Erectile dysfunction, also called impotence, is defined as one man's inability to get an erection or keep it long enough to have sex with a partner @. For some men impotence mean they can not ejaculate during sex.
Erectile dysfunction or impotence happens for most men at some time, but studies show that erectile dysfunction is more common in older men, so it is often associated with aging in men.
Occasional impotence is often not perceived as a problem, but when the impotence continues for a while, it can bring great emotional distress for both the man and his partner.
Causes
There are a number of reasons why you may have impotence. In about three quarters of cases are physical problems affecting the blood supply. There is however a complex relationship between the physical and psychological aspects of sexual function. For example, you have physical health problems that cause mental suffering, and this may have an additional effect on erection problems.
Physical health
Several different conditions can cause impotence, including: -
Diabetes
Multiple Sclerosis
Parkinson's disease
If you have had surgery in your pelvic area
Hormonal imbalances
Cardiovascular disease - High blood pressure, arteriosclerosis (hardening of the arteries) and other problems with the heart and blood vessels can cause erectile dysfunction inhibits blood flow to the penis. Massachusetts Male Aging study shows that 15 percent of men with hypertension were completely impotent, compared with 9.6 percent of the entire study group.
Medicine: - The National Institutes of Health reports that many common drugs can lead to erectile dysfunction, including antihistamines, antidepressants, tranquilizers, appetite suppressants, wounded drug cimetidine, and blood pressure medications such as beta-blockers and diuretics. (If you develop erectile dysfunction taking antidepressants or blood pressure medication, but remember that the disease itself may also be to blame.)
Diabetes: - If it causes extensive damage to nerves and blood vessels, diabetes may block the pleasurable sensations, and blood flow. NIH estimates that 35 to 50 percent of all men with diabetes suffer from erectile dysfunction.
Psychological factors: - According to NIH, psychological disorders underlie 10 to 20 percent of all cases of erectile dysfunction. If you suffer from erectile dysfunction, but have erections in the morning or while you sleep, there is a good chance your problem is largely psychological. Factors that can lead to erectile dysfunction include stress, anxiety, performance anxiety, guilt, depression and low self-esteem. Feelings of anger or hostility - harbored either the person experiencing erectile dysfunction or his partner - can also derail intimacy.
Prostate surgery: - Not so long ago, many men have to sacrifice their sex lives after undergoing surgery for prostate cancer. Today, thanks to new surgical techniques spare nerves and vessels feeding the penis, erectile dysfunction is far from inevitable. Surgeons at Washington University School of Medicine in
Smoking - Cigarettes can damage blood vessels, with consequences that are enough to make even the Marlboro Mon find another habit. According to a recent report by the Centers for Disease Control, smokers aged between 31 and 49 are 80 percent more likely than nonsmokers of the same age suffering from erectile dysfunction.
Bicycling: - Although there is disagreement on this issue, a few experts say regular cycling is a major cause of erectile dysfunction. A recent
Lifestyle: - If you drink too much alcohol can affect your ability to get and keep an erection (often called brewer's hanging). In the longer term affect the production of the male hormone testosterone, which can reduce your sexual drive and desire (libido).
Smoking damages blood vessels and so increases your risk of erection problems. Similarly, being physically inactive, contributing to poor conditioning, increasing the chances of you having impotence. Impotence may be an early warning sign that you are at risk for coronary heart disease (the arteries that go to your heart are narrowed).
Many men need greater tactile stimulation as they get older. You might consider a change in sexual foreplay and technique to ensure a sustained erection.
Other factors: - Alcoholism, pelvic inflammatory injuries, multiple sclerosis, and below-normal levels of testosterone are all capable to cause erectile dysfunction.
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