Erectile dysfunction is a fear, if not a problem, that affects a good part of the male population. The causes are many, some as simple as the side effect to some pharmacological treatment, although in 75% of the occasions the cause is more complex. Erectile dysfunction may be a consequence of a previous vascular or neurological disorder of a treatment related to the prostate and may be a consequence of diabetes. But at the same time it is also related to obesity, overweight, bad eating habits and sedentary lifestyle.
Some sectors of society discriminate overweight people with humiliating or vexatious attitudes: at school (where they are subject to bullying) by their peers; In the labor or family environment; Causing feelings of inferiority, exclusion and depression, which lead, in some cases, to a general neglect in appearance and further complicate sexuality.
Also read: Erectile dysfunction – a possible risk factor for cardiovascular disease?
Sexual intercourse is also hindered indirectly: low self-esteem, rejection of her own body and partner, feelings of devaluation which is often A decrease in libido and sexual desire. In the male, it affects both the aesthetic and the major suffering of cardiovascular diseases.
The hormonal causes of obesity are not usually the most frequent although we know that hypothyroidism – more common in women – can bring a double effect: weight gain and decreased sexual appetite. The androgenic fall and the rise of prolactin can be denoted in loss of muscle mass and corporal feminization (gynecomastia, for example).
There are degrees of obesity in which, the men, do not get to see the genitals by the abdominal adiposity and some certain coital positions are difficult. Metabolic variables (high cholesterol and triglycerides, diabetes, untreated hypertension) associated with sedentary life are often so mismatched that, in many cases, lead to impotence.
Overweight a big sex drive killer
We point out that obesity is not only an aesthetic problem but fundamentally health. In a study on Sildenafil and risk factors presented at the American Psychiatric Association (APA) Congress (Chicago, 2000) in more than 90 patients, we showed how Sildenafil was most effective if there were no major risk factors They were obesity, which is almost always accompanied by high blood pressure (hypertension), sedentary lifestyle, high cholesterol, sometimes diabetes.
Obesity opposes increased resistance to the heart and arteries constituting a risk factor for cardiac hypertrophy, coronary heart disease, sexual dysfunction and hypertension.
Concerning the danger in sexual intercourse, the consensus is that a person with several MRIs may suffer a cardiovascular event during the act. You can use positions with less expense: such as being down, lying on your back, and the woman moving (or vice versa if you are a woman), and decreasing the intensity of pumping or pelvic movement. In any case, the obese should have medical checks (clinical examination, ECG and ergometry – case-by-case myocardial perfusion studies, neck Doppler, analysis, chest x-ray) for general health reasons, not only for their sex life.
Tips to a better male sexuality
The Harvard Medical School encourages to follow a series of tips in order to improve health, more specifically that part related to male sexuality. Some of course, are simpler than others: Also read erectile dysfunction treatment
– Eat in a balanced way. In a study it was observed that following a diet pattern characterized by a diet rich of fruits, vegetables, whole grains and fish (with a lower participation of red meat, derived from this and refined grains) In addition, a chronic vitamin B12 deficiency may also contribute to the onset of this disorder.
– It is important to stay within a healthy weight and, in this sense, the waist circumference can be a good indicator. A male with a waist circumference of 106 cm is 50% more likely to suffer from erectile dysfunction than another with a perimeter of 81cm. Obesity increases the risk of vascular disease and diabetes, two major causes of erectile dysfunction. At the same time, excess fat, an element characteristic of obesity, interferes with several hormones that may also be part of the problem.
– Begin to do more physical activity, for example, walking. According to a Harvard study, the effect of only 30 minutes per day of walking decreased the risk of erectile dysfunction by 41%. Other research suggests that moderate exercise may help restore sexual function in middle-aged obese males with diagnosed erectile dysfunction.
– Pay attention to the health of the cardiovascular system. High blood pressure, as well as high blood sugar, cholesterol, and triglyceride levels, have a negative influence on this system, from the heart, the brain and undoubtedly in the irrigation of the penis. Similarly, low levels of HDL (good cholesterol) and an excessive waist circumference can be elements that negatively influence erectile dysfunction.
– Strengthening the pelvic floor improves erection and helps prevent blood from leaving the penis. In a British study, performing Kegel exercises (for three months and twice a day) helped to strengthen this muscle. These exercises combined with a change in lifestyles (quitting, losing weight, limiting alcohol) gave better results in the treatment of erectile dysfunction than mere advice on lifestyle.
Obesity and Erectile Dysfunction
Obesity is a condition of chronic character, modifiable through different measures or habits of life. Today it is defined as a body mass index greater than 30. The body mass index (BMI), body mass index, is the result of dividing the weight in kilograms of the body by the square of its height in meters.
Values between 18 and 25 indicate normal weight, between 25 and 30 overweight, and over 30 obesity.
Erectile Dysfunction (ED) is the inability to achieve and / or maintain an erection rigid enough to allow a satisfactory sexual relationship, and is usually the expression of other conditions, psychological or organic.
In the epidemiological study conducted in Massachussets, USA, in 1993, with approximately 1300 males between 40 and 70 years old, it was shown that overweight doubles the incidence of Erectile Dysfunction.
No less important, usually associated with psychological factors, to a greater or lesser degree, exists in the obese patient, a series of metabolic disorders that may influence the vascular and hormonal response necessary for an adequate erectile response.
It is common to find obese patients with several associated GFR: diabetes, dyslipidemia, hypertension, smoking, excess saturated fat and cholesterol in the diet, sedentary lifestyle, depression.
All these factors, concurrent or not, in some cases, form the so-called Metabolic Syndrome, are favorable for injury to the inner layers of the arteries (endothelium), with loss of elasticity and sometimes partial or total stenosis . From there we can think that if there is an erectile dysfunction of vascular cause, that would be an indicator that there could be problems in other arteries of the organism. Many patients, such as JC’s case, had never approached the doctor because of their obesity, being large smokers, hypercholesterolemia, high blood glucose or pressure, or because they had angor or paresthesias in lower limbs when walking, but They do when they have episodes of erectile dysfunction.