Erectile dysfunction
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- | '''''Erectile dysfunction''''' ('''ED''') or '''(male) impotence''' is a [[sexual dysfunction]] characterized by the inability to develop or maintain an [[erection]] of the [[penis]]. There are various underlying causes, such as [[cardiovascular]] leakage and [[diabetes mellitus|diabetes]], many of which are medically treatable. | + | '''''Erectile dysfunction''''' ('''ED''') or '''(male) impotence''' is a [[sexual dysfunction]] characterized by the inability to develop or maintain an [[erection]] of the [[penis]]. |
- | The causes of erectile dysfunction may be [[physiological]] or [[psychological]]. Physiologically, erection is a [[hydraulic]] mechanism based upon [[blood]] entering and being retained in the penis, and there are various ways in which this can be impeded, most of which are amenable to treatment. Psychological impotence is where erection or penetration fails due to [[thought]]s or [[feelings]] (psychological reasons) rather than physical impossibility; this can often be helped. Notably in psychological impotence there is a very strong [[placebo]] effect. | + | The causes of erectile dysfunction may be [[physiological]] or [[psychological]]. Psychological impotence is where erection or penetration fails due to [[thought]]s or [[feeling]]s (psychological reasons) rather than physical impossibility. |
- | Erectile dysfunction, tied closely as it is to cultural notions of [[potency]], [[success]] and [[masculinity]], can have devastating psychological consequences including feelings of [[shame]], [[loss]] or [[inadequacy]]; often unnecessary since in most cases the matter can be helped. There is a strong [[conspiracy of silence (expression)|culture of silence]] and inability to discuss the matter. In fact around 1 in 10 men will experience recurring impotence problems at some point in their lives. | + | Erectile dysfunction, tied closely as it is to cultural notions of [[potency]], [[success]] and [[masculinity]], can have devastating psychological consequences including feelings of [[shame]], [[loss]] or [[inadequacy]]. There is a strong [[conspiracy of silence (expression)|culture of silence]] and inability to discuss the matter. |
- | Folk remedies have long been advocated, with some being advertised widely since the [[1930s]]. The introduction of the first pharmacologically approved remedy for impotence, [[sildenafil]] (trade name Viagra), in the [[1990s]] caused a wave of public attention, propelled in part by heavy advertising. | + | Folk remedies have long been advocated, with some being advertised widely since the [[1930s]]. The introduction of the first pharmacologically approved remedy for impotence, [[sildenafil]] (trade name [[Viagra]]), in the [[1990s]] caused a wave of public attention, propelled in part by heavy advertising. |
The Latin term ''impotentia coeundi'' describes simple inability to insert the penis into the [[vagina]]. It is now mostly replaced by more precise terms. The study of erectile dysfunction within medicine is covered by [[andrology]], a sub-field within [[urology]]. | The Latin term ''impotentia coeundi'' describes simple inability to insert the penis into the [[vagina]]. It is now mostly replaced by more precise terms. The study of erectile dysfunction within medicine is covered by [[andrology]], a sub-field within [[urology]]. | ||
+ | ==History== | ||
+ | |||
+ | Dr. [[John R. Brinkley]] initiated a boom in male impotence cures in the US in the 1920s and 1930s. His radio programs recommended expensive goat gland implants and "mercurochrome" injections as the path to restored male virility, including operations by surgeon [[Serge Voronoff]]. | ||
+ | |||
+ | Modern drug therapy for ED made a significant advance in 1983, when British physiologist [[Giles Brindley]], Ph.D. dropped his trousers and demonstrated to a shocked Urodynamics Society audience his [[papaverine]]-induced erection. The drug Brindley injected into his penis was a non-specific vasodilator, an alpha-blocking agent, and the mechanism of action was clearly corporal smooth muscle relaxation. The effect that Brindley discovered established the fundamentals for the later development of specific, safe, orally effective drug therapies. | ||
== Erectile dysfunction in fiction == | == Erectile dysfunction in fiction == | ||
*''[[The Sun also Rises]]'' (1926) - [[Ernest Hemingway]] | *''[[The Sun also Rises]]'' (1926) - [[Ernest Hemingway]] | ||
*''[[Lady Chatterley's Lover]]'' (1928) - [[D. H. Lawrence]] | *''[[Lady Chatterley's Lover]]'' (1928) - [[D. H. Lawrence]] | ||
+ | *''[[sex, lies, and videotape]]'' (1989) - [[Steven Soderbergh]] | ||
*''[[Breaking the Waves]]'' (1996) - [[Lars von Trier]] | *''[[Breaking the Waves]]'' (1996) - [[Lars von Trier]] | ||
+ | |||
See also: [[impotence]] - [[intercourse]] - [[penetration]] - [[penis]] - [[sex]] - [[fiction]] | See also: [[impotence]] - [[intercourse]] - [[penetration]] - [[penis]] - [[sex]] - [[fiction]] | ||
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Revision as of 19:26, 31 May 2014
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Erectile dysfunction (ED) or (male) impotence is a sexual dysfunction characterized by the inability to develop or maintain an erection of the penis.
The causes of erectile dysfunction may be physiological or psychological. Psychological impotence is where erection or penetration fails due to thoughts or feelings (psychological reasons) rather than physical impossibility.
Erectile dysfunction, tied closely as it is to cultural notions of potency, success and masculinity, can have devastating psychological consequences including feelings of shame, loss or inadequacy. There is a strong culture of silence and inability to discuss the matter.
Folk remedies have long been advocated, with some being advertised widely since the 1930s. The introduction of the first pharmacologically approved remedy for impotence, sildenafil (trade name Viagra), in the 1990s caused a wave of public attention, propelled in part by heavy advertising.
The Latin term impotentia coeundi describes simple inability to insert the penis into the vagina. It is now mostly replaced by more precise terms. The study of erectile dysfunction within medicine is covered by andrology, a sub-field within urology.
History
Dr. John R. Brinkley initiated a boom in male impotence cures in the US in the 1920s and 1930s. His radio programs recommended expensive goat gland implants and "mercurochrome" injections as the path to restored male virility, including operations by surgeon Serge Voronoff.
Modern drug therapy for ED made a significant advance in 1983, when British physiologist Giles Brindley, Ph.D. dropped his trousers and demonstrated to a shocked Urodynamics Society audience his papaverine-induced erection. The drug Brindley injected into his penis was a non-specific vasodilator, an alpha-blocking agent, and the mechanism of action was clearly corporal smooth muscle relaxation. The effect that Brindley discovered established the fundamentals for the later development of specific, safe, orally effective drug therapies.
Erectile dysfunction in fiction
- The Sun also Rises (1926) - Ernest Hemingway
- Lady Chatterley's Lover (1928) - D. H. Lawrence
- sex, lies, and videotape (1989) - Steven Soderbergh
- Breaking the Waves (1996) - Lars von Trier
See also: impotence - intercourse - penetration - penis - sex - fiction