Normal male sensual function generally starts with concupiscence or libido involving the stimulation of the brain, nerves, blood vessels and hormones, and therefore the erection of the penile by becoming firm, the discharge of ejaculation and ends finally with having an orgasm. An erection is achieved when the muscles of a group of spongy tissues within the penile, relaxes to permit the inflow of blood into the spongy tissues leading to the expansion and firmness of the penile. To sustain this erection, another set of muscles blocks the outflow of blood once an erection is achieved.

When there is an interruption or impairment of any or more of those processes involved in achieving an erection as a results of several psychological, neurological, hormonal or vascular causes, this may cause the lack of the person to realize or maintain an erection that is sufficient for satisfactory sensual intercourse. This example is what is generally mentioned as premature ejaculation and erectile dysfunction.

Causes of Sensual Dysfunction

For most men the causes of ED or PE are often due to a psychological, neurologic, vascular or drug-induced factor, or a mixture of those factors.

Psychological Causes

Common causes of psychological or sensual disorder includes performance anxiety, work stress, and strained personal relationships or reduced attraction for his partner which might not be related to a relationship problem. Also, past sensual trauma, misconceptions about normal sensual functions, childhood sensual abuse, and suppressed feelings about sensuality are possible causes of psychogenic male sensual health disorder.

Neurological Causes

If there is a possible physical problem with the nervous system, this will cause the event of ED. The male erection system depends on an intact nervous system to function. Therefore any injury to the system involved in erections may cause health disorder.

Diseases like Alzheimer’s disease, stroke, or head injury can cause erectile disorder by affecting the libido, or by preventing the initiation of the nerve impulses liable for erections. Also men with a history of pelvic trauma, pelvic surgery like radical prostatectomy may have injury to the cavernous nerves that control erection. Peripheral neuropathy due to, for instance, diabetes or excessive alcohol consumption can also affect some nerves also as causing ED or PE. This explanation accounts for about less of cases.

Hormonal Causes

Diseases and conditions which decreases the extent of circulating testosterone within the body, like castration or hormonal therapy wont to treat prostatic adenocarcinoma, will decrease libido and impair erections. Androgen and prolactin levels are of particular concern here as a high level of circulating prolactin causes inhibition of gonadotrophin releasing hormone which lowers the extent of testosterone.

Vascular Causes

High blood pressure, hypertension is underlying causative factors for vascular impairment. These conditions cause the partial or complete loss of the power to not only achieve but also maintain an erection long enough for it to be useful to its owner and his partner. Also, high triglyceride and cholesterol, pelvic irradiation treatment of prostate, bladder and rectal cancers may damage blood vessels to the penis over time.

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