Impotence means absence of erection (tension) of penis, which makes it impossible to perform sexual intercourse. Quite often this pathological condition is accompanied by decrease or lack of attraction and lack of orgasm. Sooner or later, most men face erectile dysfunction (ED). This problem has the most negative impact on status of men and family relationships.
There distinguished the following types of erectile dysfunction:
At primary type patient had no normal erection of genital organ before.
At secondary erectile dysfunction, erection appeared before, but for some reason it became insufficient.
Types of Erectile Dysfunction
The main sign of erectile dysfunction (impotence) is absence of normal penile tension, which makes it impossible to have a full sexual intercourse.
For a long time violation of erection and impotence were considered the same. However, at present time, decrease in strength and duration of penile tension during coitus is not always called «impotence». The term «erectile dysfunction» is more common, and impotence implies only to complete absence of erection.
Men with reduced quality and duration of erection are much more common than patients suffering from complete lack of erection.
Causes of Erectile Dysfunction
There is an opinion that erectile dysfunction develops over years and is a consequence of natural age-related changes. This does not always correspond to reality. In absence of serious pathologies, leading to weakening of erection, patient is fully able to lead full sexual life at 60 and 70.
Canadian Family Pharmacy experts believed that impotence appears due to natural decrease in level of male sex hormones or psychological problems. Currently, doctors tend to believe that the main reason for most patients are organic changes in mechanism of erection.
Cause of erectile dysfunction of varying severity can also be:
- regular psycho-emotional stress;
- depressed state of mind (depression);
- vascular disorders;
- reception of some pharmacological preparations.
Dysfunctions of blood vessels are often conditionally divided into:
- arterial (due to diabetes, hypertension or abuse of nicotine);
- venous (caused by violation of venous outflow from penis).
Important: drugs that can cause impotence in men include luteinizing hormone preparations, antidepressants, antihistamines, ß-adrenoblockers, etc.
Other reasons that can cause erectile dysfunction include:
- hypogonadism (small secretion of testosterone);
- adrenal gland dysfunction;
- neoplasm of pituitary gland;
- renal insufficiency;
- multiple sclerosis;
- Parkinson’s disease;
- consequences of operations and injuries of pelvic area.
Among general somatic diseases leading causes of violations of potency are considered atherosclerosis (progressing), diabetes and hypertension.
An important role in development and progression of the disease is played by addiction to nicotine and abuse of strong alcohol. Under the influence of the above pathologies and individual factors, vascular walls lose their elasticity, which prevents normal blood filling of arteries and veins.
Normally, with participation of nerve impulses coming from central nervous system, walls of vessels of spongy and cavernous penile bodies are rapidly relaxing, which ensures their filling with blood. Increased in volume arteries squeeze vessels of smaller diameter, preventing outflow of blood from them.
Reduced potency due to some or other organic causes is characterized by:
- gradual development of erectile problems;
- absence of nocturnal erections;
- normal sexual desire and ejaculation;
- systematic (but not permanent) erectile dysfunction.
Pay attention: often in clinical practice you have to deal with the so-called «psychological impotence». At this disorder, a man has no organic lesions and erectile dysfunction is associated with mental disorders. As a rule, such patients are prescribed treatment by psychologist or neurologist.
The leading signs, allowing to assume psychogenic nature of decrease in potency, are:
- sudden appearance of symptoms;
- certain problems in relationship;
- presence of periodic nocturnal spontaneous erections;
- episodic nature of problems;
- elimination of dysfunction as external problem is eliminated.
The first advice that a man with erectile dysfunction hears: «Pay more attention to your health».
And these are not just words, because you need to eliminate cause of violation. Approximately in 50% of cases, normal function of the organ can be restored!
During diagnosis, andrologist will establish presence of the following pathologies:
- inflammatory diseases or prostate tumors;
- diabetes mellitus;
- atherosclerotic changes of blood vessels;
- pathologies of the bladder;
- hormonal dysfunction.
As the main research methods patient may need ultrasound, bacteriological smear and blood test (including hormones). A very informative additional method is ultrasound-dopplerography, which allows to objectively assess qualitative and quantitative parameters of blood flow in penis.
Erectile Dysfunction Treatment
There is no universal remedy for impotence, since there can be a huge number of causes of erectile dysfunction, as mentioned above. Read about various methods of potency restoration here — http://www.cfop.biz/erectile-dysfunction-treatment-methods.html.
In some cases, a man can be helped by a good rest and change of environment; this technique is effective in psychogenic erectile dysfunction.
Modern medicine offers a variety of means to eliminate or minimize erectile dysfunction. Doctors offer both pharmacological cures for impotence and surgical methods.
How to Treat ED with Medications?
Since ancient times mankind has known the so-called «aphrodisiacs» — natural compounds that increase libido and have beneficial effect on erectile function. At present, Viagra and a number of similar preparations have replaced them. They are not universal agents and are characterized by a number of side effects.
Viagra can cause headache and flushing of face (as a result of rush of blood). One of the most «harmless» problems is change in color perception. If patient suffers from serious cardiovascular diseases, development of their exacerbations, up to severe heart attack, is not excluded. In no case should you take Viagra without first consulting your doctor and learn all information about the drug — http://www.cfop.biz/canadian-pharmacy-viagra.html.
More radical methods of treating erectile dysfunction are injections of drugs into cavernous bodies, as well as such a radical way as penile prosthetics, i. e. installation of implant into its body.