Impotence

January 15, 2012

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Impotence   (another name - erectile dysfunction ) - A condition which is characterized by sexual dysfunction, which is due to man's penis does not reach the proper level to increase, straightening and hardening necessary for sexual intercourse. Also in this state, the patient can not maintain erection   the period of time that is required for the full duration of intercourse. Impotence is one of the sexual dysfunctions Typical for men. As the study of American specialists, like a disease on a global scale is typical for approximately 150 million men who are over 40 years old.

The term "impotence" came into use from the Latin term impotentia coeundi Which describes the impossibility of men suffering from this disorder to enter the penis during penetrative sexual intercourse and complete sexual intercourse due to insufficient strength of the penis. It is important to bear in mind that this erectile dysfunction does not directly affect the ability of men to ejaculation .

In view of the sensitivity of this issue, the treatment of impotence for a long time was a very special sphere. However, in the Middle Ages were undertaken steps to develop tools to deal with this condition. But effective drug for the full treatment of impotence appeared only in the 1930s.

Causes of Impotence

Assuming normal male sexual function have full sexual intercourse, consisting of sexual desire, pre lovemaking process of erection, the subsequent introduction of the penis, the implementation of several dozen of frictions and completion certificate ejaculation   and feeling orgasm . In the absence of a specific component of the listed full sexual intercourse it is not possible, so that with time the violation occurs, and other components. As a rule, major disturbances, causes it to become a problem with an erection or ejaculation.

In most cases of sexual dysfunction manifests itself not as an independent disease, but as a disease that accompanies other diseases. The causes of impotence can be a variety of endocrine disorders ( diabetes Which causes neuropathy , and hypogonadism At which level Testosterone   decreases due to dysfunction pituitary   or testicular ). Erectile dysfunction is often associated with urological diseases, as well as the defeat of the centers that regulate sexual function, which are located in cortex . The reason for this condition may be cerebrovascular disease, trauma. These causes of impotence provoke organic erectile dysfunction.

No less common cause of impotence is by far the appearance of pain during intercourse for one of the partners. There are causes of impotence, which are recognized irreversible.

Yet experts claim that erection problems are often directly related to disorders of mental character. Thus, the cause of erectile dysfunction may be neurosis . depression . neurotic state That accompany various diseases. Such violations are defined as psychogenic.

Another cause of impotence - a manifestation of erectile dysfunction as a result of taking certain drugs. This condition can cause the use of psychotropic, antihypertensive drugs, a number of estrogen, anti-cancer agents.

Mistake is the fact that impotence - is the age issue. In fact, at the age of boys, a large number of different diseases and disorders, which provoke erectile dysfunction. An important factor affecting the state potency   negative, is also unhealthy lifestyles - malicious smoking, constant use of alcohol, physical inactivity.

Symptoms of impotence

Manifestations of organic and psychogenic impotence are markedly different. Erectile dysfunction is psychogenic   always occurs suddenly, it appears periodically in certain situations. Its origin is directly related to the manifestation of a man's state of stress. Typically, when a similar issue in the presence of psychological problems and personal relationship partners. This erection that arises spontaneously in the morning or at night, a man is saved. Also preserved and the state of tension of the penis during intercourse. If an external problem provoke impotence, will be eliminated, then, accordingly, the man returns to normal erections.

At the same time, organic erectile dysfunction   A similar condition occurs in men gradually. Impotence with time progresses and becomes permanent. The reason for this type of erectile dysfunction - related disease or the treatment of certain medical drugs. At this state the man is completely absent the night or morning erection. However, the patient existents normal sexual desire and problems with ejaculation no. In the process of sexual intercourse may disappear voltage penis.

Also highlights the mixed form of erectile dysfunction.

Today, it is assumed that about 80% of cases of impotence occurs as a complication, though in many cases, men used to consider the causes of their own sexual failure stress and fatigue. Therefore, in such forms require assistance of qualified doctors and psychologists.

Diagnosis of impotence

The diagnosis of "erectile dysfunction" specialist puts on condition that a man can not maintain an erection more than 25% of them committed sexual acts.

To determine the reasons why there was such a state, experts, first of all, eliminate a number of diseases: hypogonadism . diabetes . prolactinoma and other ailments.
With the help of ultrasound can assess the level of blood flow to the erectile tissues of the penis, to determine how full the venous outflow, reveal signs atherosclerosis   vessels, determine the status of the erectile tissue. The patient was initially introduced prostaglandin Which causes an erection, and then study carried out by sonication.

