Sexual Problems in Men
Impotence
(Erectile Dysfunction)
Impotence is the inability to have
sexual intercourse due to failure in achieving or maintaining erection. Impotence
is common and most men have it once in a while or for short periods of time. It
can occur at any age, but is most common in men above 65.
Impotence is treatable at any age. There are now successful
treatments for this disorder which ensures that most men with the problem return
to normal sexual activity.
Possible
causes of Impotence
-
Diseases such as diabetes mellitus, an endocrine gland
disorder, kidney disease, multiple sclerosis etc.
-
Problems with the structure
of the penis or its surrounding tissues may prevent an erection.
-
Damage to
arteries, smooth muscles and fibrous tissues, often as a result of disease, surgery
or injury that interfere with nerve impulses or blood flow to the penis.
-
Psychological
or emotional factors like stress, anxiety, grief or problems with relationships.
-
Excess consumption of alcohol or drug abuse.
-
Obesity and smoking which affects
blood flow and arteries.
-
As a side effect of some prescription drugs like
high blood pressure drugs, antihistamines, antidepressants, tranquilizers, appetite
suppressants, cimetidine, an ulcer drug etc.
-
In older men over 65 years, impotence
can be caused by low levels of testosterone, a condition which can be corrected
by Hormone replacement therapy.
| There
are various treatment for impotence depending upon the underlying cause. These
may include measures to combat stress, counseling and sexual therapy to help resolve
relationship problems, changes in life style, weight control, alternation in prescribed
medication which causes impotence, pelvic floor exercises, use of an oral medication, a
vacuum device or injection or insertion of medicine into the penis. For those
men whose impotence has resulted from injury to nerves and blood vessels supplying
the penis, two forms of penile implant can be inserted by means of surgical operation. |
| Prevention |
-
Keep
your blood sugar in a safe range if you have diabetes.
-
Quit
smoking.
-
Exercise regularly.
-
Avoid
excess alcohol intake and use of drugs.
-
Keep your cholesterol
level low to reduce the risk of hardening of the arteries (atherosclerosis).
-
Lower stress in your life.
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