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Impotence (erectile dysfunction) -
Impotence (erectile dysfunction)
What is impotence or
erectile dysfunction (ED)? Impotence is the inability to
a man to achieve and maintain an erection, which makes it impossible to complete
satisfactorily intercourse. Lately it is more frequently referred to as
"erectile dysfunction" (DE).
It affects between 15 and 25% of men aged sixty-five and
It increases with age.
The risk of suffering
an ED increases with age. In fact, between 15 and 25% of men in
Sixty-five years cannot achieve a complete erection but only affects the
5% of men in their forties. It is quite common to experience some
Occasional episode of DE throughout life.
important that men with this problem be aware of
The most common cause of
Occasional or temporary impotence is anxiety.
Problems getting an erection can be treated with medication,
sexual counseling, mechanical support or surgical treatment.
Impotence can be a symptom of another disease, even without
diagnose, which will require treatment.
our sections 'Men's Health',
'Sexuality' and 'Urology' you will find
Related Posts. We suggest:
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Inability to ejaculate
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What is the cause
of impotence? An erection is the result of
interaction between the nervous system, the blood circulatory system, the
hormonal balance and psychological factors. Therefore, erectile problems
they can be caused by several factors and are often
Problems in the
Anxiety for the result (concern for 'being
good 'in bed)
Unresolved sexual orientation
Vascular disorders (of the vessels
blood) are a common physical cause. Patients with
heart or vascular diseases and high blood pressure
blood (hypertension) have a higher risk of
Excessive blood drainage from
the penis through the veins (venous leak) when the phenomenon of
diabetes is often associated with problems of
erection. Sometimes the disease is discovered as a result of a study of
smoking increases the risk of developing
arteriosclerosis and therefore suffer from ED.
In some cases, ED is a consequence of the side effect of
certain medications, for example: some treatments for
hypertension (drugs called beta blockers, primarily), some
antidepressants and, to a lesser extent, others
Side effects of
non-prescribed drugs (tobacco, alcohol, cannabis and others).
Chronic alcohol abuse
Diseases of the nervous system (cerebral infarctions,
multiple sclerosis, spinal cord injuries
Important surgical interventions, for
example: radical prostate and bladder surgery (removal of these organs from
complete form, as well as seminal vesicles), operations on the
intestine (especially in the rectal portion), vascular surgery in the area of the
Renal impairment (severe impairment of function
Erectile tissue envelope disease
penis (tunica albuginea) called La Peyronie's disease, which can cause
a deformation of the penis, even with associated pain.
Hormonal abnormalities (rare).
In 'Ask the doctor'
See some questions of our users:
I am no longer
what it was
How is impotence diagnosed? The first
step is to visit the general practitioner or the specialist (urologist). To find out
more about the nature and extent of the problems, the doctor usually
Ask detailed questions about your relationship and sex life.
You will also ask questions about your overall health and about
Any medication you take, including over-the-counter drugs. The doctor can
raise the usefulness of including couples in the initial discussion. This
can provide valuable information and moral support, since many men
They find the subject difficult to address. The diagnosis is based on what
You must make a
Basic recognition to discover the cause of erectile dysfunction. By
For example, the doctor can take your blood pressure, examine the condition of the
circulatory system and its genitals or make a
blood test u
Urine to see if you have diabetes.
Other blood tests such as hormonal tests may be necessary if
there is suspicion that impotence is caused by a specific cause of
The doctor may request that it be done
a night tumescence test. In it, the activity is revealed
Erectile during sleep, which is that it is a usual physiological reaction in
the men. Generally an apparatus fitted with rings or ones is placed
electrodes that attach to the base and tip of the penis for two or three
nights This test is expensive and has special utility in cases where the
Problem has psychological origin.
Can also inject
a substance to the penis to make it erect. This test can guide the
cause between the different forms of impotence, although it is invasive and has
certain risks (pain,
Priapism or prolonged erection). Can be accompanied
of an exploration with
ultrasound (doppler) to evaluate the state of the system
Although much less frequently, some
urologists indicate cavernosometry, which involves infusing fluid into the body
cavernous, after having punctured it, to check its dynamics.
You can also enter contrast, which will give us an image of what
It occurs with the venous system (cavernosography).
How is the
impotence? If there is an underlying cause for the
Impotence may require specific treatment.
it seems that the problem has psychological causes, the patient should refer to
The consultation of the sexual psychotherapist. In this regard, it should be noted that it is
quite common, for example, for a man to become impotent because he
He feels guilty that he doesn't like his wife anymore.
Men lack confidence, they think that their penis does not work well; this
It can get worse with a couple who wants to have sex because
Eager to get pregnant. In such cases, man can feel
resentful of being used as a "sperm maker" machine and his penis,
let's say, he simply goes on strike. In addition, there are men who feel that
Sex is something dirty or bad.
In this kind of
situations, counseling can help man reveal his problem and
talk about your most intimate thoughts what might be enough to
cure your DE.
Years ago it was thought that for the most part
of the cases, the problem of ED was purely psychological. With the new
knowledge in this subject, and the general population studies more and more
thorough, this is far from real.
