As shown in the figure, the pathological relationship between obesity and especially the increase of visceral visceral fat in the body, the person's metabolic syndrome negatively affect the production of male testosterone in the testis in men and lead to the so-called (weakness syndrome) because the production of the enzyme aromatase in tissues Lipids rise, leading to excessive hormonal conversion from male to female. Causes Erectile dysfunction plays a major role in a man's life, where the relationship between the sexes is negative and life is affected and the pattern of the person affected. Recent statistics have shown that 30 million men have been affected in the United States alone, where the incidence of ED is 12% 59 years old and 22% between 60 and 69 years of age and 30% above 69 years of age, the relationship is positive between increased body weight and ED, where the incidence of erectile dysfunction is 30% when BMI is above 28.7 (Body Mass Index) where the natural BMI is under 25, with The symptoms of ED in obese or obesity are 79%, as the factors of pathological changes in blood vessels such as atherosclerosis and others are always present in general and excessive obesity, and these play an important role in diseases ED. Obstructive changes in endothelial dysplasia in the case of obesity are caused by a defect in the production of the nitric oxide (Defect of NO) of these cells lining the blood vessels, Inhibition of obesity in the case of obesity, as well as in the case of changes in the pathology of the body due to excessive meat eating and lack of movement and also because of the high cholesterol and triglycerides in the blood in these men, which in turn lead to changes in pathological hardening and narrowing in the blood vessels by It is worth mentioning that in the case of men after forty years of age and beyond, especially in the case of men, there is a physiology of decreases in the proportion of the male hormone (Testosterone) (TDS) as well as in the growth hormone (Hormone) and thyroid hormone in the blood and this is found in the elderly, where the proportion of thyroid stimulating hormone (TSH), which indicates a decrease in the production of thyroxine in the cells of the thyroid gland and this deficiency in the gland About 9 percent These hormonal changes also lead to the symptoms of early and most common early age diseases. These are the increase in the lipid mass in the body, the weakness of the body and the general weakness of the body. This is the beginning of metabolic syndrome in men over age (Metabolic Syndrome) because of the negative pathological changes of this syndrome to the productive, hormonal and reproductive functions in the testicles, as it has scientifically and clinically proved that the change of the wrong lifestyle and follow the diet of the Mediterranean countries, which contains green Fruits, nuts, refined grains, olive oil and fish, reducing weight and obesity while exercising daily (6-8 hours per week). These all reduce the risk of metabolic syndrome and age-related diseases such as high fat Blood pressure, diabetes, and erectile dysfunction while reducing the risk of vascular wall failure, which, if obtained, will lead to narrowing or obstruction of the arterial blood vessels of the penis and coronary arteries in the heart. Therefore, undergoing periodic laboratory diagnostic tests of male hormones Especially deaf Blood, blood pressure, prostate, hypertrophy, inflammation and arterial blood circulation of the penis to diagnose the thickness and diameter of the arterial wall of the arteries to diagnose these diseases in men so that they can be treated early and distinguished by a specialist in the treatment and surgery of pathology Sexual and masculine and infertility so that the treatment has a positive result for the patient under the age of forty and also above this age, especially those infected with these
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diseases mentioned
The prostate gland's infection with acute or chronic infections also leads to ED due to the free radicals of oxygen and the loss of one electron from its outer orbit in the semen produced by this gland by 80% and leads to a decrease in oxidation resistance Which causes sexual impotence as well as infertility in men between the age of twenty - forty. As for diabetes and obese people, the resistance of the cell to insulin in the penis lead to nerve damage, especially in the non-adrenal and non-collagenic, and the result of low nitric oxide production in vascular endothelial cells in the arteries of the penis leads to a high percentage of the cliff and remove this The result of these metabolic changes is an abnormal contraction of the musculoskeletal muscles in the two cavernous bodies of the penis as well as the loss of elasticity in the white tunic In the penis due to the high rate of collagen and the low proportion of lactin responsible for its rubber, all prevent the expansion of arterial vessels in the two bodies because of the extraordinary contraction of the muscle
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