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Male Impotence Or Erectile Dysfunction – Causes, Symptoms, and Treatments Now Available
Impotence, also known as erectile dysfunction or sometimes just ED, is a common problem in men characterized by the persistent inability to achieve or maintain an erection sufficient for sexual intercourse. How common it is is difficult to quantify, as even in today’s much more enlightened times less than 20% of men with erectile dysfunction seek help, but research puts the figure at over 200 million people with impotence in the Western world.
Types of impotence
a. Transient impotence: Occasional erectile problems are very common, with more than 50% of men failing to achieve full sexual function at least once in their lives. This is not considered a dysfunction, especially as one gets older.
b. Primary impotence: A patient with this condition never achieves a sufficient erection.
c. Secondary impotence: when a person was able to complete sexual intercourse in the past, but now has problems.
Causes of male impotence
Statistics show an organic problem in 20% to 50% of men with erectile problems.
Often both organic and psychological factors exist at the same time, making it very difficult to easily pinpoint one factor as the cause. Another complication is that many medications can affect the ability to achieve an erection.
Organic causes of impotence in men are: diabetes, heart disease, high blood pressure and prostate cancer. External factors such as alcohol, steroids or drugs such as beta blockers may be involved. Impotence can also be the result of a blood clot that prevents enough blood from flowing into the penis to cause an erection, or general poor physical health, poor eating habits and obesity.
Impotence triggered by psychological factors is more likely to occur suddenly and perhaps only in one person. Psychological causes include; difficult relationships, guilt, fear, past rejections, faith, depression, stress and anxiety.
Symptoms of different types of impotence and diagnosis
Secondary erectile dysfunction can be:
a. Partial: when a man cannot achieve a full erection.
b. Intermittent: Where it is sometimes strong with the same partner.
c. Selective: where an erection can only be achieved with certain partners.
In disorders resulting from psychogenic problems, erection can still be achieved through masturbation. In such cases, there are often signs of sweating and palpitations.
A complete sexual history is necessary to differentiate between organic and psychogenic causes and between primary and secondary impotence.
Questions should include:
1. When did the condition start, was it sudden or gradual.
2. Can he achieve an erection through masturbation.
3. Does he take medication for other diseases.
4. What was his life situation when the problem first appeared.
5. Does he have an underlying disease.
6. Are there personal problems at home.
Treatment of impotence
Impotence can have devastating effects on the psyche of men, as most men still associate sexual performance with self-confidence. They often become insecure and frustrated, and if they don’t know how to communicate openly, they may begin to avoid intimate situations with their partners.
Treatments, with the exception of testosterone supplementation, which can be useful in age-related impotence, work temporarily, enabling the achievement and maintenance of an erection long enough for sexual intercourse, but do not permanently improve the underlying condition.
Treatments for erectile dysfunction include: drugs such as Viagra and Cialis, vacuum devices, counseling, injections directly into the penis, and penile prosthetic implants. Another new breakthrough drug, Uprima, works by stimulating the area of the brain responsible for arousal and stimulation.
Alternative treatments for impotence include; herbal supplements such as ginkgo biloba, St. John’s wort and B vitamins can help. Recently, there have been reports of good success with FDA-listed strips used in conjunction with their associated marine phytoplankton nutritional patches to help the body regulate the immune system and improve blood flow.
Some couples find that counseling enhances the effects of other forms of impotence treatment by strengthening their relationship.
Side effects of impotence treatment
Impotence drugs can increase the risk of vision loss in men with a history of heart disease or high blood pressure, and there have been reports of deaths related to the use of these drugs.
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