The most important endocrine system related to men is the secretion of ketones by stromal cells. If the ketone content in the blood is too low, sexual desire will be low, and there will be no nighttime or morning erection, which is not firm and lasts for a short time. However, the function of * * is controlled by the pituitary gland, which in turn is controlled by the hypothalamus. Therefore, endocrine disorders caused by low levels of testosterone can be divided into two types: primary and secondary. Elevated prolactin is also a common cause of impotence. Other endocrine diseases, such as hyperthyroidism, can also cause decreased libido and sexual ability. This is because hyperthyroidism can increase estrogen levels and inhibit sexual function.
(1) Erectile dysfunction caused by insufficient arterial blood supply (ischemia)
Normal erections rely on sufficient blood supply from the arteries, filling the cavernous sinus and achieving an erection state. However, as age increases, the elasticity of the arterial wall in the human body decreases, and some patients may even experience arteriosclerosis. These can cause insufficient arterial blood supply to local organs and tissues, leading to symptoms such as weak yang lift or short erection time. This type of patient not only has internal arteriosclerosis affecting sexual function, but also may experience sclerosis in other parts of the body and organs and arteries.
(2) Rapid venous reflux
This is because the arterial blood has not yet filled the cavernous body completely, that is, it flows away from the veins of the penis and cannot reach the erectile state. Because the high pressure generated by the cavernous sinus blocks a large amount of venous blood return, impotence occurs. In the process of blocking * * blood reflux, the tension of * * corpus cavernosum smooth muscle cells also plays a very important role. If the contraction function of smooth muscle cells is weakened due to various reasons, even if there is sufficient local blood supply, normal erection cannot be maintained. Therefore, the impotence caused by excessive venous reflux is closely related to the condition of arterial blood supply and the normal function of smooth muscle cells in the corpus cavernosum.
(3) Neuroconductive disorders
Spinal cord injury, tumor, diabetes, surgery, etc. can cause nervous dysfunction of local conductive excitement and cause impotence.
(4) Endocrine dysfunction
Hypothalamic pituitary dysfunction, reduced gonadotropins leading to a decrease in luteinizing hormone or follicle stimulating hormone, an increase in prolactin, and a decrease in testosterone levels. These pathological changes can lead to decreased libido and erectile dysfunction in patients. In addition, sexual dysfunction can be caused by hyperthyroidism or hypothyroidism, insufficient adrenal function, and increased cortisol.
(5) Some serious systemic diseases
High fever, malignant tumors, cerebral palsy, myasthenia gravis, multiple sclerosis, severe heart disease, pulmonary insufficiency, malnutrition, liver dysfunction, renal insufficiency, etc. can all cause permanent or temporary sexual dysfunction.