Impotence – physical and psychological causes
Impotence, also called erectile dysfunction, affects the man’s ability to obtain or maintain an erection so that he engages in sexual intercourse.
Erection problems, when they are occasional, are not necessarily a major problem and concern, but if they persist, it can be impotence.
The process of sexual arousal is extremely complex, including the brain, hormones, emotions, nerve endings, muscles, and blood vessels. Erectile dysfunction can occur, therefore, for several reasons. Moreover, stress and mental health problems can aggravate erectile dysfunction.
In many cases, impotence occurs as a result of a combination of physical and psychological factors.
Physical causes of impotence
Often, erectile dysfunction is caused by a physical disorder / disorder. Among the physical causes that can cause or contribute to erectile dysfunction are:
- Cardiac affections
- Increased cholesterol
- Metabolic syndrome
- Multiple sclerosis
- Parkinson’s disease
- Certain drug treatments
- Peyronie’s disease (abnormal scar tissue growth in the penis)
- Alcoholism, abuse of prohibited substances
- Sleep disturbances
- Treatment for cancer bad
- Surgery or lesions in the pelvic or spinal area
Psychological causes of impotence
The brain plays an important role in achieving and maintaining the erection, and a range of psychological disorders can cause or trigger impotence. Is about:
- Depression, anxiety or other mental disorders
- Problems in relationship
Erectile dysfunction may have the following complications:
- Unsatisfactory sexual life
- Stress or anxiety
- Problems in the couple relationship
- Low self-esteem
- Failure to have a child
Diagnosis of impotence
Although it is a delicate subject, the man has to go to a specialist consultation to find the causes of his impotence, and how he can treat this problem.
The doctor may use the following tests and tests to determine the correct diagnosis:
- Physical examination of the penis and the testicles
- Blood tests to look for possible conditions that can cause erectile dysfunction (heart disease, diabetes, low testosterone)
- Urinalysis (generally looking for signs of diabetes)
- Psychological exam
First of all, the doctor will ensure that he treats all the associated conditions that may cause or aggravate impotence.
Then the doctor can recommend medications that help to get and maintain the erection, medicines like:
Sildenafil – acts like a vasodilator
Tadalafil – is a phosphodiesterase inhibitor and treats erectile dysfunction
Vardenafil – also in the class of phosphodiesterase inhibitors, and Vardenafil is used to treat erectile dysfunction
All of the above mentioned drugs stimulate the effects of nitric oxide in the body, thus relaxing the penis muscles, which stimulates blood circulation in the body.
The side effects of these drugs, as well as how they interact with other drugs, make the individual take them only at the doctor’s advice.
These medications are particularly contraindicated in case of low blood pressure, heart disease or treatments such as nitroglycerin.
There are injectable treatments for impotence as well as surgery that can be used in such a situation.
Psychological counseling, smoking cessation, and physical exercise are beneficial in case of erectile dysfunction.
Erectile dysfunction can be prevented by maintaining a healthy lifestyle. Here are some recommendations:
Patient ill with diabetes, heart disease or other chronic disease should be treated for these conditions
The individual should quit smoking, restrict the amount of alcohol consumed
The man should practice sports regularly
Anxiety, depression and other mental disorders should be treated