In men, during sexual arousal, an erection occurs with increased blood flow to the penis. Erection is the name given to the cycle of trapping blood by the chambers on the penis as a result of sexual arousal and releasing the blood after orgasm. In order for men to perform sexual intercourse, the erection must continue until orgasm. The cases where the erection does not occur at all or cannot be sustained until the end of sexual intercourse is called Impotence in the colloquial language, and Erectile dysfunction(ED) in the medical language.
Especially in societies like ours, where masculinity and power are considered equal, the problem of not being able to get an erection has created a social pressure on people in general, and people who have this disorder hesitate to express this situation. Therefore, being sexually strong has a special importance for men, but this has also prevented people who are sick from applying to physicians. Studies have shown that one out of every 10 men in the world has the problem of impotence. Impotence is a problem that increases in direct proportion to the increase in age. Studies have also shown that only ten percent of patients with impotence apply to physicians for this disease. While some of the men who have impotence problems hide their disease just so that it is not heard by people, some of them do not go to the hospital, thinking that there is no cure.
Absence of an erection or the inability to maintain an erection until the end of sexual intercourse is a condition that can occur in all men from time to time due to stress, fatigue or other reasons. Although this problem, which is mostly temporary, does not need to be enlarged, sometimes this situation can become a psychological problem by being too much magnified by men, and the inability to have an erection, which is actually temporary, can become permanent. If the inability to have an erection continues for a long time, it is possible to talk about impotence and impotence problem. Unfortunately, it is a fact that men experience long-term impotence due to psychological reasons as a result of making the inability to have an erection a major problem.
Since the causes of the problem of impotence were not understood in detail 20-30 years ago, there was often a belief that this ailment was psychological. However, with the emerging scientific developments, it has been determined that the problem of impotence is caused by biological reasons at a rate of 70%. Today, impotence is handled by physicians with both biological and psychological factors. Impotence has both physiological and psychological solutions.
In order to understand why the problem of impotence arises, first of all, it is necessary to look at how the erection of the penis in men is achieved. A number of chemical processes occur in the male body as a result of sexual arousal. Thanks to the nerves on the penis, the speed of blood coming from the arteries increases with sexual stimulation, and this blood accumulates in the chambers on the penis, and this provides hardening of the penis. With the man's orgasm, the loosened vein ensures that this blood collected in the penis is released, and the penis relaxes and takes its normal form. If this cycle, which occurs with sexual arousal in the penis, is interrupted for a physical or psychological reason, impotence or, in medical language, erectile dysfunction occurs.
Studies have shown that 70% of impotence is caused by physical reasons. These reasons can be listed as follows:
The problem of impotence may have biological causes, as well as accompanying biological or purely psychological causes. All men from time to time may encounter the problem of impotence for a short time due to many different reasons such as intense stress, depression, incompatibility with their partners, the environment in which they have sexual intercourse. The important point here is whether the same problem is experienced in cases where these reasons disappear. Men who have the problem of not being able to get an erection for once should not be worried and suspect that they have impotence. However, if this problem persists, they should definitely consult a urologist.
The biggest psychological factor that causes men to experience the problem of impotence for a long time is the anxiety of failure, which is caused by the fear of recurrence of the erection problem once experienced. Men who experience impotence due to the fear of failure can turn it into a vicious cycle and unfortunately experience impotence for a long time, although there is no physical condition that supports this situation.
However, it is possible to treat the problem of impotence in the medical world, whether it is caused by physical or psychological reasons, which all men who have this problem should know.
Urologists are the first doctors to apply to men who have problems with impotence. If urology specialists believe that this disorder is psychological after all the examinations of the patient, they refer it to specialist psychologists. If the impotence problem is completely caused by psychological factors, psychologists take the client to a therapy process with their partner, if possible.
In the last 20 years, many different treatment methods have been developed according to the level of impotence with the studies carried out in the medical world. For this reason, all men who complain about this ailment should see a urologist without hesitation. Many options from drug therapy to shock wave therapy and surgical intervention will be evaluated by urology specialists and a treatment will be applied to the problem of impotence.
Patients who apply with the problem of impotence primarily listen to the history of the disease. The general condition of the patient, such as chronic diseases, drugs used, alcohol and smoking status, if any, are examined. Then, the patient's physical control, blood and, if necessary, urine analyzes are made and the necessary measurements are taken. The male hormone level and hormonal status of the patient are analyzed by hormone tests. In addition to all these, in order to examine the blood circulation to the penis and the condition of the vessels, monitoring is performed with penile color ultrasound image. After all these examinations, physicians make their diagnosis and create a treatment plan.
With the rapid advancement of technology in the medical world, new types of treatment methods have been developed in the treatment of impotence. The most common of these methods is the Shock Wave Method, which was developed for the solution of a problem in the veins of the patient who has impotence. With this method, also known as ESWT, patients can be treated in a very short time without experiencing any pain.
ESWT therapy was first used in medicine in the 1980s in the treatment of urinary stones. Later studies have shown that it can also be used in the treatment of many different diseases. At the beginning of these diseases are chronic wounds, cardiac ismic tissue treatments and impotence treatments. Today, the ESWT method is a highly preferred method because it does not have any side effects, patients do not experience pain during or after the treatment, and continue their normal social lives. The ESWT method is applied completely specific to the patient's condition in cases where it is decided that the patient's erection problem is caused by the vessels on the penis. Studies have shown that ESWT treatment, also known as shock wave therapy, permanently ends the problem of impotence.
ESWT treatment method is applied by sending a high pressure sound wave to different points of the patient's penis with the help of a special probe. In this method, which lasts for two weeks in total, there is a 48-hour break between sessions. During these two weeks, patients can continue their normal social lives and work, and there is no problem in having sexual intercourse. In addition, due to the application of analgesic gel on the penis during the session, the patient does not feel any pain during the procedure. A session takes an average of 15-20 minutes. The results of ESWT treatments appear on average within a month. The majority of patients treated with the ESWT method are permanently cured of their impotence problem.
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