Erectile Dysfunction

Erectile Dysfunction

The inability to achieve or maintain an erection of the penis sufficient for the sexual satisfaction of both partners is known as erectile dysfunction, also known as ED or impotence.

Etiology

• Since blood arteries play a major role in erections, it is not unexpected that diseases like atherosclerosis and diabetes are the most frequent causes among older men.
• Another potential vascular reason is a malfunctioning voen that allows the blood to leave the penis too rapidly. Erectile dysfunction can also be brought on by other physical conditions, hormonal abnormalities, and certain surgical procedures.
• The neural system regulates the vascular processes that result in an erection, and certain prescription drugs may interfere with essential nerve impulses as a side effect. Numerous stimulants, sedatives, diuretics, antihistamines, and medications for high blood pressure, cancer, or depression are among the potential offenders.
• Others: Alcoholism, Parkinson's disease, cirrhosis, stress, and spinal cord injury

Treatment

• Cardiovascular patient: ED patients with cardiovascular illness are aggressively advised to modify their risk factors, especially their lifestyle. Before starting treatment with a phosphorus terse type 5 (PDE5) inhibitor, patients with significant heart illness, exertional angina, or who are using many antihypertensive drugs should consult a cardiologist.
• PDE5 inhibitors are the most widely utilized medication for ED in contemporary practice. These medicines contain the active ingredients sildenafil, vardenafil, tadalafil, and avanafil.
• Androgen treatment

Nursing Implications:

Here are some ways to teach and promote sexual health:

• Respect an elderly person by using his preferred method of address.
• When appropriate, compliment an older person's beauty as a man or female to acknowledge and affirm their sexual identity and pride.
• The impact of stress on sexuality in overall good health.
• Encourage eating and drinking in moderation. Alcohol and excessive food consumption reduce sexual desire and capacity.
• Examine the elderly person's understanding of pharmacological adverse effects and provide any necessary training.
• Refer older people for medical advice about hormone replacement, penuke prostheses, and other sexual activity aids as necessary.
• Try to have written information on sexuality available in all settings that promote wellness because many older people are reluctant to ask questions about it.