勃起障害（ED）とは何ですか？

勃起障害は、多くの理由で起こり得ますが、効果は同じです：定期的にセックスをするために勃起を得たり維持したりすることに問題があります。

1995年には、世界中で1億5200万人の男性が勃起障害を経験したと推定されています。ジョンズ・ホプキンス医学によると、2025年までに、その数は3億2200万人に達すると予想されています。何人かが考えるかもしれませんが、勃起障害は年配の人々の災いではなく、40歳以下の男性のおよそ5％が完全な勃起障害と戦っています。多くの男性は勃起不全を恥ずかしく思っているため、統計が示すよりもずっと一般的である可能性があります。

勃起の背後にある生理学

勃起不全を理解するためには、そもそも勃起がどのように起こるのかを理解することが必要です。テストステロンなどのホルモンを調節する内分泌系、血管で構成される血管系など、体内の多くのプロセスが働いて勃起を可能にしています。しかし、勃起は実は脳から始まっているのです。その仕組みはこうです。

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精神的な刺激（想像、官能的なものを見る、エロティックな映画を見るなど）や物理的な刺激（あそこに触れられるなど）によって性的興奮を覚えると、脳からの信号によって、ペニスに血液を供給する動脈に一酸化窒素という化学物質の放出が促進されます。

• 一酸化窒素の洪水は、動脈を弛緩させ、海綿体と呼ばれるペニスの2つのスポンジ状の部屋への血流を増加させます。
• 海綿体が血液で満たされると、勃起が起こります。
• 理想的には、オーガズムを得て射精するまで、血液はそこに閉じ込められたままになります。

しかし、その過程で様々な問題が発生し、ペニスへの十分な血流が妨げられ、この不思議なプロセスは失敗に終わります。

勃起不全の原因とは？

陰茎への十分な血流がなければ、勃起は起こりません。ここでは、最も一般的な勃起不全の原因について説明します。

勃起不全には別の呼び名があるのか？

EDはインポテンスと呼ばれることもありますが、医療関係者はこの言葉をあまり使わず、他の医学的でない意味の言葉と混同されないようにしています。

勃起不全はよくあることですか？

勃起不全は非常によくあることです。米国では、約3000万人の男性が影響を受けています。

勃起不全になりやすいのはどんな人？

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以下のような方は、勃起不全になりやすいと言われています。

• 高齢である
• 特定の病気や状態にある
• 特定の薬を服用している
• 特定の心理的・感情的な問題を抱えている
• 太り過ぎや喫煙など、健康に関わる特定の要因や行動がある場合

勃起不全の合併症にはどのようなものがありますか？

勃起不全の合併症には、以下のようなものがあります。

• 満たされない性生活
• あなたとパートナーとの間の親密さの喪失、その結果生じる緊張した関係
• うつ病、不安、低い自尊心
• パートナーの妊娠が不可能になる

うつ病、不安、低い自尊心もEDの原因となります。EDを引き起こし、健康問題の連鎖を生み出します。


医師はどのように勃起不全を診断するのですか？

泌尿器科医などの医師は、病歴や性歴を聴取し、精神的な健康状態や身体的な検査を行い、勃起不全（ED）を診断するのです。医療従事者に勃起不全について話すのは難しいと思うかもしれません。しかし、健康的な性生活は健康的な生活の一部であることを忘れないでください。医師があなたについて知れば知るほど、あなたの症状を治療できる可能性が高まります。

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