THE SENSE OF IMPOTENCE
Impotence or erectile dysfunction is a condition when the male genitalia (penis) is not capable of an erection or difficult to hold onto the position of erection. Impotence is a fairly common sexual problems among men. The majority of such cases experienced by men who have aged 40 years and over.
The failure of a man in initiating or maintaining an erection can be caused by many things, among them, depression, anxiety attacks, less harmonious relationship with spouse, disorder hormonal, narrowing of the arteries leading to the penis, and the wound/injury on the penis.
In addition to the foregoing, impotence may also be caused by the side effects of drugs (drug pain relief medication, hypertension, antihistamines, antidepressants), excessive alcohol consumption, and use of illegal drugs.
The diagnosis of impotence
To find out if a patient experiencing impotence and what the cause, the doctor will ask about your symptoms, patients perceived health history, as well as their psychological condition. In addition, your doctor will likely ask whether patients are taking certain drugs, addiction to alcohol, or using illegal drugs.
If a doctor suspects that a patient's impotence is caused by a chronic condition, then further examination will be carried out in order to verify it. Some examples of these are the advanced examination is a urine test, blood test, ultrasonography (ultrasound), and/or an electrocardiogram (ECG).
Treatment of impotence
Treatment of impotence or erectile dysfunction will depend on the causal factor. The doctor will send patients to stop smoking, maintaining ideal body weight, regular exercise, reducing the consumption of alcoholic beverages, or avoid illegal drugs if the impotence is caused by an unhealthy lifestyle. If impotence is caused by stress, maybe a doctor will recommend that patients undergo therapy under the guidance of experts.
In addition, there are also a number of medications that can help patients achieve and maintain an erection impotence, such as tadalafil or sildenafil. However, these drugs should not be consumed by patients impotence that has heart disease or who are consuming certain medications.
There are several methods of handling alternative for patients impotence drug that is not recommended to drink due to suffering from certain conditions. Two alternative methods are the use of penis pump or penile implant surgery.
SYMPTOMS OF IMPOTENCE
The main symptoms of a man experiencing impotence include difficulty achieving erections, penis hard it erectile penis stayed in position, as well as a decrease in sexual desire.
Impotence or erectile dysfunction is not a serious problem if the only experienced once in a while. But when the symptoms failed to disappear, then it can be a warning sign that you are suffering from a serious condition, such as diabetes or coronary heart disease.
Impotence can only cause harm to the harmony with Your partner. Your partner might just feel disappointed because your penis can't get an erection, or feel dissatisfied because your cock is not long enough to hold onto the position of erection when sex.
In contrast to impotence premature ejaculation. As already explained at the beginning that a man is considered impotence when his penis is not capable of an erection (though stimulated) or cannot maintain an erection when sexually related conditions. Whereas the definition of premature ejaculation is a condition when men experience climax or orgasm before or shortly after penetration.
In addition, to be bad for your sexual life, sexual impotence can also cause interference psychology. You may not feel confident and depression due to not able to satisfy your partner.
THE CAUSES OF IMPOTENCE
There are many things that can cause a man experiencing impotence erection because the process itself involves emotions, nerves, blood vessels, brain, hormones, and muscles.
In most case, impotence is caused by medical problems related to physical, such as:
• disorders of the nervous system
• horrendous stroke, Parkinson's disease, multiple sclerosis, spinal cord injury, spinal tumors, head injuries, brain tumors, Alzheimer's disease, epilepsy.
• disorders of the circulatory
• caused by hypertension, diabetes, and heart disease.
• abnormalities in the structure of the penis
• caused by Peyronie's disease.
• hormonal balance Disorders
• caused by hypothyroidism, hyperthyroidism, hypogonadism, and Cushing Syndrome.
• In addition to the disruption caused by the presence of physical health, the onset of impotence may also be caused by:
• Psychological Disorders (e.g. anxiety and stress).
• side effects of medications (such as antihistamines, antidepressants, antipsychotics, anticonvulsants, antiandrogen, H2 antagonists, beta inhibitor, diuretic, fibrate, cytotoxic, or corticosteroids).
• unhealthy lifestyle (e.g. smoking, excessive alcohol consumption, or use illegal drugs).
