Erectile dysfunction: how to recognize that it is a serious problem | The Independent

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[This article was originally published in 2017.]

Erectile dysfunction (ED) is defined as the inability to maintain an erection sufficient for sexual activity. Up to 52% of men between the ages of 40 and 70 will have experienced erectile dysfunction and this is age related.

However, many young men today also experience erection problems. Stress, relationship worries, alcohol, smoking, drugs, a late night or worry are just some of the causes of erectile difficulties.

How many of you reading this today have experienced a time when an erection doesn’t come on as expected, is less stiff than expected, or came on and then, to your horror, went away?

What is the erection hardness score?

Pfizer developed the Erection Hardness Score as a self-report measure that rates erection hardness on a four-point scale.

The purpose of the scale was to help men, their partners, and doctors diagnose erectile dysfunction. Essentially, one is soft and four is hard. The food analogy can aid the imagination.

Grade One (marshmallow): the penis is bigger but not hard.

Second grade (peeled banana): The penis is hard but not hard enough for penetration.

Grade three (unpeeled banana): The penis is hard enough for penetration but not completely hard.

Fourth year (cucumber): The penis is completely hard and completely rigid.

Erectile problems can cause immense distress in relationships and in individuals. It is very easy to panic and think the worst and question everything. Some men fear they have caused penis damage by masturbating, partners fear they are no longer attractive, the list is endless.

It is important to recognize that every man in his life will at some point have days when an erection can be unpredictable. Many find that a few weeks or days later the problem resolves on its own. It is therefore important to be realistic.

If you have nocturnal and spontaneous erections during the day, it is a good sign that the blood flow and innervation of the penis are working well.

First of all, it is always useful to remember that even if you may have had spontaneous erections without any direct contact with the penis and a minimum of foreplay, there will come a time when you will need more stimulation to become sexually aroused. . .

Erectile dysfunction can often occur alongside urinary symptoms, while being a warning sign of underlying vascular disease and diabetes. It is therefore particularly important that blood pressure, cholesterol, blood sugar and urinalysis are all within normal limits. Your doctor may also suggest a genital exam.

Over 50% of men with diabetes will experience erection problems at some point. This is linked to insufficient blood supply to the penis, peripheral neuropathy, poor blood sugar control, treated or untreated high blood pressure, low testosterone, obesity, and a history of smoking. .

Men with diabetes must make a real effort to exercise regularly, control their diet, lose any excess weight, get regular check-ups, and control their blood sugar.

There are a variety of treatments now available to treat erectile failure. However, they should be prescribed by a doctor and not purchased online due to safety concerns and contraindications.

The Health & Social Care Information Center (HSCIC) noted that there has been a 25% increase in Viagra sales over the past 12 months.

It is obviously very well known and sold online, but young men who use this drug to enhance their sexual performance, last longer, or impress their partners should be aware that online drugs may be fake and dangerous, and may interfere with sexual dysfunction. It is always best to consult your doctor, especially since erectile dysfunction may be a symptom of another underlying problem.

The best exercises to help you are staying in shape, eating healthy, and pelvic floor exercises – plus foreplay.

the Sexual Advice Association has additional advice on the causes and treatments of erectile dysfunction.

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