Erectile Dysfunction: A hush-hush Issue

Abstract

Erectile dysfunction (ED) is the inability to get or keep an erection firm enough to have sexual intercourse. It’s also sometimes referred to as impotence. Occasional ED isn’t uncommon. Many men experience it during times of stress. Frequent ED can be a sign of health problems that need to be treated. It can also be a sign of emotional or relationship difficulties that may need to be addressed by a professional. Here, we report a case of erectile dysfunction in a 60-year-old male who is married. He had been suffering from ED since 10 years. The patient was very disturbed mentally and physically due to which he was seeping into the depression as this disorder was affecting not just him but his relationship too. He and his wife were about to get separated and were unhappy that led to martial disorder.

Introduction

Erectile dysfunction, commonly known as impotence is the inability to get and keep an erection firm enough for intercourse. Having erection trouble from time to time isn’t necessarily a cause for concern. If erectile dysfunction is an ongoing issue, however, it can cause stress, affect one’s self-confidence and contribute to relationship problems. Problems getting or keeping an erection can also be a sign of an underlying health condition that needs treatment and a risk factor for heart disease. Male sexual arousal is a complex process that involves the brain, hormones, emotions, nerves, muscles and blood vessels. Erectile dysfunction can result from a problem with any of these. Likewise, stress and mental health concerns can cause or worsen erectile dysfunction. Sometimes a combination of physical and psychological issues causes erectile dysfunction. For instance, a minor physical condition that slows one’s sexual response might cause anxiety about maintaining an erection. The resulting anxiety can lead to or aggravate erectile dysfunction. This case is of a 60 year old male (married) patient who had erectile dysfunction from last 20 years; ED was not responding to proper conservative management.

Case History

A 60-year-old male patient (married) reported to Chandan Hospital, Lucknow, India, with the chief complaint of erectile dysfunction from last 10 years. On general examination, the patient was very disturbed mentally and physically. Before being treated at Chandan hospital the patient visited many psychologists and had various counseling sessions to cure this treatment, but he was neither comforted nor assured about his condition. Due to which he was depressed as this disorder was affecting not just him but his relationship too. A provisional diagnosis of erectile dysfunction was given based on the clinical findings, as well as after asking the patient about sexual orientation, emotional status, sexual arousal and desire, quality of erections, duration of symptoms, early morning erections, lifestyle and previous treatment.

Management

At Chandan Hospital a 60 year old male (married), was diagnosed as having erectile dysfunction. Prior coming to Chandan Hospital The patient was worried, unhappy, anxious and nervous, mentally and physically which led to depression as this disorder was affecting not just him but his relationship as well. Moreover, his wife was unhappy and about to separate, that led to other martial issues. The patient was suffering with erectile dysfunction for the last 10 years. After getting disheartened he was presented to Chandan Hospital. Here Dr Manmeet Singh did successful treatment known to be, 3 piece Inflatable Penile Prosthesis Implant. Initially, patient’s diagnosis (ED) was not responding to proper conservative management. Chandan hospital is equipped with excellent facilities and consultations. All patients suffering from ED who are taking non scientific treatment from various medical /non medical professional are benefited with proper treatment selection after gaining knowledge about patient’s sexual orientation, emotional status, sexual arousal and desire, quality of erections, duration of symptoms, early morning erections, lifestyle and previous treatments. The services of Chandan Hospital under Dr Manmeet Singh are candidly satisfactory and post treatment of carrying out the penile implant prosthesis the physical and prostate examination is normal, the patient is very satisfied because of very good erectile response.

Testimony

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