Impotence: How to Treat Impotence and Premature Ejaculation

Understanding / definition of Impotence or Erectile Dysfunction can be called is the inability to initiate and maintain an erection.

The cause of the physical nature are more common in older men, while psychological problems are more common in younger men, a man's age increases, the impotence of the more frequent, although impotence is not a part of the aging process but is a result of disease often found in the elderly. About 50% of men aged 65 years and 75% of men aged 80 years experience impotence.

In order to erect, the penis requires adequate blood flow. Therefore, blood vessel disease (eg atherosclerosis) can cause impotence. Impotence can also occur as a result of a blood clot due to surgery or blood vessels that cause the disruption of arterial blood flow to the penis.

Causes Impotence is usually the result of:

* Abnormalities of blood vessels
* Abnormalities of neural
* Drugs
* Abnormalities of the penis
* Psychological problems that affect sexual arousal.

Nerve damage leading to and leaving the penis can also cause impotence. This nerve damage can occur due to:

Injury

* Diabetes mellitus
* Multiple sclerosis
* Stroke
* Drugs
* Alcohol
* Disease spine bottom
* Rectal or prostate surgery.

About 25% of cases of impotence caused by drugs (especially in older men who consume lots of drugs).

Medications that can cause impotence include:

* Anti-hypertensive
* Anti-psychosis
* Anti-depressants
* Sedatives
* Cimetidine
* Lithium.

Sometimes impotence due to low testosterone levels. But the decline in male hormone levels (which tend to occur due to the aging process), are more likely to cause a decrease in sexual desire (libido). Some psychological factors that may cause impotence:

* Depression
* Anxiety
* Feelings of guilt
* Feelings of fear of intimacy
* Indecision about gender.

Physical examination is performed to find the change in male sexual characteristics, such as breast, testicular and penile size, and changes in hair, skin and voice. To find abnormalities in the arteries in the pelvis and groin (which supply blood to the penis), blood pressure measurements were taken in the leg. Other tests that may need to be done:

* Complete blood examination
* Examination of blood sugar for diabetes
* Checking TSH levels
* Ultrasound of the penis.

How to treat Impotence usually can be treated without surgery. The type of treatment depends on the cause. Special exercises performed by patients with impotence due to psychological problems, namely the so-called convergence technique 3 stage sensation.

This technique encourages intimacy and emotional warmth, which is more focused on building a relationship:

1. Phase I: making out, couples concentrate to please each other without touching the pubic area.
2. Phase II: the couple began to touch the pubic area or other erotic areas, but not the act of intercourse.
3. Phase III: the act of intercourse.

Each achieve comfort at every stage of intimacy before continuing to the next stage, if the technique does not work, patients may need to undergo psychotherapy or sexual therapy. If people are depressed, antidepressants can be given.

Sildenafil is a drug that could meningkatkanaliran blood to the penis. The drug is taken 30-60 minutes before sexual intercourse, is only effective if accompanied by sexual arousal. It should not be taken along with nitrate because it can cause serious side effects.

If impotence or loss of sexual desire due to low testosterone levels, patients should undergo hormone replacement therapy. Testosterone injected every week or granted in the form of plaster.

The side effects are enlargement of the prostate and the excess red blood cells that can cause a stroke. Binder or a vacuum tool often used to achieve and maintain an erection, but this tool should not be used by people with bleeding disorders or patients taking anticoagulant medication.

Binding tool (a rope or a ring made of metal, rubber or leather) is installed at the base of the penis to slow the flow of blood from the penis. Vacuum (in the form of hollow box and pump) mounted on the penis. Vacuum pressure to help the drainage of blood into the penile arteries. When the penis is erect, a fastener device installed to prevent the drainage of blood from a vein. The combination of both devices can maintain an erection for 30 minutes.

Sometimes fastener tools causes problems when ejaculation, especially if tied too tight. For the sake of security, preferably after 30 minutes of the tool is released. If it is too often used, the vacuum can cause bruising.

Impotence can also be treated with an injection of special drugs that done by the patient. The drug is injected directly into the erectile tissue of the penis (corpus cavernous. Erection occurs within 5-10 minutes after the drug is injected and can last for 60 minutes.

The side effects are bruising and pain. In addition, the injection can also cause priapism (persistent and painful erection).

If impotence does not respond to various treatments above, can be carried or used transplant penile prosthesis (artificial penis). One of the tools that grafted a sturdy stem that is inserted into the penis to cause an erection that persist. Another tool in the form of a balloon that is inserted into the penis and inflated before the patient had sexual intercourse.