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Impotence & Erectile Dysfunction

We would like to provide for your study, the following facts and information on impotence, and erectile dysfunction. We offer a number of natural solutions to this problem.

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What is Impotence?

  • Impotence is the repeated inability to get or keep an erection firm enough for sexual intercourse.
  • Impotence affects up to 30 million men in the U.S.
  • Impotence usually has a physical cause.
  • Impotence is treatable at all ages.
  • Treatments may include therapy, drug therapy, vacuum devices and surgery.

Impotence (or erectile dysfunction, as it is also known) is the inability to achieve and maintain an erection that is firm enough for sexual intercourse to occur.

Impotence can be a total inability to achieve erection, an occasional ability to do so, or a tendency to sustain erections for only a brief period. These variations make defining impotence and estimating its incidence difficult. Medical surveys indicate that for every 1,000 men in the United States, 7.7 physician office visits were made for impotence in 1985. By 1999, that rate had nearly tripled to 22.3. The increase happened gradually, presumably as treatments such as vacuum devices and injectable drugs became more widely available and discussing erectile function became more accepted. Perhaps the most important advance was the introduction of the oral drug Viagra (sildenafil citrate) in 1998.

In older men, impotence usually has a physical cause, such as disease, injury, or the side effects of drugs. Any disorder that causes injury to the nerves or impairs blood flow in the penis has the potential to cause impotence. Incidence increases with age: About 5 percent of 40-year-olds and between 15 and 25 percent of 65-year-olds experience impotence. But impotence does not have to be an inevitable part of aging, it is treatable at any age and awareness of this fact has been growing.

What Causes Impotence

An erection requires a precise sequence of events to happen and impotence can occur when any of the events in this sequence is disrupted. The sequence includes nerve impulses in the brain, spinal column, and area around the penis, and response in muscles, fibrous tissues, veins, and arteries in and near the corpora cavernosa.

Damage to nerves, arteries, smooth muscles, and fibrous tissues, often as a result of disease, is the most common cause of impotence. Diseases such as diabetes, kidney disease, alcoholism, vascular disease, and neurologic disease account for about 70% of impotence cases. Around 50 percent of men with diabetes experience impotence.

Surgery - such as prostate surgery for cancer - can injure nerves and arteries near the penis, causing impotence. Injury to the penis, spinal cord, prostate, bladder, and pelvis can lead to impotence by harming nerves, smooth muscles, arteries, and fibrous tissues of the corpora cavernosa. In addition, many common medicines--blood pressure drugs, antihistamines, antidepressants, tranquilizers and appetite suppressants can produce impotence as a side effect.

Experts believe that psychological factors such as stress, anxiety, guilt, depression, low self-esteem, and fear of sexual failure cause up to 20% of impotence cases. Other possible causes are smoking, which affects blood flow in the veins and arteries and hormonal abnormalities, such as insufficient testosterone.

Recognizing Impotence

Patient histories can help define the degree and nature of impotence. A medical history can disclose diseases that might lead to impotence, while simple recollections of sexual activity might help distinguish between problems with sexual desire, erection or ejaculation. The use of certain prescription or illegal drugs can suggest a chemical cause, since drug effects account for 25% of impotence cases. Cutting back or substituting certain medications can often remove the problem.

Laboratory tests may also help diagnose impotence. Tests for systemic diseases include blood counts, urinalysis, lipid profile, and measurements of liver enzymes. Measuring the amount of testosterone in the blood can yield information about problems with the endocrine system and is indicated especially in patients with decreased sexual desire.

A physical examination may help identify systemic problems. If the penis is not sensitive to touching then a problem in the nervous system may be the cause, for example. Abnormal secondary sex characteristics, such as hair pattern, can indicate hormonal problems. Unusual characteristics of the penis itself could suggest the source of the problem - for example, an erect penis that bends or curves could be the result of Peyronie's disease.

Monitoring erections that occur during sleep (known as nocturnal tumescence) can help rule out certain psychological causes of impotence. Healthy men have involuntary erections during sleep. If nocturnal erections do not occur, then impotence is likely to have a physical rather than psychological cause. Tests of nocturnal erections are not completely reliable however as doctors have not standardized such tests.

A psychosocial examination - often involving a man's sexual partner- using an interview and a questionnaire, reveals any psychological factors that may be involved.

Impotence & Erectile Dysfunction Solutions

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