Another method of diagnosis of the functional state of the nerves of the penis - bulbokavernoznogo reflex testing . To do this, click on the professional head of the penis. In the normal state, this action should cause a reduction in the anus.

The presence of erectile problems as indicated by the absence of spontaneous erections during sleep. Under normal conditions such a man an erection occurs periodically. With a special sensitivity of the sensor, which detects the presence of techniques of nocturnal erections, experts fix its presence or absence.

The sensitivity of the penis and can be estimated using bioteziometrii penis . This method is based on the use of vibration to assess the sensitivity of the penis.

Treatment of impotence

To impotence treatment has been successful, the most important factor is timely access professional help. However, very often men, considering the violation is very sensitive issue, hide the presence of sexual dysfunction.

There is evidence that about 95% of impotence is effectively treated with drug therapy. But only a small portion of people who have similar problems, contact a specialist. Often the reasons for which a man lay impotence treatment is embarrassed, waiting for spontaneous improvement status, a sense of secondary importance to this problem, the expectation of a disappointing verdict of doctors.

In this case, suspect a problem with the potency may be partners of men. So, suspect such a state representative of the stronger sex can be if it is by means of different methods of avoiding intercourse, does not initiate sexual intercourse, do not pay attention to offer direct contact.

Before the appointment of a particular method of treatment of erectile dysfunction is imperative to conduct a series of studies that will help determine the exact nature of the problem. In the process of diagnosing is important not only to determine whether they were in the past, surgical or other patient medical intervention, but also carrying out psychological analysis.

It is important to consider that in the treatment of impotence patient in any case shall not use funds from impotence on their own, without consulting a doctor.

To date, used a variety of methods of treatment of this disease, which are two broad groups: Conservative   and operational .

The main operational methods of treating impotence is falloprotezirovanie As well as surgery on the blood vessels of the penis. Recently operative treatment is rarely used because of the availability of effective treatments for the conservative type. Therefore, surgical procedures are applied in the case of ineffectiveness of all other methods, or with clear indicators for the operation. According to testimony carried out the operation on the vessels of the penis. The indicator of their efficiency - no more than 50%. Also in this case the possible complications after surgery and relapses.

Among the methods of conservative (medical) treatment of isolated use of oral medications, administering drugs intrauretralnogo method intracavernous drug administration. Also in the course of treatment prescribed complex treatment of those diseases that caused impotence.

Today there are many medications that are used in the therapy of erectile dysfunction. Thus similar means - or a one-time erectile stimulants, or funds that have an impact on the elimination of psychogenic disorders of potency.

Thus, the most well-known drugs to treat impotence are Viagra   and Cialis, having a very strong stimulating effect. But to make these funds only after conducting a comprehensive examination of a number of body systems, especially Cardiovascular .

Less popular methods of treatment today is intraurethral therapy . This introduction into the urethra of the preparation of the "prostaglandin E-1" before intercourse. This is a fairly expensive method, moreover, cause some side effects.

Using intracavernous injections   vasoactive drugs injected into the corpora cavernosa of the penis, which stimulates the expression of persistent erection. This is a fairly effective method to achieve a single erection. The drug is only a local impact.

In use, vacuum constrictor therapy   comes the creation of a negative pressure in the corpora cavernosa of the penis. It stimulates the blood flow. However, in this method also possible to allocate a number of drawbacks: for example, on the basis of the penis ring to be worn, which causes some inconvenience.

The specialist will help determine what kind of treatment should be preferred in each case .

Prevention of Impotence

In order to prevent the occurrence of impotence, the man is very important to adhere to the principles of a healthy lifestyle, follow the balanced daily diet, sports and constantly monitor the state of health. A very important point in the process of prevention of impotence is quitting smoking, narcotics, alcohol abuse.

Do not use drugs, that as a side effect may provoke erectile dysfunction. If such drugs are still to be taken, such treatment should be done only under medical supervision.

Some experts argue that sexual function positively affect maintaining regular sexual life without too long abstinence or frills.

Upon receipt of the pelvic injury or perineum should immediately consult a urologist. Such regular consultations are important for patients with hypertension or diabetes.

It is important to avoid the stress of regular, constantly try to have healthy sleep. Anxiety and depression should also be immediately corrected.