Erectile Dysfunction at Cardiologic And Therapeutic Patients

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As erectile dysfunction (ED) understand disability to reach and (or) to support an erection, sufficient for satisfaction of sex activity. This term offered by National Institute of public health services of the USA and in 1992 accepted international organisations of urologists and , includes not only disability to keep the sexual member in an erection condition, but also orgasm disturbance, and also libido weakening - a sexual inclination (ShCheplev P. A from co-workers., 2002). The ED can be suspected, if constant or repeating disability to reach and (or) to keep an erection is observed at least within 3 months (Bondareva E.V., 2002).

The ED is considered one of the most widespread sex disorders at men. During Massachusetsky research on studying of questions of ageing of men (Massachusetts Male Aging Study MMAS, 1994) it has been established, that 52 % of men at the age from 40 till 70 years to some extent suffered an ED. Thus full absence of an erection is taped at 10 % of the men, moderated an ED at 25 %, minimum at 17 %. 40 % of men at the age from 40 till 50 years suffer with what erectile dysfunctions. Among men at the age from 50 till 60 years of erectile dysfunction meet practically at half surveyed (4857 %), and in the senior age group this disorder 70 % of men (Feldman H.A suffer. et al., 1994). Full an ED it is taped at 5 % of men aged till 50 years, and this indicator increases in the senior age group (70 years and are more senior) to 15 %.

Role of somatopathies and their treatment in development an ED
The ED can be parted on psychological (psychogenic), organic and Testosteron Cypionate . The reasons an ED depression, anxiety can be psychogenic; the reasons organic neurogenic disorders (neuromediator disturbances at level spinal or a brain, a trauma, a myelodisplasia, damage of intervertebral disks, a multiple sclerosis, a diabetes mellitus with development of a peripheric neuropathy, abusing alcohol, operations on basin organs, hormonal deficiency low level of Testosteron-Depotum), arterial (an arterial hypertensia, smoking, a diabetes mellitus, a lipidemia); venous (functional damage of the venoocclusive mechanism), medicinal (reception of hypotensive preparations, antidepressants, a luteinizing hormone and its analogues), Peyronie's disease (Loran O. B and co-workers., 2000).

There are the certain clinical signs, allowing to assume psychogenic or organic an ED. Psychogenic the ED usually arises acutely, has selective character, night erections remain (tab. 1). The leading factor forming psychological ED, depression serves. It is necessary to consider, that presence of risk factors organic an ED does not exclude probability psychological an ED. In overwhelming majority of cases an ED it is caused by the organic reasons. As a rule, at organic an ED night erections are absent; if its occurrence is not bound to a trauma or a surgical intervention, disorder of erectile function gradually progresses.

The researches which have cleared the true mechanism of occurrence of an erection, have shown, that the ED in 80 % of cases arises, as complication of various somatopathies (ShCheplev P. A and co-workers., 2002). Presence of erectile dysfunction often bind to chronic diseases, first of all cardiovascular (an arterial hypertensia, an atherosclerosis) and a diabetes mellitus (Feldman H.A. et al., 1994). The lesion of vessels of a sexual member interferes with occurrence of the erection necessary for performance of sexual intercourse.