Erectile dysfunction (ED) is a condition in which a man can’t achieve or maintain an erection during sexual intercourse. You can work with a health care professional to treat an underlying cause of your erectile dysfunction. Choosing an ED treatment is a personal decision. The expert urologists, Dr. Amin Mirsadeghi will review all new best treatments for ED in the world and in Iran.
In this article we discussed about Erection Dysfunction causes completely.

As we mentioned here, in anatomy of erection there are two kind of reasons for having ED problems:

1. Physical Causes of ED
   The first cause is the affection of all diseases that in the genital tract and erectile function. As a result, a person is not experiencing an erection or a complete erection. The treatment of erectile dysfunction in these patients is advised by urologist.
2. Emotional Causes of ED
   The second cause is due to psychological or stress problems that cause the person to mentally not be an erection or not to have a relationship with their sexual partner. At the same time, his body is healthy and the genital tract has no problem. The treatment of these patients is the responsibility of psychologists.

Physical causes of erectile dysfunction

• There is not enough blood flows into the penis
• The penis cannot trap blood during an erection
• Nerve signals from the brain or spinal cord do not reach the penis
• Diabetes can cause small vessel disease or nerve damage to the penis
• Cancer treatments near the pelvis can affect the penis’ functionality
• Drugs used to treat other health problems can negatively impact erections

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Emotional Causes of erectile dysfunction

Emotional or relationship problems can cause or worsen ED. Some emotional issues that can cause ED are:

• Depression
• Anxiety
• Relationship conflicts
• Stress at home or work
• Stress from social, cultural or religious conflicts
• Worry about sex performance 

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Diagnosing the cause of erectile dysfunction in men

There are a wide range of treatment alternatives for erectile dysfunction , however your diagnosis will figure out which treatment choice is directly for you. It is so essential to understand that not all treatment alternatives will work for everybody. A specialist who has had practical experience in men’s sexual health (normally a urologist) will be the most qualified to talk about the entirety of your treatment choices with you. Many specialists will frequently urge you to plan extra catch up arrangements to audit how your treatment is functioning for you or if an alternate choice might be more beneficial . Tests might include:

• Physical Exam – an examination of the testicles and penis
• Blood Tests – Review: heart disease, diabetes, low testosterone and etc.
• Urine Tests – A urine test can help identify diabetes or other potential causes.
• Psychological exam. Check for depression and other possible psychological causes
• Ultra Sound – Conducted by a specialist to determine if there is a lack of blood flow

All Treatment Options for Erectile Dysfunction

As you consider your treatment choices ensure you and your doctor think about the entirety of the alternatives. You might need to search out a urologist. These doctors work in the medicines for erectile dysfunction and urinary incontinence. They can be a magnificent source of data about the advantages of every treatment.

Methods for treatment of ED are classified into two different categories:

• Pharmaceutical methods
• Non-pharmacological methods

Medical treatment methods of ED

Oral medication

There are various professionally prescribed drugs accessible that may improve blood flow to the penis. Commonly used medications are Viagra, Cialis, and Levitra. Combined with sexual stimulation, this can produce an erection. These medications are not for everybody. They can interfere with different prescriptions you are taking and contrarily impact your health. Oral medications are a successful erectile dysfunction treatment for many men. They include:

• Viagra (sildenafil) is one of the best-known ED medications; it takes effect within an hour and usually lasts for three to four hours.
• Cialis (tadalafil) must be taken 30 minutes before sexual activity.
• Levitra or Staxyn (vardenafil) must be taken from 10 minutes to one hour before sex and can be effective for up to 12 hours.
• Stendra (avanafil) can be taken 15 minutes before sexual activity.

All four medications enhance the effects of nitric oxide — a natural chemical your body produces that relaxes muscles in the penis. This increases blood flow and allows you to get an erection in response to sexual stimulation. For best results, men with ED take these pills about an hour or two before having sex. Use these drugs as directed. Around 7 out of 10 men improve erections. Reaction rates are lower for Diabetics and malignancy patients.

Non-oral medication

This method is prescribed for people with no erections. Most people with heart disease and those who cannot take oral medications are placed in this category.

Non Medical treatment methods of ED

Vacuum Erection Devices

The vacuum pump strategy is the following most normal decision among men with erectile dysfunction who pass on pills. To create an erection, you place a plastic cylinder over the penis and pump the air out of the cylinder to force blood to flow into the penis. A versatile ring that you slide onto the base of your penis holds the erection. T This holds the blood in the penis (and keeps it hard) for as long as 30 minutes. his ED treatment gadget is successful for around 75 percent of men.

Laser Therapy

Laser therapy is an alternative treatment that is liberated from reactions for a large group of nerve, muscle, and joint conditions. Sponsored by more than 4,000 examinations around the world, the security and viability of laser treatment has been demonstrated on many people. Treatment comprises of low-intensity sound waves that go through erectile tissue, reestablishing common erectile capacity by getting plaque out of veins and encouraging the growth of new blood vessels

Surgical Treatments

Vein Ligation and Stripping

Vein ligation and stripping is a minor medical procedure. It is utilized to expel a harmed vein and forestall entanglements of vein harm. On the off chance that few valves in a vein and the vein itself are intensely harmed, the vein (or the infected piece of the vein) is expelled (stripped). An entry point is made underneath the vein, an adaptable instrument is strung up the vein to the principal cut, and the vein is gotten a handle on and evacuated.

Varicose veins occur when blood returning to the heart pools inside a vein, causing congestion and enlargement of the vein. Varicose veins typically appear swollen, dark purple or blue, and they often look like large ropes or a cluster of grapes.

Penile prosthetic surgery

Penile prothestic treatment includes precisely putting gadgets into the two sides of the penis. These inserts comprise of either inflatable or pliant poles. Inflatable implants permit you to control when and to what extent you have an erection. The flexible bars keep your penis firm however bendable. An implant is embedded into the penis. Altogether contained inside the body, a pump fills two chambers and makes an erection. When actuated you can keep up an erection as long as you want.

When inflated, the prosthesis makes the penis stiff and thick, which is very similar to a natural erection. A penile prosthesis does not change the sensation on the skin of the penis or a man’s ability to achieve orgasm or ejaculate. Pressing on a deflation valve attached to the pump returns the fluid to the reservoir, which returns the penis to a flaccid state.

Most men with penile implants and their partners say that they’re satisfied with the results, and they return to more spontaneous intimacy.

Ask Your Questions

from Dr. Mirsadeghi

Sources:
https://www.mayoclinic.org/diseases-conditions/erectile-dysfunction/diagnosis-treatment/drc-20355782
https://www.urologyhealth.org/urologic-conditions/erectile-dysfunction(ed)
https://www.everydayhealth.com/erectile-dysfunction-pictures/popular-ways-to-treat-erectile-dysfunction.aspx
https://www.coloplastmenshealth.com/erectile-dysfunction/erectile-dysfunction-treatment/
https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/treatment
https://my.clevelandclinic.org/health/diseases/10035-erectile-dysfunction/management-and-treatment
https://www.verywellhealth.com/erectile-dysfunction-treatments-2329068