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BBC - impotence  treatments and causes.   Resources for men who have lost the interest in sex.

Multi-part article explaining the causes and possible treatments of impotence.

 

   

 

 

Impotence treatments

   

Presenting latest male impotence treatments and homeopathic remedies for impotence (erectile dysfunctions),  also aboutKegel exercise.   

Impotence treatments and causes 

 

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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