MUTUALLY REINFORCING TRIAD: DEPRESSION, ERECTILE DYSFUNCTION AND CARDIOVASCULAR PATHOLOGY IN MEN

DOI: https://doi.org/10.29296/25877305-2019-12-01
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Issue: 
12
Year: 
2019

E. Petrova(1), Candidate of Medical Sciences; N. Herzog(2); G. Baranova(1), Candidate of Medical Sciences; E. Nesterenko(1), Candidate of Historical Science; T. Maltseva1, T. Koldova(2), P. Poluboyarinov(3), Candidate of Agricultural Sciences 1-Penza State University 2-Regional Clinical Hospital at the Penza Station, OAO «RZhD», Penza 3-Penza State University of Architecture and Construction

The combination of depression, erectile dysfunction (ED), and cardiovascular disease, more often - arterial hypertension, is called as a mutually reinforcing triad. Associated pathology increases the risk of premature death, worsens the prognosis and reduced social functioning of patients. The common pathogenic mechanisms of ED, depression and hypertension are endothelial dysfunction with decreased nitric oxide, low levels of androgens, the violation of cortico-visceral connections with the imbalance of the hypothalamic-pituitary-adrenal system and sympathicotonia. Complex pathophysiology requires prescription of adequate anti-hypertensive and psychotherapy, effective treatment of erectile dysfunction.

Keywords: 
man’s health
erectile dysfunction
depression
cardiovascular pathology
arterial hypertension
pathogenic relationships
therapy of erectile dysfunction
Eromax



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