Impotence
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Impotence
Impotence is the inability to sustain an erection for sexual activity. It is the inability to attain or maintain an erection of penis adequate for the sexual satisfaction of both partners.The causes range from old age, diabetes, and decrease blood flow to penis, hormonal imbalance, certain medication and anxiety. In most of the cases it is more of a mental block rather than an organic disease.
CAUSES
- Drugs (anti-depressants) and nicotine are most common).
- Neurogenic disorders (spinal cord and brain injuries, nerve disorders such as Parkinson’s disease, Alzheimer’s disease, multiple sclerosis, and stroke).
- Psychological causes: performance anxiety, stress, mental disorders (clinical depression, schizophrenia, substance abuse, panic disorder, generalized anxiety disorder, personality disorders), psychological problems, negative feelings.
- Surgery (radiation therapy, surgery of the colon, prostate, bladder, or rectum may damage the nerves and blood vessels involved in erection. Prostate and bladder cancer surgery often require removing tissue and nerves surrounding a tumor, which increases the risk for impotence).
- Ageing.
- Kidney failure.
- Diseases such as diabetes and multiple sclerosis (MS).
- Lifestyle: smoking is a key cause of erectile dysfunction. Smoking causes impotence because it promotes arterial narrowing.
- A few causes of impotence may be iatrogenic (medically caused).
SYMPTOMS
- Either the problem is transient or appears occasionally.
- Problem persists or develops abruptly and while masturbation is possible, satisfactory sexual intercourse is not.
DO'S AND DON'TS
Masturbation does not lead to impotence in later life. Most of the problems are in the mind rather than the penis. Learn to relax and enjoy the act of intercourse.
Size is never important as only the first few inches of the female vagina relays the correct sensations If premature ejaculation is the problem, make sure you are relaxed before intercourse. Ask your partner to squeeze the bottom of the shaft of the penis just before you get the sensation of ejaculation. This pain impulse will delay the ejaculation.
Don’t hurry through the act. Go about it slowly for maximum rewards. Moderate exercise boosts energy levels and increase physical awareness. Yoga, meditation and massage help in relaxation. Tackle the problem with patience and partner’s understanding.
Don’t hurry through the act. Go about it slowly for maximum rewards. Moderate exercise boosts energy levels and increase physical awareness. Yoga, meditation and massage help in relaxation. Tackle the problem with patience and partner’s understanding.