What should elderly people do if they have organic erectile dysfunction? Why do elderly people suffer from organic erectile dysfunction

As age increases, impotence increases among the elderly. According to relevant data, the incidence rate of the elderly over 70 years old is about 30%. The organic factors of erectile dysfunction in the elderly have significantly increased. In addition to a significant decrease in the frequency of sexual activity, the quality of sexual life (sexual interest) of the elderly has also significantly decreased.

The causes of Sexual dysfunction are physiological and psychological, and impotence includes functional impotence and organic impotence. Organic impotence can be divided into direct and indirect causes.

The direct cause of organic impotence:

① The secretion level of sex hormones in the sexual organs decreases: Human sex hormone levels directly affect sexual desire and function, and plasma testosterone levels decrease with age.

② Vascular obstruction: because the elderly are prone to atherosclerosis, such as atherosclerosis involving the dorsal penile artery and the deep penile artery, which will lead to ischemia and hypoxia, intimal hyperplasia, fibrosis or calcification, lumen stenosis will aggravate vascular embolism, and penile sponge will shrink.

③ Venous drainage disorder: because the Cavernous tissue is excessively drained by the vein, such as the congenital or iatrogenic fistula between the Corpus cavernosum penis and the glans, the white membrane vein malformation cannot maintain the penis erection.

④ Arteriovenous fistula: due to the short circuit of the penile artery and vein, the Corpus cavernosum penis sinus cannot be filled, resulting in organic impotence.

The indirect causes of organic erectile dysfunction include:

① Diabetes: The incidence rate of impotence in diabetes patients is 2-5 times higher than that in normal people. According to statistics, nearly 60% of diabetes patients have impotence, but their clinical manifestations are different. The exact reason is not yet clear and is generally believed to be related to the following reasons. After the occurrence of diabetes, the autonomic nerve fibers may swell and burst, and the air foam and the diameter of the axon may change. Neuropathology also found that the blood vessels supplying autonomic nerves in diabetes patients had pathological changes, which affected the nutrition supply of nerves. Therefore, a decrease in neural reflex function leads to impotence.

② Cardio cerebral Vascular disease: In recent years, the incidence rate of cardio cerebral Vascular disease has increased significantly, and the risk factors leading to cardio cerebral Vascular disease mainly include hyperlipidemia, diabetes and hypertension. These diseases are closely related to people's poor lifestyle, such as consuming too much fat, not liking exercise, smoking heavily, drinking excessively, and long-term mental stress. These factors are considered the greatest risk factors for coronary heart disease. Patients with coronary heart disease, firstly, have psychological factors and believe that life and sexual activity cannot be discussed naturally, leading to erectile dysfunction over time; Second, these risk factors will damage the whole body's blood vessels, vascular endothelial cell proliferation, lipid deposition, plaque rupture, platelet aggregation, Atherosclerosis, lumen stenosis, yin artery blood supply insufficiency, impotence.