In varying degrees, the erectile dysfunction to over 100 million men worldwide. From defaillance temporary impotence ultimately for each disorder - and for each of its causes, today there is no cure.

Defined as the inability to obtain or maintain adequate stiffness to the normal conducts of a sexual relationship, in particular the penetration, erectile dysfunction is very common and depends on three main factors:

The situation of couples (for example, 50 years erectile dysfunction is more common in single, widowed and divorced than in married men), age, and associated diseases that may interfere with the mechanisms of erection. Define the circumstances in which it occurs impotence is the first step of treatment, during which will be specified in the characteristics of the dysfunction: lack of or insufficient duration of the erection stiffness, impaired or abnormal sensitivity of the penis, presence or absence of desire sex, presence or absence of nocturnal erections or morning, during masturbation or in front of a visual stimulus. These are the elements of the first evaluation to help diagnose due to a predominantly organic or psychological.

The problem is a disorder of the erection of a sexual nature and is called erectile dysfunction. Erectile dysfunction is presented as the inability to achieve an erection sufficient to introduce the penis into the vagina and have the resulting sexual intercourse.

The penis consists of spongy cavernous tissue and traversed by veins and arteries that import blood expel him. During sexual arousal, the arteries that supply blood to the cavernous and spongy tissues are dilated while the veins constrict. Accumulates, therefore, blood and tissue is reached, thus, an erection. This condition can be checked during the erectile process.

The treatment of erectile dysfunction is a complex process that requires going through a phase of thorough evaluation of the problem in order to exclude possible medical causes, to get to the cognitive-behavioral treatment (or mansionale), the only psychological treatment that has demonstrated good efficacy in the treatment of these disorders of erection.

The main medical tests to rule out various possible organic causes of erectile dysfunction are:

• Erettrometria night, useful to verify the presence of involuntary erections during sleep.
• Hormone assays, in particular prolactin and testosterone, which may affect the reaction of erection.
• Penile Doppler, arteriography and cavernosography, useful to evaluate the possible vascular dysfunction.
• Sacral evoked potentials to assess the integrity of nerve pathways involved in the reaction of erection.
• Test to palavering, injection of this substance vasodilator in the penis, which is useful to assess its operation.
In case you apportion of organic causes, will be the urologist or urologist to consider pharmacological remedies, hormonal or surgical treatments for erectile dysfunction.

If, however, that the problem is clearly psychological, the best solution is a process of cognitive-behavioral psychotherapy , which address the main factors in maintaining the problem, such as performance anxiety, stress and other circles vicious dysfunctional.

This is a very direct form of therapy to the problem, which is addressed through specific techniques, but that does not neglect, if necessary, the analysis of the deeper psychological aspects, related to the structure of the subject’s personality, his relationships, his ideas and beliefs relating to sexuality, its history of living and socio-cultural context in which it grew.

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