Impotence

impotence Impotence Impotence (Erectile Dysfunction) is the inability to initiate and maintain an erection. This disease must be very costly for married couples. So here are some informations about Impotence. CAUSE Impotence is usually the result of: abnormalities of blood vessels neurological disorders Drugs Abnormalities of the penis psychological problems that affect sexual arousal. The cause of the physical are more common in elderly men, while psychological problems are more common in younger men. Increasing age of a man, the impotence becoming more frequent, although impotence is Read the story »

Impotence

impotence

Impotence
Impotence (Erectile Dysfunction) is the inability to initiate and maintain an erection. This disease must be very costly for married couples. So here are some informations about Impotence.

CAUSE
Impotence is usually the result of:

abnormalities of blood vessels
neurological disorders
Drugs
Abnormalities of the penis
psychological problems that affect sexual arousal.

The cause of the physical are more common in elderly men, while psychological problems are more common in younger men. Increasing age of a man, the impotence becoming more frequent, although impotence is not part of the aging process but is a result of the disease often found in old age. Approximately 50% of men aged 65 years and 75% 80-year-old man experiencing impotence.

In order to erect, the penis requires adequate blood flow. Therefore, blood vessel disease (eg atherosclerosis) can cause impotence. Impotence can also occur as a result of a blood clot from surgery or blood vessels that cause arterial blood flow to the penis.

Damage to the nerves to and leave the penis can also cause impotence. This nerve damage can occur due to:

Injury
Diabetes mellitus
Multiple sclerosis
Stroke
Drugs
Alcohol
disease lower spine
rectal or prostate surgery.

Approximately 25% of cases of impotence caused by medication (especially in older men who consume lots of drugs). Medications that can cause impotence include:

Anti-hypertension
Anti-psychosis
Anti-depression
Sedative
Cimetidine
Lithium.

Sometimes impotence due to low testosterone levels. But the decline in male hormone levels (which tend to occur due to aging process), usually more often causes a decrease in sexual desire (libido).

Some psychological factors that could cause impotence:

Depression
Anxiety
Feelings of guilt
Feelings of fear of intimacy
Indecision about sex

SYMPTOMS
Patients are not able to start and maintain an erection.

DIAGNOSIS

Diagnosis based on symptoms. Physical examination done to look for a change in male sexual characteristics, such as breast, testes and penis size, and changes in hair, skin and voice. To determine the arterial abnormalities in the pelvis and groin (which supplies blood to the penis), blood pressure measurements were taken in the leg.

Other tests that may need to be done:

full blood examination
Check blood sugar for diabetes
Check levels of TSH
Ultrasound of the penis.

TREATMENT

Impotence usually can be treated without surgery. Type of treatment depends on the cause. Special exercises carried out by people with impotence due to psychological problems, the so-called convergence technique sensation 3 stages.

This technique encourages intimacy and emotional warmth, which is more focused to build a relationship:

Phase I: courtship, the couple concentrated to please each other without touching the pubic area.
Phase II: the couple began to touch the pubic area or other erotic areas, but not engage in intercourse.
Stage III: engage in intercourse.

Each reached the comfort of intimacy at each stage before continuing to the next stage. If this technique does not work, patients may need to undergo psychotherapy or sexual therapy. If people are depressed, may be given anti-depression medication.

Sildenafil is a drug that could meningkatkanaliran blood to the penis. The drug is taken 30-60 minutes before sexual intercourse, only effective if accompanied by sexual arousal. Should not be taken along with nitrate because it can cause serious side effects. If impotence or loss of sexual desire due to low testosterone levels, patients should undergo hormone replacement therapy. Testosterone is injected every week or given in the form of plaster. Side effects of prostate enlargement and is the excess of red blood cells that can cause a stroke.

Binding instrument or exploiters are often used to achieve and maintain an erection, but this tool should not be used by people with bleeding disorders or patients taking anticoagulant medication. Binding tool (a rope or a ring made of metal, rubber or leather) mounted at the base of the penis to slow the flow of blood from the penis. Tools exploiters (in the form of hollow box and pump) mounted on the penis. Vacuum pressure helps drainage of blood into the penile arteries. When the penis is erect, a bonding tool mounted to prevent the blood from the venous drainage. A combination of both devices can maintain an erection for 30 minutes.

Sometimes binding instrument causes problems when ejaculation, especially if tied too tight. For the sake of security, i recommend that after 30 minutes of the tool is released. If too much is used, vacuum devices can cause bruising.

Impotence can also be treated with an injection of special drugs made by the patient. The drug is injected directly into the erectile tissue of the penis (corpus cavernous. Erections occurred within 5-10 minutes after the drug is injected and can last for 60 minutes. The side effects are bruising and pain. In addition, injection can also cause Priapism (persistent erection and pain).

If impotence does not respond to various treatments above, can be used transplant penis or prosthesis (artificial penis). One of the tools that grafted a stout rod inserted into the penis to create a permanent erection. Another tool in the form of a balloon inserted into the penis and inflated until the patient had sexual intercourse.