subject: All About Impotence [print this page] All About Impotence All About Impotence
Impotence - the inability for various reasons, cause and / or maintain an erection sufficient for successful sexual intercourse.
Currently, doctors in order to better separation of impotence from other disorders associated with the violation of sexual intercourse, such as violation of ejaculation (ejaculation), orgasm, frigidity often use the term "erectile dysfunction" is a broader concept.
Whereas previously the term "impotence" to understand the sharp decrease or absence of penile erection, now in the category of patients with erectile dysfunction and include those who have an erection, in principle, is preserved, but her strength is not enough for full sexual intercourse.
Clear data on the prevalence of impotence in men is not as due to "sensitivity" topics are most of the patients did not seek medical attention. In addition, the severity and diversity of manifestations of erectile dysfunction is so widely varied, often very difficult to diagnose this disease. According to foreign data, about 10-15 million Americans have erectile problems. The incidence of erectile dysfunction increases with age.
Recently, the emergence of information available about the problems associated with sexuality, development of methods for the effective treatment of erectile dysfunction in patients of all age groups have increased the awareness of people with these problems and improve the uptake percentage of patients for specialized medical care.
What are the causes of impotence?
Widely believed that impotence - is the destiny of those who abuse alcohol, drugs, experiencing constant stress or suffering from depression, having genital diseases are not the statistics, which include a share of the above reasons, only about 10-20%.
Unfortunately, up to 70% of cases of erectile dysfunction associated with various medical conditions (diabetes, atherosclerosis, hypertension, hypothyroidism), and side effects of medications. To drugs, invasive erectile function include drugs that lower blood pressure (especially beta-blockers), allergy, psychotropics (antidepressants, tranquilizers), which suppress appetite (anorektiki).
Cause of impotence may be the defeat of the spinal cord damage arteries and nerves caused by injuries or surgery on the pelvic organs (most often associated with diseases of the prostate gland). Smoking is also a possible cause of erectile dysfunction because of the negative impact of this bad habit on the vascular wall. Rarely the cause of impotence are hormonal disturbances, such as testosterone deficiency, and psychological disorders.
Treatment of impotence is a fairly long process, requiring patience, as part of the patient, his partner and doctor.
Therapy is usually a step or step in the direction from the most simple activities to invasive.
If the cause of impotence is a physical illness or the patient is taking medications that can reduce the potency, the first step in the treatment of impotence is to treat the underlying disease or cancellation / replacement drugs.
Psychotherapy and lifestyle modification - the next stage of the treatment of impotence, with the ineffectiveness of which prescribe specific medications, physical methods, including vacuum erection dosage brief exposure to electromagnetic fields, heat, different kinds of surgeries.
Medications used to treat impotence can be taken either as a tablet forms, or for direct injection into the penis of the special thin needle.
The effectiveness of such drugs as yohimbine, trazodone, agents from the group of dopamine and serotonin agonists has not been proven in large-scale scientific research, in some cases, their effect was comparable to placebo. Scope of these drugs is limited to patients in whom the basis for erectile dysfunction are psychological problems, since the improvement of their potency can be explained only by the faith of patients in the efficacy of drugs.
Among the drugs should be made alprostadil, sildenafil (Viagra), a new Levitra, etc. are used for treating erectile dysfunction of any nature.
Self-introduction of drugs (papaverine, phentolamine, prostaglandin E) can not only expand blood vessels and temporarily improve erections, but also lead to such undesirable effects as a constant erection (priapism) and scarring of the tissue of the penis. There are cases when the external application of nitroglycerin and muscle relaxants improves erection.
Before the treatment of impotence should consult with your doctor, especially if you have associated diseases, because self-medication with these drugs can result in not desirable, and sometimes serious consequences.
Vacuum erection is to create a negative pressure around the penis, which contributes to the flow of blood to it. The device consists of three parts: a plastic cylinder into which the penis pump removes air from the cylinder and the elastic ring that is worn on the base of the penis to maintain an erection during sexual intercourse after removing the penis from the cylinder and prevent the rapid outflow of blood from it . A peculiar variant of a vacuum device are special semi-rigid rubber "covers", worn on the penis and stay there during intercourse.
Among other physical methods of treatment of impotence, attention should be given a variety of compact devices that can improve the local blood supply due to short-term dosing effects of heat, electromagnetic radiation, etc. Their use is particularly effective in cases where the impotence is caused by chronic prostatitis or benign prostatic hyperplasia and the risk of prostate cancer is minimal.
Destinations surgical treatment of impotence:
special prosthesis implantation in the penis
operations on blood vessels that provide increasing inflow of arterial blood to the body and reduce venous outflow.
Promising treatments for impotence include the creation of micro-tablets, which are introduced into the penis before intercourse with the release of the drug to call a temporary erection. This form of administration of the drug can significantly reduce the likelihood of systemic effects that are possible against the use of drugs such as Viagra, Levitra etc.
