The primary steps leading to an Erection

• Stirs up sexual desires and excitement.
   
• Impulse from brain and penile nerves.
   
• Makes the two penile soft muscles to repose.
   
• As the blood flows inside the penis it pump up to becomes firmer, harder, and rigid.
   
• Blood circulation to penis is enhanced
   
• The tunica albuginea membrane around the soft spongy area in penis holds the blood.
   
• The soft penis gets stretched and becomes firmer.
   
• Erection attained.
   

Due to motion of two soft muscles in penis it result in well outcome of blood, and as-soon as the erection is gone the penis moves back to its soft state.
 

What is Erectile Dysfunction?

Erectile Dysfunction causes inability to have strong and hard erection during sexual activities .It has been estimated that over 15 to 30 million men are victim for the ED problems in America .Erectile Dysfunction may be due to physical disorder or partial inability to withstand a continuous erection .This gives a overall sense about the ED problem and the problem may vary according the type of the cases.
 

Reasons that Causes Erectile Dysfunction

Erectile Dysfunctions are due to actions that stops the flow of blood to the penis which results in erection being stopped .The problem may engage nerve impulses in the brain, depression, mental processes, fibrous tissue, spine ,veins ,arteries in and around penile region(corpora cavernosa).
 

The ED may create many problems and can cause damages to nerves, veins, arteries, impulse in the brain, fibrous tissues these are mostly from diabetes disease, kidney problems, multiple sclerosis, vascular disease, and neurological disease. It has been quoted that 35 to 50% of diabetes patients undergo ED problems.
 

More inactive lifestyle usually leads to heart problem and vascular problem in our body and results in possibility of ED .Various lifestyle behavior such as smoking, excess fat, obesity, no regular exercises can result in outcome of ED .Smoking is the main cause for ED as they can intercept the sequential flow of blood through the veins and arteries and leads to hormonal abnormalities.
 

Other reasons such as Surgery, normally Radical Prostate and Bladder Surgery for Cancer can injure nerves and arteries near the penis, results in ED .Any sort of Injury to the penis, spinal cord, prostate, bladder, and pelvis can results to possibilities of ED by damaging nerves, smooth muscles, arteries, and fibrous tissues of the corpora cavernosa of the penis. Moreover, many medicines like blood pressure drugs, antihistamines, antidepressants, sedatives and even appetite suppressants can result in ED due to side effect.
 

It is also been found that mental issues such as stress, guilty, depression, fear, inability in sexual life, nervousness all can be a cause for ED .men with physical reasons for erectile dysfunctions feels that physiological issues are added cause for them for ED.
 

It is believed that psychological factors such as stress, anxiety, guilt, depression, low self-esteem, and fear of sexual failure cause about 20% of ED cases. Men with a physical cause for ED frequently experience psychological reactions to some extent as well, making psychological factors the secondary cause for the problem.
 

How to Identify Erectile Dysfunction

The first steps taken by the doctor is a total assessment to know where and how the problem are being developed, other psychological conditions and medicines are taken as per the condition. If there are sign for any sort of problems then blood test are taken to check hormonal levels and to eradicate following possible disease.
 

Additional specialized clinical tests may also be done:

Penile nerve function:
physical test are conducted to examine whether enough nerve sensation in the penis . if the patients has damaged nerve in the penis ,other related test should be done in order to examine the touch sensation in genital region

Penile nerve function:
Physical test are conducted to examine whether enough nerve sensation in the gentile region .If patients has damaged nerve in the penis, other related test should be done in order to examine the touch sensation in penile region.

Nocturnal penile tumescence (NPT):
Normally men can witness 5 to 6 erections during their night, in their sleep, if there are lack of it then there might be problem with nerve function or arterial circulation in the genital point. Various formulas are undertaken to determine the changes in firmness and growth of the penis during the nocturnal erections

Ultrasonography:
Duplex ultrasound is used to determine the adequacy of arterial circulation in the penis, i.e. blood flow, scarring of erectile tissue, signs of atherosclerosis and venous leak .The test are conducted before and after injecting an external medication to check if there enough blood flow to the penis.

Cavernosometry:
Cavernosometry examines the vascular pressure in the penis. A dye is injected into the veins and arteries of the genital area to view any possible peculiarity in the arterial circulation in the penis.