Summary
- Here is what can be the causes of impotence and how to fix it
- Types of male impotence
- Possible causes of impotence
- When to seek medical advice
- What are the recommended therapies for erectile deficit
Here are the causes of impotence and how to solve it Impotence
is
defined as the inability
of man to achieve or maintain an erection , or
to ejaculate ,
even in the presence of sexual stimulus. This problem
is quite common in men
over 40
and has negative consequences both on the stability of a couple and
on the male psyche.
It
should be noted that this is a
medical condition
that is diagnosed on the basis of an objective examination of
the patient’s history, which can also be associated with more investigations.
as thorough as a penile Doppler ultrasound or blood tests. Types of male impotence
There are
various forms of impotence:
-
The total
inability to
achieve an erection -
A reduced
ability to
achieve an erection - The inability to maintain
an erection until ejaculation
Possible causes of impotence
The causes
of impotence
can be different and of various kinds:
- Trauma such as violent bumps to the penis or surgery to the penis or prostate.
- Vascular problems , such as cardiovascular disease, hypertension, diabetes.
- Neurological problems at the level of the central nervous system or the nerves that control the penis, for example as a consequence of multiple sclerosis, Parkinson’s disease, spinal cord injuries, stroke.
- Anatomical problems such as Peyronie’s disease.
- Taking certain medications .
- Psychological conditions such as anxiety and depression or emotional trauma.
- Incorrect lifestyle habits such as alcohol abuse, smoking, drug use.
Among
the causes
of
male impotence there is also the increase in age. The incidence goes from
1.7% in patients over 50 to 48.3% in patients over 70. When to seek medical advice
Clinically impotence is also known as erectile deficit.In Italy it is estimated that about 3 million people , 13% of the male population, are affected by ED at least in part. The therapy is not generic, but is identified by the doctor based on the causes of impotence .
Impotence
is a serious problem that should not be underestimated. It is advisable
to consult a specialist when:
- Erection problems
are
not sporadic ,
but permanent. Difficulty in achieving an erection can
arise in particular moments of life, when the man
is subjected to strong emotional stress. In this case, these are
temporary problems that vanish over time. If, on the other hand, it is
a
permanent condition and
an erection is always difficult, it is necessary to identify the
causes in order to be able to solve it. - Problems with
premature or delayed ejaculation arise . - Impotence occurs in
conjunction with medical conditions such
as heart disease or diabetes. - Other symptoms appear
which may suggest the presence of other pathologies.
What are the recommended therapies for erectile deficit
The treatment
of impotence can be aimed at
counteracting the triggering cause of the disorder or aimed at treating the symptoms
to facilitate erection.
Some
examples of causal therapy can be the following:
- Hormone therapy
if a drop in testosterone has been found. -
In the presence of a
heart disease we start from the treatment of this. -
If the cause are smoking and alcohol, a
limitation of these could be decisive. -
If the cause is
psychological
, cognitive-behavioral therapy can be started.
Symptomatic therapy can be pharmacological by prescribing the intake of type 5 phosphodiesterase inhibitors or vasodilating drugs, or surgery by implanting a penile prosthesis . The use of a vacuum pump for erectile dysfunction may also be advised.
In any case
, the best therapy should be recommended by the doctor following
a physical examination and, if necessary, based on the evaluation of
any other tests.
