If your partner had impotence, how you treat it?
Male impotence, or erectile dysfunction, is the incapability to produce or maintain an erection firm sufficient for a successful intimate relationship. This erectile dysfunction can have many causes, physical or psychological, and can even connect the two. Male impotence is usually related to lower blood circulation due to vascular disorder affecting the penis’ veins. Several approaches exist, the first of the remedies consisting of practicing daily physical activity.
Impotence, what is it?
Diagnosis of impotence
Male impotence, also termed as erectile dysfunction, is described as a biased or complete failure to achieve or keep an erection sufficient for satisfying physical play. This disease is quite obvious in men, especially from the age of 40. This decreased sexual function strongly influences the quality of life of the concerned subject and his spouse.
This situation can cause a lack of self-confidence in men, smudge their self-image, and even drive anxiety or distress. Impotence can seriously damage a couple’s privacy and even head to dodging any man’s physical contact with his spouse. It can also improve sensitive stress. This stress can then, by itself, restore the psychogenic elements of erectile dysfunction.
Causes of ED
Many situations can lead to sexual dysfunction, which can even be the first sign of an earlier undiagnosed condition.
The balance assures erections of blood flow between the inside and the outside of the penis. Therefore, the erection of the penis is a neuro-vascular miracle: it needs the dilation of the veins of the penis, the relaxation of the soft muscles, the rise of the blood flow in the cavernous bodies, and the occlusion of the veins.
The two cavernous bodies found at the level of the penis constitute an elastic and extensible tissue. Made of gap spaces, these cavernous bodies are filled with blood during an erection. This is why the penis’ vascular disorders are the most frequent problems and explain about 80% of organic erectile dysfunction causes.
Other disorders can cause this erectile dysfunction, such as:
Neurological disorders, such as pelvic cancer surgery, exclude the prostate, which affects the erectile tissues. Or also in the case of a section of the spinal cord, as in quadriplegic and paraplegic victims.
Endocrine diseases: hypogonadism reproductive system injury driving to loss of testicular capacity, hyperprolactinemia excess production of a hormone called prolactin, or thyroid disorder;
Benign hyperplasia of the prostate, the purposes of which are poorly defined. Here, even if a circumstance such as endothelial dysfunction, or failure of blood vessels, may be found, a psychogenic element, connected to performance anxiety, also performs strongly. Sometimes, just treating this psychological factor is sufficient to restore a healthy erection.
When of psychogenic origin, impotence is more prevalent in younger men, representing an immediate onset of erectile dysfunction, and early and steadfast morning or night erections. This psychological inability can be created by various problems, mainly performance anxiety, guilt, depression, relationship difficulties, anxiety, and personal stress.
Numerous inquiries have been produced to evaluate erectile dysfunction objectively. The questionnaire in five short questions, produced by the International Erectile Function Index (IIEF), also named IIEF-5, is thus broadly used to diagnose and estimate the response to be provided in terms of treatment.
A general practitioner can make the analysis, possibly referring the patient to a urologist or sexologist. It should also be considered that erectile dysfunction can be the first symptom of major systemic breakdowns, such as diabetes or cardiovascular condition.
Further investigations may increase the elements linking to the history and auscultation of the patient to recognize the cause of erectile dysfunction. Therefore, a diagnosis will finally aim to:
- Verify that the patient indeed has erectile dysfunction and or some other physical dysfunction, such as loss of desire or premature ejaculation;
- Evaluate the hardness of the disease;
- Conclude whether the erectile dysfunction has a psychogenic or pure origin;
- Recognize risk parts or co-morbidities;
- Assess the patient’s physical health allowing him to continue sexual activity.
- At the level of the physical examination, will be evaluated:
- The outer genital organ;
- Endocrine and vascular ways;
In stages of clinical examinations:
Blood testosterone concentrations will be required;
Glucose, dieting lipids will be included;
In men over 50, particular antigens of the prostate will be examined;
Based on these primary studies, more research will appraise the luteinizing hormone, prolactin, and the HDL and LDL portions of cholesterol;
Lastly, if required, a Doppler test that enables assessing the blood flow in the tracks and the veins can give information on the penis’ hemodynamics, then identify an arterial insufficiency or dysfunction of the venous occlusion. Other reasons for erectile dysfunction. Many men are using tadalista or vidalista 40 for their ED problem.
The people concerned
Impotence principally affects men from the age of 40. Entire erectile dysfunction thus affects
About 5% of men over 40;
10% of men in their 60s;
15% of peoples aged 70 and over;
And 30-40% of men old 80 and over.
But, young men can also be touched; in them, the head cause of impotence will also be psychogenic.
Erectile dysfunction could, according to forecasts, affect up to 322 million men throughout the world around 2025. According to several research types, one element still needs to be emphasized: 55 to 70% of men aged 77 and 79 are sexually active.
Apart from age, the surpassing risk factors for erectile dysfunction are the same as for cardiovascular disorder:
- The tobacco;
- Lipid irregularities;
- An absence of physical exercise.
All diseases that damage the functioning of blood vessels. Among other risk factors: depression or endocrine diseases.
Some drugs for hypertension or lower lipids in the blood could also increase this erectile dysfunction.
Signs of impotence
The most well-known symptoms of erectile dysfunction are the incapability to get and maintain an erection throughout sex, low desire, and high anxiety about physical performance.
Other types of male sexual dysfunction can include:
- Libido difficulties, either of physical interest;
The lifestyle change that can most influence the number of erectile dysfunction is physical activity. Other lifestyle modifications cannot always return erectile movement: sometimes, it is too late. Weight loss, regular diet, and exercise may serve to improve erection. If impotence is linked to the side effect, the doctor may appoint an alternative medicine.
Medicines are usually used to treat erectile dysfunction. All of the molecules work by improving blood flow to the penis. These pills have confirmed their safety as well as their effectiveness when a doctor manages their prescription: they are mainly sildenafil (Fildena), tadalafil (vidalista 60), and vardenafil (Levitra). 65 to 70% of men thus recover quality erectile function.