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Causes of Impotence
There are a number of causes of erectile dysfunction, of which the most common are...
This is the most important male hormone in the body, everyone knows that testosterone makes a man a man.
For many of us as we go into middle age, testosterone levels are so profoundly affected that sexual vitality, strength, energy and quality of life are significantly reduced.
It is the movement towards over reduction of testosterone that produces many of the problems that men face from the age of 39+ due to imbalances in the body and occasionally misfunctioning of the adrenal glands.
About 95% of testosterone is made in the testes, most of the rest is made in the adrenal glands, testosterone is so powerful that a few nanograms of testosterone causes the fetus to develop as a male (a nanogram is a billionth of a gram).
As men age from around 39 onwards the testosterone levels in healthy men slowly declines at a rate of 1.2% per year, by the age of 100 free testosterone normally dissapears entirely
Remember this is natural as we age, but what we look to redress is the sudden unnatural loss of testosterone that has occurred through other reasons.
The hormonal shifts occur at different ages for every man.
Testosterone has become a popular media topic lately because of either its improper use to enhance athletic performance, or because of its ability to heighten sexual feelings. There are, however, serious non-sexual health issues intimately related to deficiencies in this hormone. These problems have not been recognized or addressed by the medical community. Testosterone deficiency affects everyone as they age. It erodes our sexuality until it's non-existent. It weakens and debilitates, robbing us of the energy and ability to enjoy our lives. It has an intimate relationship with such serious common health problems as osteoporosis, type II diabetes, depression, and congestive heart failure, to name just a few.
The health of every man and woman will be significantly affected by whether they become aware of this rarely treated, widespread, disease. "Dr. Gordon's insight and knowledge of testosterone replacement therapy has been a welcome addition to my sex therapy practice. It has enabled me to add testosterone replacement to my therapeutic armamentarium, helping to maximize my treatment successes.
Philip Garippa, L.C.S.W. Philip Garippa is a Board Certified, clinical supervisor in the Human Sexuality Program at Weill Cornell Medical College.
ATHEROSCLEROSIS OF THE PENILE ARTERIES (BASICALLY FAT CLOGGED ARTERIES)
It is thought by a number of doctors and researchers that about half of erectile dysfunction problems are a result of clogged or inefficient arteries.
Erection depends on a good blood supply to the penis and with poor circulation to the extremities due to clogged or restricted arteries, there is often a insufficient supply of blood to produce an erection.
DIABETES-RELATED HIGH BLOOD SUGAR LEVELS, CAUSE A NARROWING OF THE BLOOD VESSELLS.
In Britain alone, there are estimated to be 1.5 million male diabetics. The disease causes impotence in more than half of them.
PSYCHOLOGOCAL PROBLEMS, STRESS/ANXIETY/WORRIES
Unfortunately sexual dysfunction has a self prophiecising psychological cause. In other words it creates anxiety,and it is this anxiety which is the exact opposite of what we want to achieve. The minute you have self doubts the penis will become flaccid as anxiety naturally produces certain chemicals which are what the body produces after a male orgasm specifically to make the penis flaccid.
EXISTING MEDICATION THAT YOU ARE TAKING CAN CAUSE ERECTION PROBLEMS
Check the side effects of any medication you are taking as there are scores of them that cause impotence. It could be that simple.
Avoid overeating or alcohol consumption. Both - especially alcohol - are known to interfere with achieving and sustaining erections and optimally engaging in physical activity.
Erectile Dysfunction Cure
Often Erectile Dysfunction is treated by: Oral/ Drugs treatment
There are 3 different phosphodiesterase PDE5 inhibitors in tablet form available:
- Sildenafil (marketed as Herbal "V") made by Pfizer
- Vardenafil (marketed as Levitra) made by Bayer/Glaxo-Smith Kline
- Tadalafil (marketed as Cialis) made by Icos/ Lilly
These tablets are currently available from the doctor (and now often online via an online consultation, probably soon over the counter, as well as sold on the "black market"). Many people think they cause an immediate erection or will help them feel sexy, however, they only work when the penis is sexual stimulated. It works by blocking a chemical that usually causes the erection to subside. Depending on the treatment, it will need to be taken 20 minutes to 1 hour before sex. Herbal "V" and Levitra should also be taken on an empty stomach to help with absorption. The period of time over which it works varies between 3 and up to reportedly 36 hours for Cialis. Approximately 70% of patients have a positive outcome with Herbal "V" (with similar results for Cialis and Levitra).
Commonly reported side effects:
- Facial flushing
- Nasal congestion
- Visual disturbance
- Reliance on the drug for future erections
Alprostadil (marketed as Caverject) is most often used but papaverine hydrochloride and phentolamine can also be used. Injected, usually just before sexual intercourse, directly into the penis or inserted using a special applicator it is almost always effective. However, patients need careful training on how to inject properly and can leave scarring, painful erections and priapism.
These work by placing a plastic tube over the penis, air is pumped out causing a vacuum and draws blood into the penis before a constricting band or ring is placed around the base of the penis. It works in 60-90% of patients and lasts until the ring is taken off. This is suggested for up to 30 minutes - after which it should be taken off or there can be complications. Many men stop using the vacuum as it interferes with spontaneity and is embarrassing to transport.
Possible adverse effects:
Some men receive hormones for their erection problem, however, this is a fairly rare treatment.
This is used as a last resort if other treatments have failed, often with a prosthetic implants of artificial rods inserted into the penis.
Counselling can be very helpful when psychological cause are suspected and with help the distress caused by impotence and erectile dysfunction.
Its important to treat the matter sensitively, because in many cases erectile dysfunction is caused by a psychological problem, which may get worse if you get angry or argue about it. Erection problems may improve or even disappear if you dont make a big issue out of having sex and find other ways to be intimate, which can take the pressure off him to perform.