction was caused by psychological disorders, but in recent years, with the continuous development of science, research has become more in-depth and found that organic lesions are on the rise, exceeding 15% to 40%, and some patients have multiple organic lesions. As age increases, sexual function changes in both quality and quantity, and erectile dysfunction increases accordingly. The incidence rate is reported to be 7% before the age of 55, and it can increase to 18.5% to 75% after the age of 60. Psychological factors are the main cause of erectile dysfunction; However, it is still unclear how these psychological factors affect sexual function. Since each person has different personality traits, living environment, social experience, and psychological state, they may have different effects on sexual function. However, psychological factors such as mental tension and anxiety are present in almost all people with sexual dysfunction to varying degrees, and are considered to be the primary factors causing sexual dysfunction. Because excessive mental stress affects the release of central nervous system transmitters, sympathetic nerve excitement and endocrine hormone regulation imbalance, all of which can cause erectile dysfunction. In addition, sexual ignorance or incorrect sex education, psychological trauma, family and husband-wife disharmony, fatigue, and an unsatisfactory sex life environment are also psychological factors that affect erectile function. Organic factors are seen in genital dysplasia, such as micropenis, double penis, congenital penile curvature, epispadias or hypospadias, penoscrotal displacement, etc. Surgery or trauma such as prostatectomy, radical surgery for rectal cancer, resection of abdominal aorta tumor, vertebral fracture, paralysis, pelvic fracture, penile or urethral injury, etc. may damage the nerves or corpus cavernosum. Among endocrine diseases, especially diabetes, erectile dysfunction is 2 to 5 times higher than other people. Its pathogenesis is mainly due to neurological and vascular lesions caused by metabolic abnormalities. There are also primary hypogonadism, thyroid, adrenal, pituitary dysfunction, nervous system diseases, vascular diseases, systemic diseases, smoking, alcoholism and other bad habits. In addition, many drugs can cause erectile dysfunction. Common drugs that affect sexual function include antihypertensive drugs such as pheniramine, methyldopa, reserpine, propranolol, clonidine, phentolamine, etc.; heart disease drugs include digoxin, coronary artery disease, etc.; diuretics include spironolactone, furosemide, etc.; antipsychotic and sedative drugs include diazepam, amitriptyline, phenothiazines, etc.; antiandrogen drugs include estrogen, progesterone, gonadotropin-releasing hormone, ketoconazole, etc.; in addition, there are barbiturates, phenytoin sodium, cimetidine, indomethacin, antihistamines, etc. |
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