We speak of impotence when attempts at sexual intercourse often fail because you can not get or maintain an erection. Impotence is not the same as infertility. Infertility is the impossibility of conceiving a child in a natural way, while sexual intercourse is perfectly normal.
How Often Does It Occur ?
About half of the men in the age group of 40 to 70 years say they sometimes have erectile problems. This does not mean that half of the men become impotent with years.
Often these are transient discomforts: sometimes there is no erection, an erection that is not sufficiently hard for community, the erection can not last long enough … Often this is due to reduced self-esteem or relational problems. Disease as a cause of impotence is therefore much less frequent.
How Can You Recognize It?
You will not succeed in getting and maintaining an erection. If this is the case in three quarters of the attempts at sexual intercourse, then we speak of serious impotence. It is therefore a continuous problem. When it only works once in a while, there is usually no disease at the base.
The answer to a number of questions can already provide a lot of clarification: do you always have problems? Are there still morning exits? Are the problems only with your regular partner? Has the problem suddenly started or has it been going down for a long time? Do you use alcohol, drugs or medicines that can have an influence? Are there problems in the relationship? If your problems are limited to one partner, if you still have morning delays, and if you can still masturbate normally, there is probably no underlying disease.
Greater Chance of Impotence
- Overweight (BMI> 30): chance is 4x greater
- Smoking: chance is 4x bigger
- Smoking + overweight: chance is 16 times bigger
- High blood pressure + smoking + overweight: probability is more than 16x larger
How Does Doctors Diagnose It ?
Impotence can often be a challenging condition to live with because it can have many causes. Very rarely can Impotence be traced to one specific cause. In most cases, Impotence is the result of a combination of factors. Some people are more susceptible to developing Impotence, although just about anyone can develop Impotence.
Here are some of the causes that may trigger Impotence. If you suspect you suffer from an erectile disorder, here are some of the areas that may be responsible. Your physician will help you determine the cause (or causes) of your problems.
The first thing that your doctor will determine is whether your problem is physiological in nature. There are many physical causes that can cause Impotence. Certain diseases can trigger Impotence, including high blood pressure, diabetes, chronic renal failure, arterial sclerosis, Parkinson’s disease, flu, liver disease and other age-related conditions.
Impotence can also be triggered by certain prescription medications with known side effects. Your doctor will be able to determine whether any prescription medications that you are taking may be responsible for your sexual impotence.
Impotence can also be the result of post-surgical side effects. Surgery can result in injuries to certain organs that in turn can result in an erectile disorder. Injuries to the penis, testicles, pelvic area, spine and other types of vascular trauma can lead to sexual impotence.
Impotence can also result from substance abuse and excessive consumption of caffeine. Excessive smoking can also lead to Impotence. Other physical causes of Impotence can be triggered by some kind of hormone deficiency, aging related disorders, and excessive alcohol consumption.
There are also several psychological causes that can trigger Impotence. In some cases, psychological problems may stem from a physical condition. But in other cases psychological problems may be at the root of sexual impotency.
Some of the psychological factors that can lead to sexual impotence include depression, anxiety, stress, lack of sexual desire on behalf of one or both partners, guilt, difficulty communicating with one’s sexual partner, and other relationship problems.
If you suspect that you are suffering from Impotence, visit your GB physician or urologist in order to get a complete health examination. Before you visit your physician, take a personal inventory of your body and condition. Do you suspect that your problem is related to physical or psychological causes? Or maybe you suspect that a combination of these factors may be responsible?
Consider any prescription medications, injuries, or physical disorders that you may be suffering from. Also, consider whether you have been under any stress, or if you have suffered from depression. Even if you suspect that your condition is physical in nature, your psychological state of mind can also affect the development of Impotence.
Taking inventory of your mental and physical health before you visit a physician may help you come to a treatment plan sooner.
What Can You Do Yourself ?
It is usually useful to wait for everything just as calmly. In most cases it will be fine again. Some men want to have relations at all costs and become fixated on their failure. This only aggravates the case.
If you have doubts as to whether there are any night or morning excrements, then you can apply a paper adhesive strip around the penis at night. Is this torn in the morning, then you probably had an erection. If there is a relationship problem at the base, ask your doctor to refer you to a psychologist.
If the problem persists, further research is useful. Do not buy any medicines on the internet. The quality of these products is not guaranteed, and tests show that the dose in the pills varies from 0 to 200% of the normal dose!
What Can Your Doctor Do ?
Initially your doctor will perform a blood test and check the prostate. If it sets too low a testosterone, it can be administered in the form of tablets or on the skin with a gel. If no results are achieved after a few weeks, he will refer you for specialist research.
In a normal testosterone a test can be done with a medicine that increases the blood supply to the penis. There are several on the market. The best known are sildenafil (Viagra®), vardenafil (Levitra®) and tadalafil (Cialis®). The operation itself does not differ, but the duration of operation can vary.
These agents may have serious side effects. Heart patients should not use them because they can provoke a heart attack. They also lower blood pressure, and should not be taken with nitrates such as Cedocard® or heart patches such as Nitroderm®. Some men use these products to be able to make love more than once. This is not recommended.
There are also products that are injected directly into the penis (prostaglandins) and then give an erection after 10 to 30 minutes. This is first tested in the hospital. That is where the right technology is taught. An alternative is to insert this drug into the urethra. In rare cases, the erection can last longer than 6 hours and become very painful. Then a counterproduct is administered, or blood is drawn from the penis with a syringe.
A final solution is the surgical insertion of artificial swelling bodies into the penis. These provide an artificial erection that makes sexual intercourse possible.
Phosphodiesterase (type 5) inhibitors
These agents inhibit the enzyme phosphodiesterase, which breaks down substances that cause the swollen bodies in the penis to fill up. They therefore remain in the penis longer and in larger quantities. The penis can therefore become stiff and stays stiff longer. Sex stimulation is required for the operation. Examples are avanafil, sildenafil, tadalafil and vardenafil.
Fentolamine with papaverine
Fentolamine dilates the blood vessels in the penis. This allows the swelling bodies to fill up.
Papaverine is a muscle relaxant. It loosens the muscles in the wall of blood vessels and in the erectile organs in the penis. The penis can thus become stiff and stays stiff longer. Sex stimulation is required for the operation.
Fentolamine dilates the blood vessels in the penis. This allows the swelling bodies to fill up. The penis can thus become stiff and stays stiff longer. Sex stimulation is required for the operation.
reuptake inhibitors (SSRIs) Serotonin reuptake inhibitors, also called SSRIs, regulate the amount of serotonin in the brain, a naturally occurring substance. These medicines are originally used in depression and anxiety, but also extend the time to ejaculation. Examples are paroxetine, sertraline and citalopram.
Lidocaine with prilocaine on the skin
This combination drug numbs the skin or mucous membranes. Local anesthetics are originally used for painful skin or numbing the skin for a local procedure, but also extend the time to ejaculation. Check Emla Cream review and its use in premature ejaculation to last longer.
Tramadol is originally used for sudden or prolonged severe pain and nerve pain. But it can also be used to extend the time to ejaculation.