In the field of impotence, what internal factors are to blame for the body and cause various sexual problems? Some experts consider endocrine diseases to be the cause of sexual problems!
If you go to the endocrinologist’s office and do a little inquiry, you will find that many clients have come there to treat sexual problems and infertility due to diabetes, thyroid problems, hormonal disorders, and so on. Young women who have become infertile due to hypothyroidism, or whose ovaries have failed and menopause due to diabetes and lack of control, or middle-aged men who have erectile dysfunction due to carelessness in the treatment of diabetes. Have become sexual. If you have recently had a problem in your marital relationship and are worried about glandular diseases.
Everything is dominated by the pituitary and hypothalamus!
The issue of sexual desire and fertility is not just about the sexual organs, it is true that the main organs of the gonads (in women are the ovaries and in men the testicles), but sexual health is related to other factors as well. The sex glands in the human body are controlled by the anterior pituitary gland, and the anterior pituitary gland itself is monitored by the hypothalamus, so the hypothalamic axis, anterior pituitary, and genitals must function properly to produce sex hormones in a woman’s body (estrogen and progesterone). A man’s body (testosterone) is secreted enough.
In this way, sperm are produced in the male body and these sperms go through the stages of growth and become mature and fertile sperm. On the other hand, the ovaries release a healthy egg in a woman’s body, then during the fertilization process, the sperm and the egg come together to form an egg cell, and then they begin to divide and differentiate.
Chemotherapy, radiotherapy and infertility
There are many different factors that can affect sexual potency, secondary sexual characteristics and fertility. First of all, all diseases that affect the gonads (ovaries and testicles) can damage fertility. For example, chemotherapy in both women and men affects the issue of sex hormones. Also, people who are exposed to radiation, such as those who have been in nuclear or atomic bombings, and people who receive radiotherapy for malignant diseases, may have sex cell disorders.
Control your blood sugar otherwise…!
Diabetes has two major complications; One is a vascular complication and the other is a neurological complication. Both vascular and neuropathic problems can cause impotence and infertility, so in people with diabetes, blood sugar should be well controlled because it has been shown to control blood sugar as well as prevent ocular and renal complications. It also prevents sexual complications. In addition, the hormones of these people, both in women and men, should be monitored regularly. In this way, by controlling diabetes and avoiding depression, sexual dysfunction can be prevented.
Significant increase in genital tumors
In the past, infectious diseases such as mumps caused enlargement of the parotid glands and in some stages of testicular involvement in boys, and was one of the most common causes of infertility in men, but today, with the prescription of some drugs, this damage can be largely prevented. The next issue is trauma and trauma; For example, people who hit their testicles during strenuous exercise may suffer from impotence.
On the other hand, tumors and anatomical diseases such as varicocele and the presence of veins around the testicles can affect sexual ability. However, the percentage of testicular and ovarian tumors is significantly increasing, and both these tumors and their treatment (erectomy or removal of the testicles and oophorectomy or removal of the ovary) can cause infertility.
Medications are not innocent either!
Many medications, such as neuroleptics, antipsychotics, sedatives, hypnotics such as diazepam and oxazepam, stomach upset medications, and blood pressure medications, can all increase prolactin (secreted by the anterior pituitary gland) and inhibit gonadal activity. In addition, some genetic conditions, such as Turner syndrome in women who do not have an X chromosome and are 45 XO, and Klein-Felter syndrome in men who have an extra X chromosome and are XXY, can be eliminated or non-existent. Secondary sexual traits and infertility. Diseases of the pituitary and hypothalamus can also affect the gonads.
Thyroid disorders and decreased libido
The list of diseases and drugs that affect sexual ability is very long. In general, in the first clinical encounter with people with impotence, some common diseases should be considered and ruled out, one of the most important of which is thyroid disorders. Hypothyroidism and hyperthyroidism can both affect sexual desire and strength as well as fertility.
In fact, five percent of the causes of infertility in women are said to be thyroid. These disorders can be diagnosed with a simple TSH test. Another issue affecting sexual ability is the level of the hormone prolactin, which increases due to chronic kidney failure, liver cirrhosis, the use of neuroleptics and.. In this regard, it is possible to determine whether the problem is in the gland itself (testicles or ovaries) or the problem is in the pituitary gland by performing a simple hormone test for FSH and LH in both men and women.
Risk of premature menopause in diabetes
Chronic diseases such as diabetes generally reduce sexual desire and strength, especially in diabetics because the body’s immune cell activity decreases and the risk of infection increases, and the infection itself sometimes causes sexual problems.
In addition, most studies have shown that diabetes reduces sex hormones. Many women with diabetes develop menopause and ovarian failure very quickly due to a lack of proper control of their blood sugar, especially in type 1 diabetes, which is a type of immune disorder. On the other hand, taking diabetes medications can cause some sexual problems. Depression caused by diabetes also reduces sexual ability.
A complication that should be taken seriously
Unfortunately, people with diabetes who suffer from vascular problems, especially men, face sexual problems and erectile dysfunction, which of course occurs in the late stages of diabetes, ie people who do not control their blood sugar at all, such as leg ulcers. And if they are amputated, their arteries may also be affected, so people should not allow their diabetes to progress so much that it leads to irreversible complications. But the complications of depression, hormones and some of the complications of neuropathy can be treated.
Prostate infection and infertility
The prostate is an exocrine gland that secretes its secretions out of the body. In fact, the prostate is a seminal fluid that is essential for pregnancy. Diabetes does not directly affect the prostate, but if a person does not control his or her blood sugar properly, he or she may become infected, and one of the areas that becomes infected is the prostate.
Maybe it’s a problem with your mood!
The issue of sexual desire and power and the issue of infertility are two factors that are sometimes seen together and sometimes separately; For example, a person may have zero sexual desire due to mental health problems and depression, but he or she may not have any hormonal, sperm, or egg problems when testing. So the issue of sexuality is often related to psychological issues, and if a person treats his mental illness either with medication and under the supervision of a psychiatrist or without medication, his sexual power will return.
Which doctor should we go to ?!
Issues related to impotence can be examined by urologists, gynecologists, endocrinologists, internal medicine and general practitioners, but in the first step, it is better to see an endocrinologist because these people are both endocrinologists and endocrinologists.
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