When men have sex, they can only successfully complete sex if their penis is erect. However, in real life, many men have the experience of not being able to get an erection, which is one of the typical symptoms of impotence. There are many reasons for impotence, and it is necessary to adjust accordingly according to different reasons to improve this problem. Below, I will introduce the main reasons why men cannot get an erection! 1. Why can't I get an erection? It may be due to age. Current research suggests that age is the strongest independent factor among ED-related risk factors. As age increases, the serum androgen level decreases significantly, which may be the direct cause, but there is no research result proving that there is a significant relationship between the decrease in serum free testosterone and ED. In addition, as age increases, the structure of the penis tunica albuginea and corpus cavernosum changes, which may lead to a decrease in venous blood return capacity, an increase in the prevalence of cardiovascular and cerebrovascular diseases, hypertension, diabetes, and the treatment of these diseases, all of which damage the penis' erectile function to varying degrees, and this trend also increases with age. 2. Cardiovascular disease Cardiovascular disease is the main somatic disease associated with ED, including atherosclerosis, peripheral vascular disease, hypertension and myocardial infarction. Cardiovascular disease causes arterial ED by affecting the arterial blood supply to the corpus cavernosum. Some studies have also found that ED may be the primary manifestation or "warning signal" of cardiovascular disease. 3. Diabetes Diabetes can affect erectile function by affecting the autonomic nervous system, peripheral vascular system and psychoneural system. The severity and prevalence of ED are significantly related to factors such as age of diabetes, type of diabetes, blood sugar control, diabetic neuropathy, diabetic nephropathy and hypertension. 4. Chronic prostatitis Some patients with chronic prostatitis have symptoms such as premature ejaculation, loss of libido, erectile dysfunction and ejaculation pain. The mechanism of sexual dysfunction caused by chronic prostatitis is unclear. Most scholars believe that anxiety, depression, inferiority, loss of energy, fatigue, suspicion and insomnia are the main causes. The recurrence and non-healing of long-term testicular swelling and pain, perineum and penis discomfort, lower urinary tract symptoms, etc. also increase the psychological burden of patients. Since the sexual dysfunction of most patients with chronic prostatitis is caused by psychological factors, in addition to drug treatment, more psychological counseling and treatment are needed. |
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