Impotence

Impotence, also known as erectile dysfunction, is a condition where men are not able to sustain an erection and have difficulty or are not able to ejaculate or both. This condition can be linked with age as it is mainly men over the age of 60 that suffer with this rather than younger men. There could be many causes of this, including medical and psychological issues.
The main medical problems that can surround impotence are heart disease, high blood pressure, diabetes, obesity, hormone imbalance, Parkinson’s disease, insomnia, prostate cancer or enlargement, surgeries that have affected the pelvic area or multiple sclerosis as well as others.
Psychological issues can be because of stress or mental health. Depression and anxiety can instigate it and having this problem can also put a lot of pressure on a relationship which will ultimately cause more stress.
Other causes of impotence can include a thyroid problem, heavy drinking and heavy smoking. Just by improving your diet and cutting down on alcohol and smoking can make a huge difference to the problem.

SYMPTOMS OF IMPOTENCE

The main symptoms of impotence are the inability to get an erection, the inability to maintain it and lower sexual desire.

Treatments

PDE5 Inhibitors

These are oral tablets that help to get and keep an erection by helping the chemicals in the body that are used to get an erection. They work by keeping PDE5 from cutting down cyclic guanosine monophorsphate, the chemical that produces an erection. This chemical releases the muscle cells in the erectile tissue which allows blood to flow more freely into the penis to cause an erection. Temporarily blocking PDE5 by taking these medicines means it can’t stop the production of cyclic guanosine monophosphate. This means an erection can be maintained. These oral medicine include:

Viagra
Cialis
Levitra

Self Injection Therapy

This treatment gives the body a medicine called alprostadil to the erectile tissue of the penis. It occurs naturally and helps to increase blood flow in order to cause an erection. The injection can be used whether you are sexually stimulated or not, unlike PED5 Inhibitors. This therapy is recommended if the oral medicines have not been effective. It works by injecting alprostadil into one of the corpora cavernosa, two chambers on either side of the penis. The injection should give an erection five to twenty minutes afterwards and can make an erection last for thirty to sixty minutes. It’s advised to only use the injection once in a twenty-four hour period and shouldn’t be used more than three times a week.

Vacuum Erection Devices

By creating a vacuum, it can increase the blood flow to the penis and give an erection. The device is used by placing the penis inside a hollow plastic chamber. Then air is pulled out of the chamber, which can be done manually or battery powered pump. Once the vacuum is created, it pulls blood into the penis, causing an erection in roughly five minutes. When the penis is erect, a rubber ring is fitted around the base of the penis to keep the blood inside the penis and is removed after having sex. Vacuum erection devices can be used as frequently as desired and don’t require surgery, but they are slightly more complex than using pills or injections.

Penile Implant Surgery

While this procedure might not be common it’s the best option for some cases. It involves putting an implant in the length of the penis so it can become erect. These can be in the form of two semi-rigid rods or two inflatable cylinders. The inflatable cylinders are used by pumping them up with salt water which is stored in a reservoir implanted in his lower abdomen. With the semi-rigid rods, you can manually bend the penis up or down depending on what is required.

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