Erectile dysfunction (ED) is defined as the consistent inability erotic to achieve or maintain an erection sufficient for satisfactory sexual performance. It is a multifactorial condition involving vascular, neurological, hormonal, and psychological factors.
Penile erection depends on nitric oxide-mediated vasodilation and adequate arterial inflow. Conditions such as diabetes mellitus, hypertension, and hyperlipidemia impair endothelial function, leading to ED.
The American Urological Association recommends comprehensive evaluation, including cardiovascular risk assessment, as ED may precede overt heart disease.
Treatment includes lifestyle modification, phosphodiesterase type 5 inhibitors, intracavernosal injections, vacuum erection devices, and surgical implants when necessary.
Recognition of ED as a systemic health indicator is critical in preventive medicine.
Leave a Reply