**What is erectile dysfunction?** Erectile dysfunction is one of the common problems among men, which causes the inability to achieve or maintain an erection during sex. This problem can be caused by various factors that are divided into three general categories: physical factors, psychological problems and side effects of some drugs. Diseases such as **high blood pressure**, **obesity**, **stress** and **anxiety** are among the common causes of this disorder, while some **sedative** drugs can also have a negative effect. This problem (erectile dysfunction) not only affects a person's sexual health, but can also cause a decrease in self-confidence, anxiety and even depression. Treatment methods are different depending on the cause of the disorder. In some cases, a doctor will prescribe oral or injectable medications, while lifestyle changes, regular exercise, a healthy diet, and the use of herbal remedies can also be effective. If the problem has psychological roots, consulting a sex therapist can help improve the situation.

Definition of erectile dysfunction Erectile dysfunction is one of the common problems in men's sexual health. It leads to the inability to create or maintain an erection suitable for sexual intercourse. This condition may be caused by various factors, including psychological issues, physical problems, and incorrect lifestyle. In addition to erectile dysfunction, some other sexual function problems in men can occur at the same time or even be the cause of this problem. Among these disorders, premature ejaculation, delay in ejaculation, inability to reach orgasm, and decreased sexual desire can be mentioned. Causes of erectile dysfunction and impotence Various factors can contribute to erectile dysfunction and sexual performance problems. Some of the most important reasons include: - **Psychological problems:** Anxiety, stress and depression can have a negative effect on sexual performance. - **Vascular failures:** Decreased blood flow to the penis due to heart problems or blood clots may lead to erectile dysfunction. - **Effect of fatty liver:** Liver health affects hormonal balance and blood circulation and may cause sexual problems. - **Hormonal disorders:** A decrease in testosterone levels or an imbalance of other hormones can interfere with sexual performance. - **Nervous system problems:** Nerve damage caused by diseases such as diabetes or MS may affect the neural pathways related to erection. - **Drug side effects:** Some drugs including blood pressure drugs, sedatives and hormonal drugs can cause erectile problems. - **Prostate-related diseases:** Conditions such as prostate inflammation or surgery may affect the ability to get an erection. Medications that may cause erectile dysfunction 1. ### **blood pressure lowering drugs** - Propranolol, hydrochlorothiazide, nifedipine, diltiazem, captopril and similar drugs 2. ### **psychiatric drugs** - Diazepam, oxazepam and other sedatives 3. ### **antiandrogens (male hormone inhibitors)** - Ketoconazole, spironolactone, finasteride and... alcohol; A factor in infertility and erectile dysfunction Alcohol consumption can have harmful effects on men's sexual health. This substance disrupts the metabolism of vitamin A and causes problems in the process of sperm production. As a result, men who consume alcohol are not only at risk of sexual dysfunction, but the possibility of infertility is also increased. One of the most severe problems caused by alcohol consumption is erectile dysfunction. Normal erectile function depends on proper blood circulation in the penis. To maintain an erection, blood must remain in the tissues of the penis, but alcohol consumption causes the blood to rush out through the veins and make the erection unstable. This condition, which is known as "erectile dysfunction caused by venous leakage", is considered one of the most resistant types of this problem in men, and its treatment is simply not possible. The relationship between erectile dysfunction and suicidal thoughts or behaviors Among men treated for erectile dysfunction who also have comorbid depression, there is a high incidence of suicidal thoughts or behaviors. While men with suicidal thoughts or behaviors attribute suicidal symptoms to erectile dysfunction, the presence of depression is also a contributing factor. The high number of suicide cases in men with prostate cancer may be related to the erectile problem or treatment and subsequent depressive symptoms. (American Psychological Association, Diagnostic and Statistical Manual of Mental Disorders DSM-5-TR, Dr. Mehdi Ganji, Tehran, Savalan) Solutions to solve the problem of erectile dysfunction and having a long erection - **Deep breathing** during sex makes the erection longer. Fast and shallow breathing through the nose can lead to premature ejaculation. **Kegel exercises** are useful for strengthening the pelvic floor muscles that are responsible for controlling ejaculation. **Rapid masturbation** (less than 10 to 15 minutes) can negatively affect the quality of erection; It is recommended to discard it. **Consumption of immoral movies** is usually associated with masturbation and may lead to premature ejaculation. Foods containing serotonin such as bananas, lentils, brown rice, sweet potatoes, fish, nuts and dark chocolate can help maintain an erection. **Regular exercise** causes a natural increase in serotonin in the body. Self-confidence plays a key role. The more success you experience with longer erections, the more confidence you will gain. If you suffer from late ejaculation, reading an article written about late ejaculation disorder can help you. Study of late ejaculation disorder article final word If you smoke, definitely consider quitting. Smoking can cause erectile dysfunction by increasing the risk of cardiovascular diseases. To prevent these problems, it is very important to have a healthy lifestyle and regular physical activity. Eating healthy foods such as whole grains, low-fat dairy, fruits and vegetables, and lean meats will help maintain erectile function. Avoid consuming too much saturated fat and salt. With a balanced diet, you will have a healthier weight. You can control blood pressure and diabetes, which play an important role in preventing erectile dysfunction. If this problem has a psychological root, the expert team of Pirouz Clinic can help you. In this clinic, by providing specialized consultations and treatments tailored to individual needs, the main cause of erectile dysfunction is identified and treated with a comprehensive and scientific approach. The specialists of this center help you to recover your sexual and mental health by solving psychological and emotional issues with personalized programming.

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