Thank you for the updates and always valuable information.
Why is ED not considered a disease? And, why is its cause really not known?
I wonder if we--MEN-- are programmed since the first human animal began--to lose erection ability at the same time as woman enter menopause.
Back then, few MEN or WOMAN lived beyond 20 years.
Your solution to reduce blood back flow does work. However it does not help the arousal and beginning of an erection.
Do these doctors have any opinions on this question?
Please ask them.
ES in Florida
I'm glad you find the updates useful. Thanks kindly for the feedback. I did consult with the medical team on this.
Yes, ED is considered a sexual disorder rather than a disease. The reason is that ED is the result of one or more underlying conditions or diseases, rather than the disease itself. Think of ED as like limping. Limping is a disorder that can be caused by many underlying conditions or diseases. Fix the underlying condition and the limp (or the ED) will often disappear.
In about 80% of cases, physical causes actually can be identified. These include cardiovascular disease; diabetes mellitus; neurological problems, such as those following prostatectomy; hypogonadism; and drug side effects. About 10% of cases are psychological impotence, caused by thoughts or feelings.
Yes your point is very good -- there's no doubt survival of the species depends on being able to produce healthy, capable offspring and being able to care for them until they reach maturity. For that reason, evolution favours turning off reproductive ability in later years.
But there are many other reasons why we lose erectile function in later years. Most of the reasons are linked closely to the progressive degenerative conditions, some of which affect the cardiovascular and hormonal systems on their own and some of which lead to diseases that then affect those systems even more.
The modern lifestyle is sedentary and overindulgent. Fixing those two goes a long way to restoring cardiovascular and overall health and restoring erectile function as well as sexual energy and desire.
I do plan to start a separate area of the website devoted to addressing physical fitness and food, so thanks for the interesting take.