Impotence - Risk Factors And Treatment For ED

 

Over the years, men complain of two distinct sexual problems: lack of desire and impotence. Impotence or erectile dysfunction is the inability to maintain an erection long enough for sexual intercourse followed in time. Erectile dysfunction (ED) can be a total inability to achieve erection, an inconsistent ability to do so, or a tendency to sustain only brief erections.
  Erection begins with sensory and mental stimulation. Normally, when a man is sexually stimulated, his brain sends a message down the spinal cord and the nerves of the penis. The nerve endings in the penis release chemical messengers called neurotransmitters that signal the (spongy tissue covering two bars penis length) to relax and fill with blood cavernosa. As the penis becomes congested with blood, which expands and hardens, resulting in an erection.
  The surgery can damage nerves and arteries near the penis causing an impotent man. In addition, between 35 and 50 percent of men with diabetes experience impotence. Many common medicines produce impotence as a side effect. Injury to the penis, spinal cord, prostate, bladder, and pelvis can lead to impotence by nerves, smooth muscles, arteries, and fibrous tissues of the corpora cavernosa. Other possible causes of impotence are smoking, which affects blood flow in veins and arteries, and hormonal abnormalities, such as insufficient testosterone. Doctors believe that psychological factors cause 10 to 20 percent of cases of impotence. A small percentage of men experience sporadic and circumstantial impotence.
Risk factors
  Men with diabetes, smoking, taking drugs or over age 50 are at particular risk of impotence. For example, men with diabetes are at risk because of their high risk of both atherosclerosis and nerve disease called diabetic neuropathy. Age appears to be an indirect risk factor because it is associated with increased likelihood of direct risk factors, some of which are listed. Some medications can contribute to impotence, some operations and radiation treatments.
  Years ago, the standard treatment for impotence was a penile implant, or the long-term psychotherapy. Today there these popular methods: vacuum, oral devices, drugs injected locally, and surgically implanted devices. Gene therapy to treat erectile dysfunction is being tested in several centers and can provide long-term therapeutic approach for erectile dysfunction. Because erectile dysfunction can take a toll on self-esteem of a man, sex therapy is increasingly recommended as a form of treatment alone or in combination with other medical remedies. If your impotence problems are caused by low testosterone levels after hormonal therapy can be administered as injections or patches. Testosterone replacement therapy may improve energy, mood, and bone density, increase muscle mass and weight, and increase sexual interest in older men who may have deficient levels testosterone. Psychotherapy can also be helpful for men trying to overcome not psychological impotence. Hydrotherapy (cold showers, for example) may also be effective in treating erectile dysfunction.
Sildenafil
  The treatment of ED is now the most common prescription drug sildenafil citrate, sold under the brand name Viagra. Perhaps the most publicized advance was the introduction of the drug oral sildenafil citrate (Viagra) March. 1998
  Impotence, often called erectile dysfunction, refers to the inability of men to achieve or maintain an erection sufficient for sexual intercourse lasts. Impotence is characterized infertility (inability to produce enough sperm for reproduction). Impotence usually has a physical cause, such as disease, injury, or side effects of the drug. Impotence can be treatable in all age groups.