Can Covid Cause Impotence?

For respiratory infections, Covid-19 causes some unusual symptoms. It can reduce odor and taste, leaving patients with an unpleasant “Covid toe,” or even a swollen, “Covid tongue” rash.

Scientists are now examining the potential link to all of the unexpected developments of Covid: erectile dysfunction. A link has been published in hundreds of papers by scholars in Europe and North America, including in Egypt, Turkey, Iran and Thailand.

Estimates of the magnitude of the problem vary wildly. A letter from Dr. Ranjith Ramasamy, director of obstetric urology at the University of Miami’s Desai Sethi Urology Institute, and his colleagues found that the risk of erectile dysfunction increased by 20 percent after competition with Covid. Other researchers report higher risk.

When patients first started coming to Dr. Ramasamy Hospital complained of erection problems, “We have given up, thinking it was all mental illness or stress,” he said.

But over time, he and other doctors began to see the pattern, he said. “Six months after the onset of the disease, the patients were completely healed, but they still complained of these problems,” including both erectile dysfunction and low sperm count, Dr. Ramasamy, who has written many papers on the subject, said.

At the beginning of the epidemic, Dr. Emmanuele Jannini, professor of endocrinology and sexual medicine at the University of Rome Tor Vergata, has reported on the connection between erectile dysfunction and Covid. When comparing men who had contracted Covid with those who did not, it was found that those who were infected with the virus had nearly six times as much chance of declaring themselves as those who had avoided the virus. coronavirus.

“Communicating that the virus can affect your sexual life is a very strong message,” especially for men who are still reluctant to be vaccinated, Drs. Jannini said in an interview. “The evidence is very strong.”

Studies by examining photographs and biopsies show that the coronavirus can infect tissues in a man’s vagina, where he will soon be infected. Scientists say it is too early to confirm that the link to erectile dysfunction is the cause, because many factors – mental and physical – play a role in the formation and control of erection . Spreading out has resulted in a separation of relationships and a sense of frustration and depression, everyone can take responsibility.

Dr. Justin Dubin, who wrote a letter about the negative impact of Covid on men’s health, said.

“You need good blood flow, you need broken arteries, and you need good hormones, especially testosterone,” he said. “But you also have to be kind, and you have to be inspired. If any of these go wrong, you may have trouble getting an erection. “

In this sense, ubiquitous disease is the most common cause of erectile dysfunction, Dr. Joseph Katz, a professor at the Florida College of Dentistry, said. Dr. Katz stumbles upon the issue of erectile dysfunction while investigating Covid’s impact on oral health.

Some researchers have speculated that erectile dysfunction may affect the quality of information’s inability to taste and smell in Covid patients, because these thoughts make the plays an important role in sexual arousal. “It is through smell that the arousal mechanism in the brain is ignited,” three Italian urologists wrote last year in a reply to Dr. Jannini paper.

At the very least, men need healthy blood vessels and good blood flow to improve and promote erections. Coronavirus can cause damage to blood vessels and arteries, called endothelium, because it binds to the molecular receptors that make up endothelial cells.

The blood vessels can be relaxed and stretched as needed to allow blood to flow to the vagina. Vascular injury can also lead to more serious problems with Covid, such as heart disease, stroke and blood clots.

“All of our arteries are connected – it’s not a separate penis problem,” Dr. T. Mike Hsieh, director of the Men’s Health Center at the University of California, San Diego, said.

But vascular problems can occur in the organs first, because the arteries are too small. (Dr. Jannini called erectile dysfunction “the canary in the coal mine” for heart disease.) Erectile dysfunction and heart disease are associated with – such as weight gain, metabolic diseases such as diabetes. sugar, smoking and old age – which also increase the risk. competition of having heavyidid.

“The arteries of the vagina are about one-tenth the size of the arteries, and when you have a narrow vessel, whether it is a plumbing problem or a vascular problem, it can occur in “Before, even before you saw it, it was bigger than a vein,” said Dr. Hsieh.

Erectile dysfunction can precede a heart attack by five years, he said, and can be an early sign that there are other risks.

“When I see a man for erectile dysfunction, they not only get Viagra or Cialis,” Dr. Hsieh said. “They were referred to a supervisor or cardiologist to make sure their cholesterol was checked, their blood sugar controlled, to talk about weight management, lifestyle or diet. “

Erectile dysfunction could point the way to a longer diagnosis of Covid, Dr. Jannini said, or even causes mental illness.

“If you have a patient who is alive with Covid, and you want to know if he has Covid for a long time or not, just ask him how he went to bed,” Dr. Jannini said. “If he had a normal sex life, the probability of him having Covid was very long, very low.”

Left untreated, erectile dysfunction can lead to further problems. Peyronie’s disease, a condition that causes cramps, painful erections due to fibrous tissue in the vagina, and orchitis, pain in one or both of the testicles, can cause designed for men with Covid, according to published research.

Men who do not have regular erections every few months can develop scarring and fibrosis, which makes erectile dysfunction difficult to treat and may cause shortness of the penis.

Erectile dysfunction can be resolved on its own, but Dr. Hsieh encourages men with symptoms to see their doctor, and sooner or later.

“If you have this problem, do not wait,” he said. “For the most part, we can get men’s sexuality back.”

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