As a man ages his refractory period increases. The length of the interval between erections varies based on age, his health, and whether he is sexually active on a regular basis. A young, sexually active man in good health may be able to get an erection after just a few minutes, whereas a man in his 50s or older may have to wait 24 hours. One reason may be that nerve function slows with age. But refractory periods can also vary significantly in men of similar age. Some women are capable of a rapid return to the orgasm phase with further sexual stimulation. Some women may also experience multiple orgasms.
Erectile Dysfunction – Causes
Less than 20 years ago, the prevailing view about ED was that it was almost always a psychological problem, requiring treatment through sex therapy or marital counseling. During the past decade, medical studies, drug research, and socially-acceptable discussion of the topic have changed the common understanding of ED. The development of new treatments for ED and better understanding of some of the medical causes of ED has shifted the focus from the therapist’s office to the physician’s office. Experts at the National Kidney and Urologic Diseases Information Clearinghouse believe that psychological factors such as stress, anxiety, guilt, depression, low self- esteem, and fear of sexual failure cause 10% to 20% of ED cases. Men with a physical cause for ED frequently experience the same sort of psychological reactions (stress, anxiety, guilt, and depression,Buy Cheap Viagra Online Uk). Very often an erectile problem will have more than one cause—psychological, physical, or a combination of the two. Distinguishing between psychological and physical causes is critical in the effective treatment of the condition. As discussed earlier, an erection is a complex process requiring a precise sequence of events. If any of the events is disrupted, ED can result. The effects of aging on erectile function have been studied, but while the rate of erectile dysfunction in the male population increases with age, aging itself does not appear to be the cause. As a person ages, their exposure to known ED risk factors increases, through either lifestyle, genetics, etc., and other factors. The most common causes of ED result from damage to arteries, nerves, smooth muscles, and fibrous tissues, and are often associated with disease. Diabetes, kidney disease, alcoholism, multiple sclerosis, atherosclerosis, vascular disease, and neurological disease account for about 70 percent of ED cases. Furthermore, studies have shown that between 35 and 50 percent of men with diabetes experience ED. While the aforementioned causes may be the most prevalent, there are many others. These are discussed below: Physical (Organic,Cheap Viagra Online Uk) Causes Brain or spinal cord injury - injuries that damage nerve fibers involved in penile erection may cause erectile dysfunction. Congenital abnormalities – Any abnormality, or birth-defect, which affects the necessary mechanisms of an erection, can cause ED. An example would be the rare case of malformation of the cavernous bodies of the penis such that complete erection would be impossible. Diabetes—Men with diabetes are twice as likely to experience erectile dysfunction as men without the disease, making it one of the most common causes of erectile dysfunction. ED occurs in diabetics at younger ages than men in the general population. Both forms of diabetes—type 1 and type 2—increase the risk. Diabetic men usually develop erectile dysfunction gradually over a period of months or years. Initially, the erection may not be as rigid as it once was or, perhaps, cannot be sustained. Sometimes erectile dysfunction may be indicative of the onset of diabetes. Diabetes can cause ED in at least two ways: It can harm the nerves that instruct the arteries in the penis to dilate, and it can restrict blood flow to the penis by damaging blood vessels. People with diabetes often have high blood pressure, high cholesterol, and high blood sugar—all conditions that can further impair blood vessels and blood flow. Blood pressure – in a study from Wake Forest University Baptist Medical Center, John Spangler, M.D. reported to the American Society of Hypertension.