Lowering plasma testosterone below 2 ng / LLL is always associated with impaired sexuality;
However, a moderate reduction of plasma testosterone between 2 and 4 ng / ml results in intermittent disruption of sexuality and is capable potentiates other factors;
This type of moderate decrease in testosterone is likely to be as a consequence, and the cause of erectile dysfunction. Decreased sexual activity and the resulting psychological disorders may cause erectile dysfunction, which is accompanied by a moderate lowering of plasma testosterone.
Erectile dysfunction is common in diabetics - 30 to 60 percent. It has been shown that the basic mechanism underlying 6 Erectile disturbances in diabetics is neurological: at the stage of early involvement Histologically prove demyelinated nerves, which causes the autonomic neuropathy. In turn, it leads Up to circulatory disorders, digestive disorders, and genitourinary ones.
The release of the internal sphincter sometimes causes infertility due to retrograde ejaculation in diabetics. This is an expression of sympathetic denervation. In all cases, however, the mechanism of erectile dysfunction in diabetic patients is heterogeneous, and is not due to one reason. Firstly, it is necessary to bear in mind and vascular mechanism, moreover, neuro- and diabetic angiopathy are often associated. Moreover, the cause can be discussed and endocrine factor in the context of various hormonal disorders, found in diabetics. It should not overlook the importance of psychological factors whose role is indisputable, but which, unfortunately, can not be quantified.
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However, the alcohol can stimulate libido, chronic alcohol intoxication is often accompanied by sexual dysfunction. Sometimes it turns out to be definitive and remains persist despite the cessation of alcohol intake. As with diabetes, disability most likely to affect the structures of the autonomic nervous system, and of course mostly peripheral nerves in the context of etilichniya polyneuritis. It is not excluded, however, and cerebro-medullary involvement, since it is known that alcohol can cause significant disability at all levels of the nervous system. As with diabetics and here superimpose other factors, in particular the causes and consequences of psychosocial components of etilizma.