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Erectile Dysfunctions

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Erections & Erectile Disorders


Types of Erectile Disorders
There are four areas of normal sexual function — libido (desire), erection, ejaculation and orgasm. Problems in these areas can occur separately or in combination. For example, erectile dysfunction can often affect libido and ejaculation, especially when the erectile dysfunction persists. The following table highlights the various causes of sexual dysfunction (excluding impotence). Each problem, regardless of cause, is potentially treatable. If due to erectile dysfunction, they may resolve spontaneously when the erection problem is successfully treated. If not they need to be addressed separately.

  Type of Dysfunc-
tion
Psychological Cause Organic (Physical) Cause Treatment
Libido Low - depression
- stress
- hormonal
- medication
- secondary to organic erectile dysfunction
- testosterone
- antidepressants
  High - obsession
- unfulfilled sexual desire
- hormonal
- secondary to organic erectile dysfunction
- antidepressants
Ejacula-
tion
Early - anxiety - secondary to organic erectile dysfunction - antidepressants
  Delayed - inhibitions
- depression
- anger
- stress
- alcohol
- medication (particularly antidepressants)
- sex therapy
  Unable - inhibitions
- usually is associated with difficulty achieving orgasm
- spinal cord surgery
- medication (some antidepressants)
- extensive pelvic surgery
- radical prostatectomy & diabetes may cause "retrograde" ejaculation
- sex therapy
Orgasm Prolonged/ Unable - inhibitions
- depression
- anger
- secondary to low libido
- medication (some antidepressants)
- extensive pelvic surgery
 

Our major area of interest is in erectile disorders.


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