What is Impotence
Impotence is a consistent inability to sustain an erection sufficient for
sexual intercourse. Medical professionals often use the term "erectile
dysfunction" to describe this disorder and to differentiate it from other
problems that interfere with sexual intercourse, such as lack of sexual desire.
Impotence can be a total inability to achieve erection, an inconsistent
ability to do so, or a tendency to sustain only brief erections. These
variations make defining impotence and estimating its incidence difficult.
Experts believe impotence affects between 10 and 15 million American men. In
1985, the National Ambulatory Medical Care Survey counted 525,000 doctor-office
visits for erectile dysfunction.
What Causes Impotence?
Since an erection requires a sequence of events, impotence can
occur when any of the events is disrupted. The sequence includes nerve impulses
in the brain, spinal column, and area of the penis, and response in muscles,
fibrous tissues, veins, and arteries in and near the corpora cavernosa.
Nervous diseases or damage to the nerves
which control the erection process are among the most common causes of impotence.
Diseases--including diabetes, kidney disease, chronic alcoholism, multiple
sclerosis, atherosclerosis, Parkinson's disease, and vascular disease--account for about 70 percent
of cases of impotence. Injuries to the spinal cord or brain can lead to
impotence.
Diabetes: This is one of the most common causes of
impotence, because diabetes can cause changes in blood flow through narrowing of
the arteries, or damage to nerve endings in the penis. Between 35 and 50 percent of men with diabetes experience
impotence.
Trauma to the groin is another
significant cause of impotence . This is more common than we suppose,
particularly in some sports. Recently, a group of researchers unveiled the fact
that biking may be a major cause of impotence, because strong blows of the
perineum (the triangle between the anus and the base of the scrotum) against the
front bar are very damaging. It remains to be proved whether the constant, low
intensity trauma caused by forcing the perineum against the seat could also be
held responsible for erectile dysfunction.
Surgery (for example, prostate surgery) 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.
The tremendous increase in prostate
cancer in the last decades is one of the major culprits. Prostate surgery
damages the nerves in more than 80 % of the cases. Part of these patients
recover sexual function, completely or partially, after a year or so, but the
majority remains impotent for life. Radiation therapy of prostate cancer,
although less damaging, has a effect on sexual potency too. Other pelvic
surgeries may have a detrimental effect of erection.
Prescription Drugs: Many prescription drugs, especially
blood pressure or anti-depressant medication, tranquilizers, appetite suppressants, and cimetidine (an ulcer
drug) can cause impotence, as well as some over-the-counter medications.
Psychological factors
Experts believe that psychological factors cause 10 to 20
percent of cases of impotence. These factors include stress, anxiety, guilt,
depression, low self-esteem, and fear of sexual failure. Such factors are
broadly associated with more than 80 percent of cases of impotence, usually as
secondary reactions to underlying physical causes.
Hormonal Disorders
About 5 to 10 % of the male population
suffers from some kind of hormonal disorder. The most common, which also
correlates well with age, is a constant decrease in the levels of testosterone,
the main sexual hormone of man. It is now well known why this decrease occurs,
but it probably has something to do with a decrease in the capacity of the
testicular cells to synthesize the hormone. This phenomenon has lead some
specialists to pronounce that there is a kind of "menopause" for man,
not so drastic as for women, which has been named "andropause".
Although this is controversial, the undisputable fact remains that many
metabolic precursors of testosterone (substances used by the body in the
synthesis process), such as the DHEA (dihydroxiepiandrosterone), decrease
significantly with age.
Caution: Excessive level of
testosterone may cause prostate cancer.
Chronic tobacco use: Smoking has been shown to affect arterial blood
flow and may also affect the arteries in the penis, reducing the blood flow
necessary to maintain an erection.
Impotence treatments
Most physicians suggest that treatments for impotence proceed along a path
moving from least invasive to most invasive. This means cutting back on any
harmful drugs is considered first. Psychotherapy and behavior modifications are
considered next, followed by vacuum devices, oral drugs, locally injected drugs,
and surgically implanted devices (and, in rare cases, surgery involving veins or
arteries).
Treatment with Homeipathic
Remedies
Agnus castus: This remedy may be helpful if problems with impotence
develop after a man has led a life of intense and frequent sexual activity for
many years. A cold sensation felt in the genitals is a strong indication for Agnus
castus. People who need this remedy are often very anxious about their
health and loss of abilities, and may have problems with memory and
concentration.
Argentum nitricum: This remedy may be helpful if a man’s erection
fails when sexual intercourse is attempted, especially if thinking about the
problem makes it worse. People who need this remedy are often nervous and
imaginative. A person who needs Argentum nitricum is usually
warm-blooded, with cravings for both sweets and salt.
Caladium: This remedy may be helpful to a man whose genitals are
completely limp, despite having sexual interest. Nocturnal emissions can occur
without an erection, even if dreams are not sex-related. A person who needs
this remedy often craves tobacco.
Causticum: This remedy may be indicated if physical pleasure during
sex has diminished and sexual urges are reduced. The person feels tired and
weak, and may experience memory loss, with a compulsive need to check things
(to see that doors are locked, etc.) Prostate problems may be associated with
impotence, and urine may be lost when the person coughs or sneezes.
Lycopodium: People who need this remedy may have problems with
erections because of worry, and can also be troubled by memory loss. They
often lack self-confidence. People who need this remedy often have digestive
problems with gas and bloating, and an energy slump in the late afternoon and
evening. Often useful for old people.
Selenium metallicum: This remedy is often helpful to men who have
diminished sexual ability, especially if the problem starts after a fever or
exhausting illness. The person feels weak and exhausted, but interest is
usually still present. Unusual hair-loss (body hair or eyebrows) can also
suggest a need for Selenium.
Staphysagria: Gentle-natured, quiet men with deep emotions may
respond to this remedy. Problems with impotence often occur from embarrassment
or shyness. People who need this remedy often have a history of emotional
suppression and very sensitive feelings.
Damiana: An excellent remedy for impotence. Give 5 to 10 drops a
dose of mother tincture thrice daily.
Titanium: Sexual weakness with too early ejaculation.
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