ED is a very complex issue. Sometimes it simply is not possible
establish the cause, whether medical or psychological. But, whatever your
origin, many impotent men are successfully treated with one of the
Viagra, Cialis and Levitra Its arrival was a
radical change in the ED approach, because it has made the desire for
have an oral drug that is truly effective in the
Treatment of this problem. Globally, it is effective in up to 70-80% of
the patients (although in certain groups of patients, for example,
diabetics, the success rate is approximately 50%) and a
hour before the sexual act. It does not cause an erection unless the man is
sexually stimulated The preparation can be used for the treatment of
impotence of various origins, but will not be prescribed to patients who take
medicines with nitrate for
angina pectoris or patients who have had a
heart attack or stroke, even if you are
Circumstances should always be assessed by the doctor.
important that a man taking Viagra is under the supervision of a doctor
Specialist in this subject. Viagra is a very potent drug and should not be taken
never for fun, nor should it be purchased online, without prior evaluation
by a doctor. The side effects of this drug are relatively
Frequent, although they are of low intensity and duration. Among these, it fits
headache, stomach discomfort ("burning"), suffocation on the face (blush) and, less
frequent, the visual perception of a bluish tint, usually very short
Two new drugs are marketed in Spain
whose mechanism of action is similar to that of Viagra (inhibitors of
phosphodiesterase type V). The first one is called Cialis (the principle
active is tadalafil) and is available in doses of 10 and 20 mg. The
main advantage is that it has a longer duration of the action
(12 hours and even higher).
The other drug, Levitra
(vardenafil), has been available in pharmacies since April 2003 in doses of
5, 10 and 20 mg, and has a profile similar to Viagra.
In both cases the possible side effects are similar in
frequency and characteristics to those of Viagra. Unfortunately for the
patients, the retail price is also similar to Viagra.
Globally all three drugs have similar efficacy rates.
apomorphine) This drug has a mechanism of action to
level of the brain (specifically in a region called the hypothalamus), and
amplify proactive projections at that level and thereby amplify the
"central" neurological signals responsible for erection of the
The route of administration is sublingual, and the
effect can be perceived around 20 minutes. It is dispensed in doses of 2 or 3
mg, although the latter is recommended.
efficacy of this drug is lower than that of Viagra, especially if there is a
organic cause of ED. It has the advantage that the dose can be repeated at
throughout the day, although it cannot be taken with drugs that contain
nitrates As side effects (rare, but more likely to greater
dose) we must mention nausea, vomiting and headaches
Among the most frequent.
The patient is instructed to inject a substance into the
penis that will cause an erection. A needle similar to the one used is used
diabetics to inject insulin, administering the treatment on
Own patient or your partner. The treatment is effective in about 75% of
All the men. The injection is given 10 minutes before intercourse and
Erection is intended to last around an hour. Some may occur
side effects, many of them are preventable using a good technique
Injection Among these effects, the most feared is that of erections
prolonged (more than 4 hours), which are rare, but require treatment
Several preparations are available
different, although some require an elaboration in the pharmacy or the
hospital. Through the Social Security the Caverject (the
active substance is alprostadil), which can be purchased in pharmacies
both in doses of 10 and 20 micrograms, and that incorporates everything necessary
For your application.
Transurethral therapy A small applicator that
It contains a drug similar to that used for injection therapy.
introduce a few centimeters into the urethra (passage of urine). The drug is
absorbed through the wall of the urethra into the erectile tissue. This
treatment can be uncomfortable (discomfort and even burning and pain in the
glans or tip of the penis) and is much less effective than the injection method.
In Spain it has not been commercialized.
once men may have a deficiency of
testosterone, and replacement therapy can help
in the treatment of ED in certain cases. The testosterone patches that
recently they can be prescribed in our country can facilitate the
application of this drug, which otherwise requires an injection
periodic intramuscular (every two to three weeks); however, they can occur
skin irritations in the patch placement area even in spite of
Change the place of application.
A rubber or bakelite ring is placed around the base of the penis. Is
especially effective in men who cannot maintain an erection much
time, usually by presenting a mild-moderate defect in the mechanism of
venous closure It is dangerous to keep it a long time; It is advised that you do not know
use more than half an hour at most.
It consists of a cylinder, in which low pressure has been created, which is placed on
penis. When an erection is achieved, a pubic ring is placed (see paragraph
anterior) around the penis to maintain the erection. There are possible effects
side effects, including a feeling of coldness in the penis or
Small bruises, fundamentally. This method has been very popular in
United States, but its implementation in Spain has been scarce.
Implants This treatment consists of
insertion of cylinders (prostheses) into the penis to cause erection
mechanics. There are several different types of
prosthesis. It is important to understand that this treatment
should not be used unless other methods have failed, because after
implanting a prosthesis can no longer use another method for
Surgical correction of a venous leak
Remarkably, surgery here doesn't always work out.
treatment that the man receives, sexual advice may be needed. From
However, experience shows that if the couple affected by ED
receives instruction in a specific course of therapy, the possibilities of
Success are greater.
What is health in no man's sky
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