Erectile dysfunction is sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual activity. A penile erection is the effect of blood filling and being retained in sponge-like bodies within the penis. The process is most often initiated as a result of sexual arousal, when signals are transmitted from the brain to nerves in the penis. Psychological impotence is where erection or penetration fails due to thoughts or feelings rather than physical impossibility. This is less frequent but can often be helped. Notably in psychological impotence, there is a strong response to placebo treatment. Erectile dysfunction can have severe psychological consequences as it can be tied to relationship difficulties and masculine self-image. In most cases, erectile dysfunction is caused by heart disease, atherosclerosis, high cholesterol, high blood pressure, diabetes, obesity, metabolic syndrome a condition involving increased blood pressure, high insulin levels, body fat around the waist and high cholesterol, Parkinson’s disease, multiple sclerosis.
Peyronie's disease development of scar tissue inside the penis, certain prescription medications, tobacco use, alcoholism and other forms of substance abuse, sleep disorders, treatments for prostate cancer or enlarged prostate, surgeries or injuries that affect the pelvic area or spinal cord. Psychological causes include depression, anxiety or other mental health conditions, stress, relationship problems due to stress, poor communication or other concerns.
Oral medications are a successful erectile dysfunction treatment for many men. They include Sildenafil (Viagra), Tadalafil (Cialis), Vardenafil (Levitra, Staxyn), Avanafil (Stendra). All four medications enhance the effects of nitric oxide — a natural chemical your body produces that relaxes muscles in the penis. This increases blood flow and allows you to get an erection in response to sexual stimulation.
Low sperm count means that the fluid (semen) you ejaculate during an orgasm contains fewer sperm than normal. A low sperm count is also called oligospermia (ol-ih-go-SPUR-me-uh). A complete absence of sperm is called azoospermia. Your sperm count is considered lower than normal if you have fewer than 15 million sperm per milliliter of semen. Having a low sperm count decreases the odds that one of your sperm will fertilize your partner's egg, resulting in pregnancy. Nonetheless, many men who have a low sperm count are still able to father a child. Symtoms include Problems with sexual function — for example, low sex drive or difficulty maintaining an erection (erectile dysfunction) Pain, swelling or a lump in the testicle area Decreased facial or body hair or other signs of a chromosome or hormone abnormality Treatment: If you or your partner have been diagnosed with a low sperm count, there are a few treatment options available. Intracytoplasmic sperm injection, Gonadotrophin drugs, Donor insemination, Advice for smokers.