Feeling funny down there? Things not as hard as it should be? Having trouble rising to the occasion? Sometimes, it is best to just grab things by the horns and address the giant elephant in the room: erectile dysfunction (ED) can happen. Rather than dealing with it by yourself – much to you and your partner’s chagrin – you’re better off seeking professional help. But not all hope is lost as with proper diagnosis and professional help, you can easily improve your condition with oral PDE5 therapy.
Overview of Erectile Dysfunction
Erectile dysfunction, sometimes known as impotence, is the inability to maintain an erection for satisfactory sexual intercourse. For most men who are over 40 years old, it is a common disorder affecting their ability to be sexually aroused.
Getting hot and bothered is a complex process requiring many participants: the brain, hormones, emotions, nerves, muscles, and blood vessels. Should there be any problem from these key players, impotence can occur. Add in psychological stress, physical issues and mental health problems such as depression, it can be a recipe for disaster – or indefinite frustration. However, in some instances, underlying health issues can contribute to erectile dysfunction. These include:
- Heart disease
- Clogged blood vessels
- High cholesterol
- High blood pressure
- Parkinson’s disease
- Multiple sclerosis
- Prescription medication
- Tobacco use
- Scar tissue inside the penis
- Substance abuse
- Enlarged prostate
- Surgery in the pelvic area
- Low testosterone
A Personal Touch
Basically, the symptoms of erectile dysfunction are frequent problems that relate to getting and maintaining an erection. According to a study, three months of continuing erections problems is sufficient for a diagnosis.
As men grow older, getting an erection takes longer and even if it happens, the erect penis may not be as hard as before. Because it’s hard to get hard, you may need a more personal touch to get that elusive erection. While not overly concerning, impotence often affects a man’s self-esteem and confidence. Even if it can be embarrassing, all it takes is a visit to a professional especially when erectile dysfunction is coupled with other sexual problems such as premature ejaculation. In the same vein, being diagnosed with other health problems such as heart disease, diabetes and other symptoms should also prompt you to visit the doctor.
Before, treatment of erection problems required vacuum erection devices, penile implants, intracavernosal injections or injections to the base of the penis and intraurethral suppositories or self-injections – invasive methods that sound and look daunting enough to render anything flaccid. Today, there are oral therapy options such as phosphodiesterase (PDE5) inhibitors that have changed the way of treating erectile dysfunction.
Revolutionary Treatment for Erectile Dysfunction
In order to understand PDE5 therapy, we may need to get up close and personal first. During sexual stimulation, nerve terminals release nitric oxide (NO) that triggers a complex cellular process resulting in the production of cyclic guanosine monophosphate (cGMP). This entire process allows blood vessels to dilate and blood to flow into the spongy erectile tissues. PDE5 is an enzyme that breaks down cGMP and blocks the smooth muscle relaxation needed in order to sustain an erection.
Studies have shown that oral medication such as PDE5 inhibitors are revolutionary in treating erectile dysfunction since they do away with more invasive procedures. They grant men safer, convenient and effective methods to combat impotence. It also helps that they are easy to use and the onset of action is immediate. Prescribing these meds depends on a case-to-case basis, considering different factors such as success of completed intercourse, methods of administration, duration of action, cost, adverse effects and precautions. However, using PDE5 therapy still requires some form of good ol’ sexual stimulation to have an erection.
A Satisfying Outcome
Today, having erection problems is nothing to be embarrassed about. According to the National Population and Family Development Board of Malaysia, 16% of Malaysian men aged 40 and above or around 448,000 have moderate to complete cases of erectile dysfunction. This number rises to 60% or 1.68 million, should mild cases be included. But the quicker you deal with it, the faster you can get back in the sack. Seeking professional help and inquiring about PDE5 therapy as treatment will easily solve impotence. With further lifestyle changes to address other comorbidities of erectile dysfunction, you’ll definitely be back at your best in the bedroom in no time.
Hello Health Group does not provide medical advice, diagnosis or treatment.