Male erectile dysfunction is a widespread health problem worldwide, with an estimated 152 million people worldwide. The disease is not life threatening, but the high incidence of diabetes, vascular disease in general, cardiovascular disease in particular, and vascular and sexual diseases of men and women in the men or women is the main threat to the lives of these, because sexual vulnerability, as mentioned in the first part is a secondary disease of organic diseases It is caused by pathological, vascular and metabolic changes, including diabetes. The dysfunction of the endothelial and ventricular cells in a person with metabolic diseases mentioned above leads inevitably to cardiovascular disease, including coronary artery disease Cardiovascular disease as well as narrowing the peripheral blood vessels, which ultimately leads to heart attack and stroke. As mentioned, the cause of this imbalance and damage occurs in the endothelial cells in the arteries of the sexual region as well, which in turn leads to tightness and stiffness in these vessels as well as the imbalance in the smooth muscles of the same sex arteries and produced the nitric oxide in the penis, which leads to these symptoms of ED As well as sexual coldness of men and women.
Our cells are subjected every minute and every second to the oxidative and oxidative oxygen generated by the pollution of toxic substances in the atmosphere, which we breathe from the air. This oxidative effort may damage our cells and then to modern diseases known especially metabolic diseases, which in turn lead to diseases of the vascular, nervous and glandular system Human. It should be borne in mind that over-nutrition and hence obesity and lack of physical movement can lead to a dramatic rise in relapsing diseases, especially as people age 40, as well as early aging symptoms, especially physical and sexual weakness. They may suffer at the same time from:
• Metabolic diseases by 13%. • Hypertension of 23%. • 31% increase in blood fat. • Prostate enlargement is 8%. • Obesity.
Recent studies have shown that the vast majority of these people, especially between the age of forty and sixty, suffer 56% of the risk factors mentioned, leading to cardiovascular disease or metabolic diseases, as well as diabetes due to cell resistance to insulin, which is responsible for the metabolic process of sugar to convert it To a variety of proteins in our body cells and have erectile dysfunction and male hormone deficiency syndrome, where these infections reach 70% between the age of forty and sixty.
Symptoms of ED: Men between the age of thirty-thirty years of symptoms of male hormone deficiency syndrome due to obesity first and metabolic diseases second, negatively affect their lifestyle, if a person in these men: 1 - lack of male hormone in the blood to the below (nmol / L8 7.), its symptoms are: a. Weakness or lack of sexual desire. B. Sexual erectile dysfunction, and dysfunctional jobs. C. Increase in fat mass in the body (obesity). Dr.. Lack of muscle mass in the body. E. Lack of bone mineral density. And. Depression and memory loss.
The erectile dysfunction takes place through three physiological, hormonal and psychological events. Erectile dysfunction occurs through successive events where the sexual arousal stimulates the vascular response by expanding the arteries in the cavernous bodies. At the same time, in conjunction with the first and second responses, the neuronal response should be accompanied by smooth muscle relaxation In the two cavernous bodies of the penis, the mechanical closure of the veins causes the erection to continue. If there are any pathological changes in the vascular or neurological organs or is affected by a subjective psychological factor, this will lead to imbalance between these three physiological events and then to erectile dysfunction or erectile dysfunction or sexual desire and lack of sexual desire.
The pathological pathological changes that occur over time and early in patients with diabetes, especially due to high blood sugar, in the case of non-treatment of diabetes correctly and in the case of non-compliance of patients with the treatment and diet to maintain the proportion of sugar in the blood result is as follows:
1. Severe and progressive pathological changes in the blood vessels, especially in the arterial and arterial arteries, and are responsible for supplying the penis with arterial blood, which plays a vital role in the strength and persistence of erection in men. 2. Atrophy in the smooth muscle tissues of the cavernous bodies, with increased collagen formation in the cavernous bodies and a decrease in the proportion of elastin responsible for cavernous epithelium during paralysis and stiffness during erection. 3. The damage of the membranes of the blood vessels in the penis and decrease in quantity resulting in a decrease in the production of nitric oxide in the muscles of these vessels and then leads to atherosclerosis in these vessels. 4. Pathological decrease in the production of arginase enzyme in the cavernous bodies of diabetics as well as those with obesity and high cholesterol in the blood, which leads to a decrease in the production of nitric oxide responsible for the rubber of the body cavities and their oocytes, which can be compensated by giving these patients the amino acid called El Arginine, Which is the main pillar in the production of nitric oxide in the damaged and damaged vessels of its endothelial cells. 5. Lack of production of male and androgen hormones due to the aforementioned metabolic and vascular factors. 6. Deficiency of the arterial pressure of the penis resulting from damage to the endothelial cells of these arteries, which led to changes in the vascular pathology there
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