Erectile dysfunction are an uncomfortable subject for many men, but they are more common than you think. From young men with performance anxiety to older men with physical causes: anyone can be affected. In this extensive blog we will take you step by step through what erectile dysfunction is, how it occurs, what treatment options there are, and where you can safely and discreetly order medication such as Viagra, Cobra 120mg, Tadalafil or Sildenafil via Kamagra-Original.eu.
What exactly are erectile dysfunction?
An erectile dysfunction or erection problem means that a man is unable to get or maintain an erection firm enough to have sexual intercourse. It is a common problem that can have both physical and psychological causes. Sometimes it develops gradually, in others it happens suddenly. It is important to know that not getting an erection once does not mean erectile dysfunction.
Erectile dysfunction is only considered a clinical problem if it persists for at least three months and structurally impairs sexual functioning.
Who will be affected?
In the Netherlands, approximately 1 in 5 men over the age of 18 regularly suffer from erectile dysfunction. The risk increases with age, but it also occurs frequently in young men - whether or not due to stress, excessive use of porn, drug use or performance pressure.
In the 20-30 age group it occurs in approximately 5 to 10% of men. Above 40 years this increases to 25-40%. And in men above 70 years it is even 60% or more.
How does an erection occur?
An erection occurs when the brain translates a stimulus of sexual arousal into a series of physical responses:
- The brain sends signals through the spinal cord to the blood vessels in the penis.
- The arteries dilate and cause the erectile tissue in the penis to fill with blood.
- At the same time, the veins are closed off so that the blood does not flow back.
- This creates a firm erection that lasts long enough for sexual activity.
In erectile dysfunction, this process fails at some point: either in the brain, the nerves, the blood vessels, or in the hormone balance.
Physical Causes of Erectile Dysfunction
Many erectile dysfunction problems have a physical cause, especially in men over 40. Some common medical causes include:
- Arteriosclerosis
- High blood pressure
- Diabetes mellitus (sugar disease)
- Cardiovascular diseases
- Nerve damage from surgery or trauma
- Hormonal imbalance (e.g. low testosterone)
- Overweight or obesity
- Chronic renal failure
- Neurological disorders such as MS or Parkinson's
Medications for high blood pressure, antidepressants, antacids or sleeping pills can also affect an erection.
Psychological causes of erectile dysfunction
Psychological causes are especially prevalent in younger men. Common factors:
- Performance anxiety
- Anxiety disorders
- Depression
- Stress at work or at home
- Lack of self-confidence
- Bad relationship with partner
- Past sexual traumas
In these cases, the body is physically working fine, but the mind is blocking the sexual response. This can also lead to a vicious circle: one failed attempt leads to more anxiety and fear of failure, which reinforces the problem.
Lifestyle and erection problems
What you do or don't do on a daily basis also has an impact on your erectile function:
- Smoking narrows the blood vessels
- Excessive alcohol consumption damages nerves and lowers testosterone
- Drug use (such as cocaine, ecstasy or speed) negatively affects erection mechanisms
- Too little exercise hinders blood circulation
- Unhealthy eating leads to obesity and insulin resistance
In some cases, a healthier lifestyle can completely reverse erectile dysfunction without medical intervention.
The role of testosterone
Testosterone is the male sex hormone that plays a major role in libido and sexual performance. Low testosterone levels can lead to decreased sexual desire and weak erections.
Causes of low testosterone include: age, stress, obesity, medication use and lack of sleep.
A simple blood test at the GP can provide clarity. Sometimes testosterone therapy is considered, but this is not without risks.
Porn addiction and erection problems
In modern times, we increasingly see young men having erectile problems due to excessive porn use. This is also called PIED: Porn-Induced Erectile Dysfunction. The brain becomes accustomed to extreme stimulation, so that real sexual stimuli have insufficient effect.
The only cure is to kick the porn habit and reaccustom the brain to real-life intimacy.
Diagnosis and examination
If you go to your doctor with erectile dysfunction, you can expect a number of things:
- Discussion about your medical history and sexual functioning
- Any blood or hormone tests
- Control of blood pressure, cholesterol and blood sugar levels
- Psychological questions or referral in case of suspected stress, depression or anxiety
What treatments are available?
The most commonly chosen treatments are:
Medication – PDE5 inhibitors
These drugs increase blood flow to the penis. The three most common are:
- Sildenafil (Viagra) – works after 30 minutes, effective for 4-6 hours
- Tadalafil (Cialis) – works after 30 minutes, effective for up to 36 hours
- Vardenafil (Levitra) – works quickly, effect lasts 4-5 hours
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Psychotherapy
For psychological causes, talk therapy is effective. Sexologists and therapists can help with performance anxiety, relationship problems or self-confidence.
Injection therapy or vacuum pump
In more severe cases, an injection into the penis or a vacuum pump is used to induce an erection. These methods are effective but require proper supervision.
Adjust lifestyle
Eating healthy, quitting smoking, exercising, improving sleep and reducing stress – it sounds simple, but it is effective. Many men notice improvements within 3 months.
Alternative remedies
Herbs such as ginseng, maca, tongue cat ali or l-arginine are often mentioned, but their effectiveness is less scientifically proven. They can increase libido.
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Frequently Asked Questions About Erectile Dysfunction
1. Can you also experience erectile problems as a young man?
Yes. Due to stress, porn use and performance pressure, it is even becoming more common.
2. How do I know if it is psychological?
If you do get an erection in the morning or during masturbation, it is usually not your body's fault.
3. Are erection pills safe?
When used correctly and in a healthy state: yes. Pay attention to interactions with other medicines.
4. Can I order without a prescription?
Yes, you can order erectile dysfunction drugs without a doctor via Kamagra-Original.eu.
5. What is the difference between Viagra and Cobra 120mg?
Cobra contains 120mg sildenafil, twice as much as standard Viagra. It works more powerfully and longer.
6. How long do the resources work on average?
Viagra 4-6 hours, Cialis 24-36 hours, Cobra average 6-8 hours depending on dose.
7. Do erection pills also help with low libido?
No. They help with the erection itself, not with desire. Other approaches are needed for that.
8. Are there natural alternatives?
Yes, but with less scientifically proven effect. Maca, ginseng, tongkat ali are often mentioned.
9. Are erectile dysfunction drugs reimbursed?
In the Netherlands usually not, except for specific medical indications. Ordering online is often cheaper.
Help is closer than you think
Erectile dysfunction is a challenge, but it is not the end of your sex life. By taking it seriously, seeking help, making lifestyle changes or considering medication, you can tackle the problem and restore your confidence. There is no need to feel ashamed – you are not alone.
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Do you have any questions or doubts? Start with knowledge, and take back control of your body and your life.
Disclaimer: This article is informative and does not replace medical advice. Always consult a doctor if you have health problems.
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