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| impotence wikipedia |
Erectile dysfunction Definition - Diseases and Conditions
THE DEFINITION OF
Impotence (erectile dysfunction) is the inability to start and maintain an erection.
THE CAUSE OF
Impotence is usually the result of:
# Abnormalities of blood vessels
# Innervation Disorders
# Medicine
# Abnormalities in penis
# Psychic Problems that affect sexual arousal.
Physical causes more found in men aged; While the psychic problems are more common in younger men.
Growing old is a man, then impotence becomes more common, although impotence is not part of the aging process but are the result of a disease that is often found in old age.
About 50% of men aged 65 and 75% of men aged 80 years of experiencing impotence.
In order to erect, the penis requires sufficient blood flow. Because it's a disease of the blood vessels (e.g. atherosclerosis) may cause impotence.
Impotence can also occur due to the presence of blood clot or due to dissection of blood vessels which cause the disruption of the flow of arterial blood to the penis.
Nerve damage leading to and leave the penis can also cause impotence.
Nerve damage may occur due to:
# Injury
# Of Diabetes mellitus
# Multiple Sclerosis
# Stroke
# Medicine
# Alcohol
# Bottom spine Disease
The rectum or Prostate Surgery #.
About 25% of cases of impotence caused by drugs (especially in men of age is that many consume drugs).
Drugs that may cause impotence is:
-Anti-hypertension
-Anti-psikosa
-Anti-depression
-Sedatives
-Simetidin
-Lithium.
Occasional impotence occurs due to the low levels of the hormone testosterone.
But the decline in male hormone levels (which tends to happen as a result of the aging process), usually more often cause decreased sexual desire (libido).
Several factors can cause psychic impotence:
# Depression
# Anxiety
# Feeling guilty
# The feeling of fear of intimacy
# Indecision about gender.
SYMPTOMS
Sufferers are not able to initiate and maintain an erection.
DIAGNOSIS
Diagnosis of enforced based on symptoms.
A physical exam is done to look for any changes in sexual characteristics of man, for example breast, testicle and penis size, as well as changes in the skin and hair, sound.
To know of any abnormality in the arteries in the pelvis and groin (which supplies blood to the penis), performed measurements of blood pressure in the legs.
Other investigations that may need to be done:
# Full blood Examination
# Checking blood sugar for diabetes
# Checking the levels of TSH
# An ULTRASOUND of the penis.
TREATMENT
Impotence can usually be treated without surgery.
The type of treatment depends on the cause.
Special exercises carried out by people with impotence due to psychic problems, i.e. the concentration Technique called phase 3 sensation.
This technique encourages emotional warmth and intimate relationships, the more stress to build up a relationship:
1. phase I: flirt, couple concentrate to please each other without touching the pubic area.
2. phase II: couples start touching the pubic area or other erotic areas, but not intercourse.
3. phase III: intercourse.
Each achieve comfort on every stage of intimacy before continuing to the next step.
If these techniques don't work, may need to undergo psychotherapy patients or sexual behaviour therapy.
If the patient is experiencing depression, can be given anti-depressants.
Sildenafil is a drug that can be meningkatkanaliran the blood to the penis.
The drug is taken 30-60 minutes before sexual intercourse, it is only effective if accompanied by sexual arousal.
Should not be taken simultaneously with nitrate because it can cause serious side effects.
If the impotence or loss of sexual desire due to low testosterone levels, the sufferer should undergo hormone therapy dubbed.
Testosterone is injected every week or given in the form of plaster.
Side effects of prostate enlargement and is the excess of red blood cells that can cause a stroke.
Fastener tool or suction is often used to achieve and maintain an erection, but this tool should not be used by people with bleeding disorders or taking anticoagulant medication sufferers.
Fastener tool (in the form of a rope or the ring made of metal, rubber or leather) attached at the base of the penis to slow the flow of blood from the penis.
Suckers (in the form of a hollow box and pump) mounted on the penis. Vacuum pressure helps the flow of blood into the arteries of the penis. When penis erection, a binding instrument was installed to prevent the flow of blood from the veins. The combination of both of these tools can maintain an erection for 30 minutes.
Fastener tool sometimes causes problems when ejaculation, especially if tied up too tight. For the sake of safety, we recommend that after 30 minutes of the tool is released.
If used too often, suckers can cause bruising.
Impotence can also be treated with a special drug injections done by sufferers.
The drug is injected directly into the penis erektil network (corpus cavernous. An erection occurs within 5-10 minutes after the drugs are injected and lasts for 60 minutes.
Side effects are bruising and pain. In addition, the injection can also cause priapism (an erection that settled and pains).
If impotence does not provide a response to a variety of treatment above, can be made or used a penis transplant prostese (an artificial penis).
One of the tools that are grafted in the form of the burly rods inserted into the penis to cause an erection that is settled. Other tools in the form of a balloon is inserted into the penis and blown before sufferers of sexual intercourse.
