Erectile dysfunction is defined as the inability to attain or maintain a penile erection “sufficient for satisfactory sexual performance”. The causes of erectile dysfunction are categorized as organic, psychogenic, or mixed. Organic aetiologies account for 80% of cases and include vascular, neurogenic, hormonal, or drug-induced. Vasculogenic erectile dysfunction now accounts for most organic erectile dysfunction due to abnormalities in penile arterial inflow and venous outflow.
Benign Prostatic Hyperplasia
Benign prostatic hyperplasia (BPH) and sexual dysfunction (SD) are highly prevalent conditions, frequently coexisting in the same aging male group. This association can be partly explained by the high prevalence of comorbidities (e.g., hypertension, dyslipidemia, diabetes) in older men, often suffering from BPH, which are risk factors for erectile dysfunction (ED). On the other hand, BPH seems to impact sexual function both directly and indirectly negatively.
Unlike in women, in men the biological functions that are needed for procreation, are not characterized by a rapid decline such as is observed in women’s menopause. Nonetheless, a rather steady decline in serum testosterone levels and sperm quality is observed as men age, indicating, from an evolutionary biology standpoint, that the importance to procreate diminishes when men age. This is also reflected in the fact that erectile dysfunction, which is characterized as “the inability to get and keep an erection firm enough for sex” is more common as men age.
Let's talk about sex
In the article “How important Is Sex To Health” pharmacist Carol Petersen discusses how lifestyle factors, such as smoking and poor diet, and diseases, such, diabetes, hypertension and obesity, are contributors to poor sexual performance. She further presents beneficial effects of sex and orgasms on men’s health.
Let's talk about sex
Although the reasons for engaging in sex are numerous and psychologically complex, experiencing sexual pleasure is one of the most frequently endorsed sexual motives in both men and women (Meston & Buss, 2007). The elements that define sexual pleasure and how it can be achieved, however, are diverse and individually determined. Couples may commonly find themselves in a loving and long-term relationship, and still be voided of sex. They might engage in sexual activity only a few times each month, or not engage in any sexual activity at all for several months.
Erectile dysfunction ED is a shared sexual disorder for both the men with ED and their sexual partners, but this fact is often underestimated by affected men or treating physicians.1