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Erectile dysfunction is one of the most common medicalconditions because it is known for affecting a large number of peopleeverywhere around the world. It is also sometimes referred to as impotence andit can easily be characterized as an inability to achieve and maintain normalpenile erection required for a proper sexual intercourse. Impotence is not thataccurate because it is actually a much broader term which could be applied tovarious other types of medical conditions and situations. There are two maindifferent types of causes of erectile dysfunction. Those two types of causes arepsychological and physical. Physical factors are the cause of 80% to 90% of allcases of erectile dysfunction, while certain psychological factors such asguilt, indifference to life, low self esteem, anxiety, depression and stressare held responsible for the remaining 10 to 20 percent of the cases oferectile dysfunction. The most common physical causes of erectile dysfunctioninclude high blood pressure, atherosclerosis, cardiovascular diseases, multiplesclerosis, stroke, diabetes and various other sorts of neurological disorders,endocrine disorders and others. Certain types of medications can also sometimesbe held responsible for the development of erectile dysfunction. Primaryerectile dysfunction is a term used for men who cannot maintain an erection atall, while the secondary erectile dysfunction is a term used for men whogradually start having problems in maintaining the erection.

Diagnosis and Pharmaceutical Interventions

In order to diagnose the erectile dysfunction, the doctorneeds to be well informed about the detailed history of the patient. Duplexultrasound may be required in order to evaluate calcification of the erectiletissue, scarring of the erectile tissue, signs of atherosclerosis, venous leaksand the blood flow. Some cases may also require certain types of penile nervesfunction tests so that the doctor may be sure if there are any nerve sensationproblems in the penis. There are certain tests which take place while thepatient is asleep, such as the nocturnal penile tumescence.

Lifestyle and Dietary Modifications

It is strongly advised to quit smoking. Obesity may also bea serious problem when it comes to erectile dysfunction. L-arginine supplementsmay be of great help for all those who suffer from erectile dysfunction. Thedaily dosage for L-arginine supplements is from 1 to 3 grams. Up to 2 grams ofAsian ginseng may also be very helpful in achieving and maintain the erectionagain. Other helpful natural remedies include gingko biloba, butea superba andtribulus terrestris.

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