Male Impotency

Male Impotency And How To Address It?

Impotency, also known as erectile dysfunction, is a condition in which an affected man is unable to achieve or maintain an erection. It can affect men at any age but, more commonly in older individuals. In the United States, nearly 5% men aged 40 and above and 15% men over 70 years of age suffer from complete male impotency(ED).

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What are some notable causes of Make Impotency?(Erectile Dysfunction)

There are numerous factors including, physical and mental health that may lead to ED or even exacerbate the existing erectile dysfunction.

Physical health issues are the leading causative factors for ED. It may include:

• Penile injury
• Spinal cord injury
• Cardiac issues
• Elevated cholesterol
• Metabolic syndrome
• Diabetes
• Obesity
• Sleeping disorders
• Smoking or alcoholism
• Substance abuse
• Peronei’s disease

Besides physical issues, psychological factors may also create hindrance in sexual performance. Some common psychological factors include:

• Anxiety
• Depression with his partner
• Stress
• Relationship issues

Some men suffer through both physical and psychological problems. For instance, a man with physical injury will have difficulty in having pleasurable sex. This can induce anxiety which will further worsen the ED.

As per The British National Health Service (NHS), if a man is unable to get erections with his partn

er but attains them while masturbating, it is a psychological issue. But, if he never gets an erection then it is a physical problem.

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Treatment for ED

Before treating ED, it is important to find out if the person is getting proper treatment of other health issues which may be the causative factor or aggravating his male impotency.

There are numerous options to treat impotency but, they differ on the basis of causative factors.

Oral drugs:

There are variety of oral medicines available for treating ED. They include:

• Sildenafil (Viagra)
• Vardenafil (Levitra)
• Tadalafil (Cialis)
• Avanafil (Spedra) problems

These medicines will not automatically induce erections. These are not aphrodisiacs and person should still feel some sexual stimulation for these drugs to work. Like every other drug, these medications also have side effects including, headache and facial flushing. Stuffy nose, blue tint in vision and indigestion are less common but possible side effects.

These medicines should be avoided in people who have heart problems or recently had a stroke or heart attack. Moreover, it is contraindicated in severe liver problems, low blood pressure and inherited eye diseases.

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Alprostadil:

Alprostadil is a synthetic hormone which is given when oral drugs fail to improve the condition. It is available in injectable and urethral pellet form.

The onset of action is 5 to 15 minutes. However, duration varies from person to person. It should be avoided in men with sickle cell anemia because it can induce priapism, a condition of painful long-lasting erections.

Side effects include, urethral burning and bleeding, headache, dizziness, fluctuation in blood pressure, reaction at site of injection and pain in penis.

Vacuum pumps:

They can be battery powered or hand operated. The tube is placed over the penis and all the air is sucked out of the tube creating a vacuum. This allows blood flow towards penis, causing an erection.  Vacuum pumps maintain an erection up to 30 minutes. It is considered one of the effective methods to attain erection, allowing pleasurable intercourse.

Men with a bleeding disorder or taking blood thinners should not use vacuum pumps.

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Surgery:

Surgical implants are considered the last option when all other methods fail.

Psychological treatment

Along with physical treatment it is important to consult a psychologist as well. In fact, it is better to take your partner along because indirectly, partners are also emotionally affected.

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References:

1.Rajiah, K., Veettil, S. K., Kumar, S., & Mathew, E. M. (2013). Psychological impotence: Psychological erectile dysfunction and erectile dysfunction causes, diagnostic methods and management options. Scientific Research and Essays, 7(4), 446-452.

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