Cialis: what causes erectile dysfunction?

What is erectile dysfunction?

At it’s simplest level, this is either a failure to produce an erection when you would expect one or, having started sexual activity, you suddenly find the erection disappears. Either way, this is deeply embarrassing and humiliating when you and your partner are expecting full sexual intercourse.

When would a doctor confirm the diagnosis?

The medical profession is only partly scientific. There are many unknowns that affect the process of diagnosis. So doctors try to play it safe, only confirming a diagnosis when the level of confidence is high. This means they prefer to wait for a pattern of failure to emerge over time. While you may think one failure a catastrophe, doctors suggest erectile dysfunction is only “proved” if it consistently affects you over a period of months. This means a compromise. If you drink too much alcohol and have a single night of failure, this is not erectile dysfunction. But if you find your erection is not hard enough to penetrate over a period of weeks, this suggests a problem to be treated.

Is it a physical problem?

Up to about thirty years ago, the medical profession tended to blame psychological factors. The causes were either an anxiety state producing the self-fulfilling prophesy of poor performance, or it was a depression causing loss of libido, i.e depressed men are less interested in sex. Now, we have a completely different view. The most common cause is artherosclerosis. This is a hardening of the walls of the arteries and, if untreated, it can lead to heart disease. If the walls of the penile artery harden, you will have permanent erectile dysfunction. The three erectile dysfunction drugs work so long as the hardening does not affect more than 70% of the artery. This means you should always have a checkup to establish the precise physical cause.

What to do if artherosclerosis or diabetes is confirmed?

As preventive treatment for artherosclerosis, you have to take a statin to reduce the level of carbohydrates in your blood and make lifestyle changes if you want to avoid a stroke or heart attack. If diabetes is confirmed, you need treatment to prevent damage to the nerve endings which can produce permanent erectile dysfunction. In both cases, the treatment is relatively cheap and highly effective. Adding generic Cialis will restore the erections while the other drugs do their work.