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Erectile dysfunction (impotence): causes
Last reviewed: 23.04.2024
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[Psychogenic causes of erectile dysfunction (impotence)
- Situational features.
- Neuroses.
- Dependence on psychotropic substances.
Organic causes of erectile dysfunction (impotence)
- Vasculogenic.
- Cardiovascular diseases:
- Arterial hypertension.
- Atherosclerosis.
- Diabetes.
- Hyperlipidemia.
- Tobacco smoking (penile angiospasm).
- Lerish's syndrome.
- Venous occlusal disorders.
- Operative interventions or radiation effects in the pelvic and retroperitoneal space.
- Neurogenic.
- Diseases of the brain and spinal cord (Parkinson's disease, stroke, neoplasms, multiple sclerosis, trauma, lesions of intervertebral discs).
- Peripheral neuropathies (diabetes mellitus, alcoholism, chronic renal failure, polyneuropathy, surgical interventions in the pelvic and retroperitoneal space).
- Hormonal.
- Hypogonadism (congenital, acquired, age).
- Hyperprolactinemia.
- Hyperthyroidism.
- Hypothyroidism.
- Illness of Itenko-Cushing.
- Structural (diseases of the penis).
- Peyronie's disease.
- Injury, congenital curvature.
- Sclerotic changes due to cavernitis or priapism. Small penis.
- Hypospadias, epispadias.
Drug causes of erectile dysfunction (impotence)
- Hypotensive drugs (diuretics, beta-blockers)
- Antidepressants
- Antiandrogens.
- Psychotropic and narcotic means.
Classification of erectile dysfunction (impotence)
Erectile dysfunction (impotence) is classified by severity: mild, moderate, severe; and the reasons for its occurrence: organic, psychogenic and combined, i.e. Combining mental and organic factors. It should be borne in mind that psychogenic effects are present in all types of erectile dysfunction (impotence).