It has been scientifically proven that people who do not suffer from ED are in good health, so normal erections are the best measure of public health, as about 52% of men suffer from some degree of ED at the age between 40-70 years (17% mild, 25% medium 10% severe) says Dr. Hammoud Al-Matrafi, a consultant andrologist and infertility treatment, as impotence is a condition that increases with age, but it is not inevitable that a man will develop impotence with age. Due to the sensitivity of the subject, the patient may feel shy and embarrassed and prefer not to delve into it and may ignore it and not resort to consulting the doctor as he considers talking and disclosure a violation of his privacy and perhaps even not preferring to talk and discuss the matter with his wife, which may make the wife think that he is not interested, which increases the aggravation of the problem. Those who suffer from impotence go to a specialist doctor and take advice and treatment.
We would also like to point out that the onset of impotence may be an indicator of some diseases before it is discovered in some people, such as diabetes, high blood pressure, and high blood lipids.
The main causes of impotence
diabetic
Hypertension
High blood lipids
Obesity
Smoking
Lack of exercise
Certain medications (antihypertensives such as diuretics, (B-blocker), antidepressants and psychotropic drugs (
There are other reasons, including some neurological diseases, prostate surgery, kidney failure, and male hormone deficiency
Psychological causes are a small percentage, and it is usually found in younger people.
Diagnosis
In the case of diagnosing these conditions, we use the simplified evaluation, which includes:
Taking a detailed medical and sexual history of the patient.
A detailed clinical examination focusing on prostate diseases, penis abnormalities, symptoms of male hormone deficiency, heart conditions, blood system, nervous system (
Doing some laboratory tests (analysis of sugar, fat, and masculinity)
Treatment
Determine the causes that can be treated, as there is an improvement of 30% in people who suffer from diabetes, pressure and high fat when controlled.
Contribute to educating patients.
The use of some auxiliary drugs such as PDE5 Inhibitors, including Levitra (Vardenafil), Viagra (Sildenafil), Cialis or Snafi (Tadalafil), knowing that all of these drugs have the same mechanism of action with different duration of treatment effect and the beginning of the treatment effect and its relationship to fatty foods, so it is preferred to take them Two hours after eating or half an hour before eating to get the desired effect. We would also like to mention that people who use medicines containing nitrats are prohibited from using any of these medicines and take precautions for those who take alpha-blocker medicines.
Injections that are given into the penis if the patient does not respond to the auxiliary drugs, and these are taken when needed and have a temporary effect.
Use of vacuum devices
Penile Prosthesis implantation
We would like to mention some natural substances that benefit people with a mild or moderate condition as they help in enhancing and stimulating the erection process such as
Dark Chocolate
Berries (blackberries, red, wild berries)
pomegranate juice
to avocado
the banana
eggs
Kiwi
Coffee
Nuts
Fish, especially fatty fish, such as salmon.
What are the best ways to improve sexual performance?
Erectile dysfunction, in addition to being a problem in the marital relationship, is considered an early indicator (early warning) of heart disease, as erectile dysfunction occurs many years before the occurrence of these diseases, and the explanation for this is that hardening and blockage of the arteries is the first thing that affects small arteries such as the arteries of the penis as well as erectile dysfunction It may happen several years before diabetes develops
Nine natural rules for improving sexual performance in men
Eating berries, especially black berries: Eating dark fruits such as berries of all kinds, as they are rich in substances called (Anthocyanin''s), which are powerful antioxidants that have an effective role in erection, as they attack free radicals (Free Radicles) that if their level rises With the blood, it reduces the level of nitric oxide (Nitric), which is one of the most important substances responsible for the erection process.
Quit smoking: If you insist on continuing to smoke and accept that you are vulnerable to heart disease, brain stroke, lung cancer, bladder cancer, then how if you had sexual dysfunction in your youth in addition to these serious diseases that are the cause of your early death. Smoking leads to damage at the level of small arteries, such as the arteries of the penis, and thus to erectile dysfunction. New studies confirm that men quitting smoking at the age of fifty or earlier can lead to the negative effect of smoking at a high rate. Also, research at the Royal College of Surgeons in Ireland confirmed that fish contains an amino acid called (Taurine) that plays an important role in reducing the damage to the arteries caused by smoking. Also, drinking two cups of grapefruit juice might reduce the effect of smoking on the body.
Try to relieve stress as much as possible: Stress leads to the release of epinephrine, which leads to atherosclerosis.
Snoring treatment: For people who suffer from snoring suffer from lack of oxygen during sleep, all body tissues need oxygen and penile tissues are sensitive to lack of oxygen and snoring leads to depriving those tissues of oxygen, so we recommend treating snoring at the specialist doctor.
Eating dark chocolate: This chocolate contains substances called (Epicatechins) and (Flavonoids), and these substances lead to the release of chemicals that play a role in relaxing the arteries during erection.
Reducing the level of estrogen in the blood: In obese men, the male hormone testosterone becomes more transformed into estrogen, the female hormone in the fat cells, and this plays a negative role in the occurrence of an erection as the level of the female hormone (estrogen) rises in the blood and the male hormone decreases. Testosterone) and thus weight loss and weight reduction plays a positive role in this area.
Chinese acupuncture: It is useful in cases of psychological erection, because in these cases there is an imbalance between the sympathetic and parasympathetic nervous system, and acupuncture helps to restore this balance.
Strengthen the pelvic muscles: About 40% of people who practice pelvic exercises daily for 6 months recover their sexual activity.
Medicines: For people who use some medicines that affect erection, a specialist should see a doctor to replace them with native medicines that do not affect erection.


