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| How to get a strong erection |
A man often feels embarrassed and has diminished self-regard with the recurring issue of erectile dysfunction every time he intends to have marital relations with his wife. His self-assurance may falter, potentially impacting the relationship itself due to a lack of satisfaction for either spouse. In such cases, seeing a specialist in andrology is advisable to pinpoint the underlying problem causing the erectile dysfunction and seek treatment, as well as learn how to attain a firm erection for the longest duration for a satisfying marital connection, which we will detail in this article.
Reasons for Not Achieving a Strong Erection
Dr. Ahmed Adel—Consultant of Andrology, Infertility, and Sexual Dysfunction—explains that there are two primary causes for erectile difficulties: those stemming from psychological factors and those arising from organic issues. To comprehend how erectile dysfunction occurs, Dr. Adel simplifies the general mechanism of achieving an erection as follows:
Following male sexual arousal, the brain sends nerve signals to the penis, allowing a substantial volume of blood to flow into it via the arteries. Simultaneously, the veins contract to keep the blood restricted within the penis, with nerves overseeing this entire process. Erectile dysfunction arises when any ailment or malfunction compromises the smoothness of this process. Organic causes include:
Diabetes Mellitus
Uncontrolled high blood sugar levels are a foremost cause, as they affect blood flow to the penis by impairing the arteries and nerves.
High blood pressure.
Elevated cholesterol levels and increased fat content in the blood.
Androgen Deficiency
Dr. Ahmed Adel notes that the level of the male hormone in the blood decreases by 1% annually after the age of twenty-five. Roughly 6% of men over forty develop andropause syndrome, whose main symptoms include reduced libido and erectile difficulties.
Psychological causes for erectile dysfunction, however, are more prevalent among younger men—in their twenties and thirties—due to contemporary lifestyles, increased mental strain and stress, in addition to incorrect sexual knowledge.
To learn how to achieve a strong erection for the longest time, Dr. Ahmed Adel clarifies that once the main cause (such as diabetes, high blood pressure, or psychological issues) is identified, the steps for treating erectile dysfunction begin with formulating a treatment plan to manage the cause in coordination with the specialized physician. Other treatments will be determined, as we will outline in the following section.
How to Attain a Strong Erection for the Longest Duration
Dr. Ahmed Adel points out several stages for addressing erectile dysfunction in men (as managed by an andrologist):
Medication Treatment
Suitable medications are prescribed based on each patient's examinations, as previously outlined. Dr. Ahmed Adel stresses avoiding excessive use of sexual enhancers and consulting the specialized doctor to determine appropriate dosages.
Treatment via Local Injections
This treatment serves as an alternative if pharmacological treatment fails. It involves injecting aphrodisiac substances directly into the corpus cavernosum tissue inside the penis using a fine needle. They are notable for their direct effect within 5–10 minutes and lack of side effects.
Surgical Solution
The failure of preceding methods does not mean despair regarding achieving an erection, as Dr. Ahmed Adel describes a surgical option: penile prostheses, which have made a significant breakthrough in how to attain a firm erection for the longest time for those unresponsive to the mentioned treatments. This is considered a definitive remedy for this issue. It first appeared in the 1960s and involves implanting a device inside the erectile tissue of the penis. This device has gone through numerous developmental phases over past decades to reach its current form, preserving the maximum amount of surrounding tissue.
Prostheses are characterized by not affecting sensation, sexual desire, ejaculation, or urination, and they divide into two main types:
The Flexible Penile Implant
The concept involves implanting two rods made of specific materials into the body chambers of the penis. When commencing intercourse, the patient raises the penis upward to achieve an erect position and then bends it downward upon completion.
The Hydraulic Implant
This type is more widespread and preferred by most men, as it closely mimics a natural erection. It consists of three components: a reservoir implanted beneath the abdominal muscles containing a special fluid, a pump in the scrotum, and the prosthesis itself within the penis. When a man desires an erection, he presses the button on the pump to release the fluid into the prosthesis, simulating a natural erection. He presses the button again upon finishing to return the fluid to the reservoir and lose the erection.
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