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| impotence symptoms |
Impotence (Impotence problems) will be the wherewithal to initiate and maintain a bigger harder erection.
CAUSE
Impotence is often caused by:
# Abnormalities from the veins
# Abnormalities of innervation
# Drugs
# Abnormalities of the penis
# Problem psychic affect sexual arousal.
Physical causes tend to be common in older men, while psychological problems are more established in younger men.
Increasing era of a person, then it became more frequent impotence, impotence while not section of the maturing but it is a consequence of the illness is frequently found in the elderly.
Approximately 50% that face men aged 65 a number of 75% of men aged 80 years experience impotence.
So as to erect, your penis needs sufficient the circulation of blood. Therefore, blood transport disease (eg atherosclerosis) can cause impotence.
Impotence also occurs because of blood clot because of surgical treatment or circulation system that creates disruption of blood circulation to the penile arteries.
Nerve damage bringing about and leaving your penis could also cause impotence.
This nerve damage can happen because of:
# Injury
# DM
# Multiple sclerosis
# Stroke
# Drugs
# Alcohol
# Diseases lower spine
# Rectum or prostate surgery.
Approximately 25% of cases of impotence attributable to drugs (particularly in older men who consume a great deal of drugs).
Drugs that will cause impotence are:
- Anti-hypertensive
- Anti-psychosis
- Anti-depression
- Sedatives
- Cimetidine
- Lithium.
Sometimes impotence due to low testosterone levels.
Nevertheless the decline in stages of male hormones (which tend to occur as a result of aging process), usually often create a decrease in virility (libido).
Several psychological factors that can cause impotence:
# Depression
# Anxiety
# Guilt
# Concern with intimacy
# Indecision about sex.
SYMPTOMS
Patients aren't able to initiate and maintain a bigger harder erection.
Diagnosis
The diagnosis will be based upon symptoms.
Physical examination is done to find modifications in male sexual characteristics, such as breast, testicular and penis size, together with changes in hair, skin and voice.
To view abnormalities inside arteries inside pelvis and groin (which supply blood for the penis), blood pressure measurements within the leg.
Other tests may be done:
# Complete blood examination
# Blood glucose levels tests for diabetes
# The degree of TSH
# Ultrasound penis.
TREATMENT
Impotence can usually be treated without surgery.
Any type of treatment depends upon the source.
Specific exercises performed by patients with impotence due to psychological problems, namely the so-called convergence technique sensation 3 stages.
This system encourages intimacy and emotional warmth, that's aimed at making a relationship:
1. Phase I: flirt, couples concentrate to please the other person without touching the pubic area.
2. Phase II: the pair began touching the pubic area or other erotic areas, but have not had sex.
3. Phase III: the action of intercourse.
Respectively achieve comfort each and every stage of intimacy before continuing to another stage.
If these techniques aren't successful, the sufferer needs to undergo psychotherapy or behavioral therapy sexual.
If patients are depressed, antidepressants may be given.
Sildenafil is a drug which might be increasing circulation towards the penis.
This drug is taken 30-one hour before sexual activity, is just effective whether it's combined with full sexual confidence.
Mustn't be taken along with nitrates because it could potentially cause serious uncomfortable side effects.
If impotence or decrease of libido caused by low testosterone levels, the patient should undergo hormone-replacement therapy.
Testosterone injected weekly or succumbed the sort of plaster.
Unwanted effects include prostate enlargement and too much red blood cells that can lead to stroke.
Fastener tool or vacuum often helpful to achieve and look after a harder erection, but this tool should not be utilized by those that have bleeding disorders or patients taking anticoagulant drugs.
Binding instrument (a rope or rings made of metal, rubber or leather) they fit for the lower penis to slow the blood circulation through the penis.
Vacuum pressure (by means of a hollow box and pump) placed on your penis. Pressure vacuum assist drainage of blood in to the penile arteries. If your penis is erect, a fastening device installed to prevent drainage of blood from a vein. A combination of these two devices can maintain a hardon for half-hour.
Sometimes behave badly once the tool fastening ejaculation, particularly when tied too tight. In the interest of security, preferably after half-hour these devices is released.
If a lot of can be used, a vacuum could cause bruising.
Impotence can even be addressed with injections of specialty medications so now through the patient.
This drug is injected into the erectile tissue in the penis (corpus cavernous. Erection occurs within 5-10 minutes following the drug is injected and can are hr.
The inside effects are bruising and pain. Additionally, the injection also can cause priapism (persistent or painful erection).
If impotence will not answer various treatments above, penis transplant may be carried or used a prosthesis (artificial penis).
Among the tools that grafted a stout rod that's inserted to the penis to generate tougher erection that settled. Other tools by means of a balloon that's inserted into the penis and inflated ahead of the patient had sex.
