The etiology of erectile dysfunction can be divided into two categories: organic and psychological. The organic etiology includes vascular, neural, endocrine and penile factors.
However, it should be noted that these high-risk factors are only conclusions and possibilities after statistical analysis, which does not mean that those with these high-risk factors will inevitably suffer from erectile dysfunction.
① The proportion of patients with cardiovascular diseases such as heart disease and hypertension accompanied by erectile dysfunction was 39% and 15% respectively. Moreover, erectile dysfunction may be a precursor of systemic atherosclerosis.
② Diabetes is one of the most closely related diseases with erectile dysfunction. the prevalence of erectile dysfunction in diabetes patients is 23%~75%. Those who have suffered from diabetes for more than 10 years are twice as likely to have erectile dysfunction as those who have suffered from diabetes for less than 5 years. In addition, poor blood sugar control and smoking increase the risk of disease.
③ The proportion of chronic renal insufficiency with erectile dysfunction is more than 40%.
④ In hyperlipidemia, the higher the total cholesterol in serum and the lower the close lipoprotein, the greater the possibility of erectile dysfunction.
⑤ Multiple sclerosis, stroke, demyelinating disease, Alzheimer's disease and other neurological diseases are all related to erectile dysfunction.
⑥ Hypohypophysis, hypogonadism, hyperprolactinemia, adrenal diseases, hyperthyroidism, hypothyroidism and other endocrine diseases are related to erectile function.
⑦ The probability of erectile dysfunction associated with prostate and penis diseases is more than 40%.
⑧ The probability of ulcerative disease with erectile dysfunction is 18%. Arthritis, allergy, alcoholic cirrhosis, chronic obstructive pulmonary disease, etc. are closely related to erectile dysfunction.
2. Psychological factors
Mental diseases such as schizophrenia, depression and drugs for treating depression are all related to erectile dysfunction. 50%~90% of depression patients have apathy of sexual desire; On the other hand, sexual dysfunction often causes depression, anxiety and other mental disorders.
Diuretics, antihypertensive drugs, drugs for treating heart disease, tranquilizers, antidepressants, hormones, anticholinergics and drugs for treating ulcer disease may all cause erectile dysfunction.
4. Bad lifestyle
① Smoking. The prevalence of total erectile dysfunction in heart disease patients with smoking and non-smoking was 56% and 21% respectively; The prevalence of total erectile dysfunction in smoking and non-smoking hypertensive patients was 20% and 8.5% respectively.
② Excessive drinking. Alcohol has the saying of "improving libido and reducing libido". Foreign studies show that the prevalence of erectile dysfunction in patients with alcoholic liver disease and those without alcoholic liver disease is 70% and 25% respectively. And half of the people still failed to recover their erectile function after years of abstinence.
③ Drug use. Some studies have shown that the prevalence of erectile dysfunction in heroin addicts is 32.2%.
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