Impotence is an embarrassing problem. It is estimated that up to 80% of men over 40 years of age suffer from erectile dysfunction. Its causes can be traced to both the physiology and psychology. However, more often hear opinions that impotence is also a disease of civilization. The number of men complaining of erectile dysfunction increases from year to year.
Causes of impotence
Impotence is a disorder involving the physiological inability to undergo full sexual intercourse. For men this is a problem shy, and above all frustrating. Problems with erection often lead to lower self-esteem, the crisis in the relationship, and in extreme cases even to its disintegration.
There are several reasons for erectile dysfunction. In practice, the division into two groups of factors that cause impotence: external and psychogenic. The first group comprises mainly: chronic stress, alcohol abuse, addiction to cigarettes or drugs, fatigue. The elimination of harmful substances and a healthier lifestyle often sufficient for other drug therapy. The causes of impotence must be sought also in a poor state of health of a man. Frequent urinary tract disorders, cardiovascular disorders, injuries of the body, causing problems with erection. Impotence caused by these reasons it is more difficult to cure, and the risk of emergence increases with age. It is worth noting that impotence caused only a man’s age is relatively rare. Only in about 10% of men have problems with erection, age is the direct cause. With age related mainly to a decrease of testosterone, muscle flaccidity and loss of skin elasticity.
The second group of factors that cause impotence include psychological disorders. These are the most common: anxiety, sexual inhibition, innate shyness, insecurity, deep complexes. However, they relate mostly young men who are just starting their sexual life. Then of impotence is also said in the case of premature ejaculation or anorgasmia.
We talk about impotence when there are problems with erection. Inability to achieve full erection, premature ejaculation, lack of orgasm – are the main symptoms of this disease. Addition of impotence may indicate a decrease in sex drive, and even a total lack of desire for sex lasts a long time.
Symptoms of the physical ground may be present in different degrees of severity: mild, moderate and severe. A mild degree of impotence is determined primarily problems with premature ejaculation. However, this symptom is not always indicative of disease. It often occurs in young men or after a long abstinence. Premature ejaculation may induce anxiety when it appears with regular intercourse and keeps for a long time. For mild symptoms of impotence are also a small number of sperm at ejaculation, loss of erection before reaching ejaculation or so. soft erection or an erection that prevents rectal intercourse.
Moderate degree determines the occurrence of a partial erection, ie for a very brief moment, the lack of ejaculation and sexual satisfaction. Having this type of impotence we also achieve an erection when preceded by a very long time to stimulate, which results in premature ejaculation. Severe degree of impotence is the practical impossibility of achieving sexual satisfaction by a man. No erection prevents the anus full sexual intercourse. There are also cases when a man is unable to have sex with a woman, but does not bring him any pleasure. Extreme is the total lack of erection, even at long stimulation.
Treatment of impotence
Impotence is not an incurable disease. In most cases restores hundred percent cure sexual performance. However, prior to treatment, and thus the choice of therapy should be properly identify the causes of erection problems. First, the physician urologist should conduct an in-depth medical history from both the patient and his partner. The second step is to perform a series of tests, including blood counts, an indication of the level of sugar, prolactin, testosterone and cholesterol, prostate ultrasound.
In the treatment of impotence there are several methods. The first is pharmacology. When choosing a drug the doctor is guided by the results of the study. In the case where the “culprit” is lowered testosterone, hormone treatment is used. Medicaments containing hormones are administered orally or intramuscularly.
If the cause of impotence is a circulatory disorder, the method of treatment is injection of the drug in the corpora cavernosa of the penis. Drugs are injected around the base of the penis, at the right time, one to the left. The downside to this type of therapy is that the patient must be isolated before each inject ratio.
There are numerous oral drugs, which act by blocking the enzyme inhibiting secretion of erection. Their base are inhibitors of phosphodiesterase type 5 should be taken 30-60 minutes before intercourse. These drugs have a high efficiency, which oscillates at a level of 80-90%. Their use, however, can cause side effects, including dizziness, nausea, and vomiting.