Impotence is lack of male penile erection, leading to the inability to conduct sexual intercourse. Often, it is certainly a pathological condition is accompanied by lack of desire (libido) and sensations of orgasm, rapid ejaculation, which, of course, greatly reduces the quality (and quantity)of sexual life and has a negative impact on psycho-emotional status of a man, interpersonal and family relationships.
What is impotence?
For a long time the diagnosis of “impotence” had everyone, without exception, man who complained the doctor about reducing of duration and strength of erection. However, a large number of these patients have erection saved; just its force is not enough to conduct normal sexual intercourse.
In addition, it was found that there are much more men with reduced quality of erections than with its complete absence. So now the term “erectile dysfunction”, i.e. disturbance of erection is often used and impotence is simply an extreme degree of this disturbance.
There is also secondary impotence when a man had normal erection before and primary impotence — in this case a man never had a normal erection. It is believed that sexual function weakens over time. Actually it does not.
In absence of diseases that cause erectile dysfunction, every man can have quality sex life at the age of 50, and 60 years. By the way, Michael Steel’s book “ED Conqueror” was published recently. With its help you will easily be able to cope with erectile dysfunction at home.
Why does it happen?
It used to be that the main causes of impotence are psychological problems or metabolism of sex hormones. However, it is clear now that although the psychological factor promotes disease development, but the main reason is the organic changes in the mechanism of erection. According to the latest data, the main causes of impotence and erectile dysfunction are:
- Mental: depression, stress.
- Nervous: injuries, damage to intervertebral discs, multiple sclerosis, alcohol abuse, surgery on the pelvic organs, etc.
- Arterial: hypertension, smoking, diabetes.
- Venous: disturbances in the mechanism of limiting the outflow of blood from the penis.
- Medicinal: taking of medications to reduce pressure, antidepressants, luteinizing hormone, and some other medications.
What’s going on?
There are many reasons, but the main culprits of reducing potency still are progressive atherosclerosis, diabetes, hypertension, and tobacco and alcohol dependence. In these diseases there are changes in the blood vessels of the body, and as the result the walls of veins and arteries lose flexibility and elasticity, become fragile and brittle, which is one of the most frequent causes of impotence.
In the normal state, under pulses of the central nervous system, the walls of blood vessels of the penis relax resulting in blood quickly fills the penis.
Increasing in volume arteries compress small vessels that in the ground state send blood into the veins; outflow of blood is sharply reduced, and that ensures an erection.
However, progression of atherosclerosis and, as a consequence, deposition of cholesterol plaques on the walls of blood vessels, taking of drugs that reduce blood pressure, diabetic vascular lesions, alcohol abuse, stress loads – all these reasons, together and separately, reduce the ability to normal erection.
Diagnosis and treatment
Call to pay more attention to your own health is not just mere words. According to statistics, only one of ten men, faced with sexual disorders, refers to a specialist. Meanwhile, more than half of the cases, erection can be restored. You just need to understand the causes of the problem. And here you can’t do without consulting of a specialist — you should visit andrologist, who will deal with your problem.
First, the doctor will find out, if there are violations in the sexual sphere that can mask inflammatory diseases of the prostate, bladder, etc. To answer this question you can also refer to the consultation of urologist, followed by an ultrasound examination, blood tests, as well as taking of bacteriological smear.
If inflammatory diseases are not identified, your doctor may refer you to the endocrinologist, as potency disorders are often associated with hormonal disorders. Special tests will establish the level of one or another hormone in your blood.
Vascular disorders that lead to impotence can be revealed by modern research methods, Doppler ultrasound; modern techniques allow to determine quantitative and qualitative indicators of the penis blood supply.