Erectile dysfunction (ED) is extensively cited currently within both the medical professional and untrained public communities, and many know its basic meaning and orientation to sexual dysfunction. Nevertheless, its clinical inferences are wider and very probably not well understood. The clinical condition, usually stated as ED, is precisely described as the failure to reach and maintain a satisfactory erection of the penis to permit sexual intercourse adequately. This definition states that the term erectile dysfunction is used as a descriptive symptom, as it portrays erection trouble or inability without specific ascription to a medical illness.
However, ED is indubitably connected to original adverse health conditions and risk factors, and clinical evaluation is used to inaugurate the ostensible clinical association. Present biomedical progresses in sexual medicine confirm its actual pathophysiologic foundation and upkeep its strong relations with clinical health and ailment. Besides, afar its manifold relations with health co-morbidities, ED seems also to convey lasting health risks and unpleasantly effect subsistence.
Men who identify a flaw in their aptitude to attain an erection might not directly diagnose that ED is the difficulty. The quality of man’s erections worsens progressively over time. So, men may be ambiguous whether their erectile problems are enduring or provisional and may pause to understand if ED resolves without any treatment ( silagra 100mg) . Reasons for such apathy are the faith that absence of complete erection was part of a normal aging, sexual indolence, and lack of insight of ED as a medical disorder, mortified to talk with a physician about sexuality. Also, the disgrace or embarrassment of having ED may lead to abjuration of the problem.
The incidence of ED is hence, often underrated. This problem is further augmented by a bad clinical practice, in which experts or general physicians do not examine sexual habits while management of other conditions. Many men with risk factors related with ED have ED, with those who had modest or severe dysfunction; though, the responsiveness of these men of having ED is frequently little.
Considering the negative impact that ED has on quality of life and that it may often respond to treatment, ED should be suspected and assessed in men with risk factors, such as cardiovascular disease or presence of cardiovascular risk factors, diabetes mellitus (DM), and lower urinary tract symptoms (LUTS), irrespective of their seeming level of awareness of ED. Benign prostatic hyperplasia (BPH) causes LUTS and about 70% of men with LUTS/BPH have simultaneous ED. This occurrence is 35% to 95% and upsurges with the severity of LUTS. Frequently patients referring for LUTS/BPH have ED and vice versa. The prevalence of this comorbidity increases with advancing age; the severity of one disease often relates with the other, with most men who required treatment for either LUTS or ED having both conditions. LUTS/BPH and ED have same risk factors indicating the common disease mechanisms for these conditions. Certainly, metabolic status, swelling, and the hormonal status might affect disease mechanisms of BPH and ED.
Therefore, currently prospected therapeutic approach is common for these two conditions. The main possible risk factors for LUTS/BPH and ED are as follows:
• Sedentary lifestyle and lack of exercise
• Cigarette smoking
• Excessive alcohol intake
• Hypertension and cardiovascular disease
• Obesity/waist circumference
• Type 2 diabetes mellitus
• Genetic predisposition