• Stamina is being dropped
THE DIAGNOSIS OF IMPOTENCE
There are some things that need to be asked by the physician as the first step examination of impotence, including to look for the cause. Usually, the doctor will ask about symptoms you are experiencing, the physical and psychological health history, including medications you consume during this time. Your daily lifestyle topics will be also be asked questions, such as whether you're used to smoking, consume alcohol, or using illegal drugs.
If you experience impotence all the time, usually it is considered to be an indication that you are suffering from a disease. But if it only happens when about to sexual intercourse with a partner, this could be based on Psychology disorders.
Related to this, the doctor will ask you whether you can erectile penis when sexual intercourse with a partner will be, whether you are able to achieve orgasm or ejaculation, whether your penis erections when waking up in the morning like most a normal guy, how high the level of your libido, what sexual orientation You are, and how a comparison of your sexual life in the past and now. The doctor will likely perform a penis examination or testicle using hand to measure the sensitivity of you as well.
If doctors suspect impotence You based on psychological factors, then you could be referred to a specialist doctor related to being addressed further. However, if You suspect impotence caused by impaired physical health, then a number of advanced examination needs to be done to verify it. Some examples of such advanced examination include:
- Ultrasonography (ultrasound) to know the level of the smooth flow of blood.
- a blood test in order to know the testosterone levels and detect signs of diabetes, heart disease, or other diseases.
- urine Tests to detect signs of diabetes and other diseases.
- Electrocardiogram (ECG) in order to detect any disruption on the organ of the heart.
TREATMENT OF IMPOTENCE
Treatment of impotence or erectile dysfunction will depend upon the cause is known through his diagnosis. For example, if impotence is caused by diabetes or heart disease, then both of these conditions should be treated first. Impotence usually will recover by themselves after the underlying conditions successfully treated.
If Your impotence caused by psychological disorders, then treatment should be done by a specialist, such as a psychologist or a psychiatrist. Examples of counseling can be a treatment to discuss problems in the relationship with the spouse as well as looking for the solution, or through therapy to correct mindset trigger impotence.
If impotence is caused by the side effects of drugs that you are consuming, then we recommend that you meet your doctor again to further examined whether such drugs should still be consumed or sought alternatives.
- in order for handling should work, impotence supported also by the application of a pattern of healthy living, such as:
- to prevent or reduce stress.
- Trying to lose weight if you have obesity.
- exercise regularly.
- Eating healthy foods.
- don't smoke or quit smoking.
- Do not consume liquor.
- do not use illegal drugs.
There is a special type of gymnastics that is usually recommended for those who experience erectile dysfunction due to leaking blood vessels, namely Kegel exercises. Gymnastics aims to strengthen pelvic muscles contractions as well as how to train with a relaxation of the muscles so that men who do gymnastics it is able to achieve an erection without additional treatment. Gymnastics is also recommended for those who experience incontinence of urine the body or inability in controlling water disposal of urine.
Currently, there are several kinds of drugs, equipment, and operating procedures that can be applied to solve impotence, among them:
• Sildenafil, tadalafil, vardenafil. The third drug is effective in improving blood flow to the penis temporarily. These drugs should only be consumed one tablet in the past one day and usually 30 minutes to an hour before sexual intercourse. An example of this can be a side effect of digestive disorders, back pain, nausea, vomiting, and headaches. The third drug is classified as prescription drugs that need to use the instructions from doctors and carefully. Neither the use of these drugs in people with disorders of the heart and the blood pressure drug with the therapied nitrate should be consulted with a doctor. Sildenafil, tadalafil, and vardenafil drug combined with nitrates can cause a decline in blood pressure (hypotension) rapid and abrupt.
• Testosterone Injection.
• Alprostadil. The drug is used by means inserted into the urethra through the end hole channel penis or can also be injected into the side of the penis to cause an erection.
• vacuum pump. This tool serves draws blood into the penis erection so. Erection then maintained with how to pair a rubber ring at the base of the penis. But this ring must be removed after 30 minutes to prevent the occurrence of penile tissue damage and restore circulation. Vacuum pumps are quite effective in helping people with impotence. It was reported that ninety percent of users of the tool is able to have sex.
• operation. Surgery or surgery is usually performed if impotence due to obstruction of blood flow to the penis supply cannot be addressed by medication or any other tools. In addition, the surgery also usually reserved for men who experience impotence due to anatomical problems on his Dick and the consequent serious injury on the part of the pelvis
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