- Impotence: description
- Impotence: causes and possible diseases
- Impotence: When should you go to the doctor?
- Impotence: What does the doctor do?
- You can do that yourself
impotence (Erectile dysfunction) means that the penis relaxes again after a short time or does not become stiff anymore. A satisfying sex is so often no longer possible, although the sexual desire (libido) is often still present. Potency problems increase with increasing age. A power disturbance is associated with great suffering for the man (and the woman). It may be psychological causes, but also diseases such as vascular calcification or diabetes behind it. Here you read everything about the causes and the treatment of impotence.
Causes and possible diseases
When should you go to the doctor?
What does the doctor?
You can do that yourself
Men with impotence are not isolated cases. However, exact figures do not exist because the number of unreported cases is very high. Physicians estimate that about five percent of men in the total population are affected. With age, the risk of erectile dysfunction also increases. The penis does not stiffen sufficiently or the erection can not be sustained long enough for a satisfying sex act. Physicians characterize the concept of impotence even more comprehensively, namely as the "inability to fulfill the intercourse satisfactorily". Physicians distinguish two forms of impotence:
Erectile dysfunction (impotentia coeundi)
In this form of impotence, the erection is not enough for intercourse, the penis does not become stiff enough. Some men also can not control the timing of ejaculation. He comes prematurely or delayed. Other sufferers, in turn, have no ejaculation at all, which is extremely rare.
Infertility (impotentia generandi)
If this type of impotence occurs, a normal erection results and the sexual intercourse can be done easily, but no children can be conceived. Usually, these men have a ejaculation, but in the sperm are no intact, too few or no sperm at all.
If there is an erectile dysfunction, the extent of man to man can be very different. Some complain of occasional potency problems ("sometimes it does not work"), even total loss of erectile function. Only when a sufficient erection in about 70 percent of the tests fails and the problems last at least six months, call doctors the "Erectile dysfunction".
Impotence: causes and possible diseases
An erection is actually a marvel: It is created by the complex interaction of blood vessels, nervous system, hormones and muscles. And each of these players can "make a fuss".
The reasons for impotence can be very different - they can be physical or mental. In about 70 percent of men complaining of erectile dysfunction, physical causes - mostly diseases - are responsible for impotence. This is especially true for men over 50 years. For other men emotional reasons play a role. Sometimes it's a combination of both, because mental health problems can exacerbate physical limitations to the point that man can not do any more - and that, in turn, scratch his masculine self-confidence and identity: if you do not get an erection over a longer period of time, you just feel like half man. The fear of a renewed failure of masculinity in turn increases the erectile dysfunction - so creates a vicious circle.
Impotence: Physical causes
There are a number of diseases related to erectile dysfunction. The most important are:
Cardiovascular disease: Vascular calcification (arteriosclerosis, arteriosclerosis) is the leading cause of impotence. Also, coronary heart disease (CHD), high blood pressure (hypertension) or high cholesterol (hypercholesterolemia) can cause erectile dysfunction. Peripheral arterial disease (PAD) is usually caused by smoking. Obesity also has a negative effect on the vessels.
If the arteries are calcified, not enough blood flows into the penis. Conversely, the blood can flow out of the penis too quickly, sometimes both can happen. The result is, however, that the amount of blood in the erectile tissue of the penis is no longer sufficient for a satisfactory erection.
diabetes (Diabetes mellitus): Impotence is one of the most common causes of diabetes in men. The sugar molecules are deposited on the walls of the blood vessels. So not enough blood flows into the erectile tissue - the penis remains limp.
Hormonal disorders, especially low testosterone levels. If not enough of the male sex hormone is formed or released, this weakens the erectile ability.
Neurological diseases: For an erection, nerve signals must be sent from the brain to the penis. Nervous diseases such as multiple sclerosis, Parkinson's, a stroke or tumors can disrupt the signal transmission.
A Damage to the spinal cord also comes as a cause of impotence in question. Here it comes to disturbances of the reflex responsible for the erection. An example is paraplegia. But even a herniated disc can affect the transmission of nerve impulses.
Operative intervention in the pelvic area - here the nerves can be damaged from and to the penis. An example is the removal of the prostate gland in prostate cancer. Impotence is a common consequence of this procedure.
Injuries to the erectile tissue or the penis can cause the limb to become stiff in sexual arousal.
Genital malformations may also be responsible for impotence.
Impotence: Mental causes
In some patients, the cause of impotence is purely mental, especially in younger men. Sexologists and psychologists see potency problems primarily as encrypted messages of body and soul.
When the penis goes on strike, the following emotional factors can be behind it:
- Stress, pressure to perform
- Inhibitions, fears
- Lack of self-assurance
- Protest against the "strong man-to-be-must"
- partnership conflicts
- Personality conflicts, eg. For example, an unacknowledged homosexuality
Certain drugs can cause erectile dysfunction. Examples are remedies for cardiovascular diseases such as beta-blockers - they lower blood pressure.
An excessive and permanently elevated alcohol consumption attacks the nerves in the brain and spinal cord and damages in particular the nerve endings (polyneuropathy). Even so, an impotence can arise.
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Impotence: When should you go to the doctor?
Men who suffer from impotence for several weeks should definitely consult a doctor. Because the potency problems can be an early sign of a chronic disease, such as diabetes. Left untreated, these can become a serious health hazard. Therefore, overcome your shyness and be cared for early by a urologist in case of a potency disorder. The fact is that many men shy away from the doctor's visit. Only a small proportion of men with erectile dysfunction can actually be treated.
Diseases with this symptom
- Diabetes mellitus
- Addison's disease
- Cushing's disease
- Prostate Cancer
- Growth hormone deficiency
- penile curvature
- Spinal Stenosis
Impotence: What does the doctor do?
The first port of call for erectile dysfunction is a urologist or an androgynologist. To clarify the impotence and to get an idea, doctors have to ask very personal questions, including sexual life. Sometimes a conversation with your partner follows. Also, tell your doctor about all medications you take, regardless of whether or not they are prescription. Because some medicines can cause impotence.
The next step is to clarify the causes of erectile dysfunction. At the beginning there is one Examination of penis and testicles, In addition, all men should also be examined manually via the intestine (digital rectal examination). This can detect prostate enlargements, which can also cause erectile dysfunction.
The diagnosis of impotence still includes one Blood pressure and pulse measurement as Blood and urine tests, Among other things, the hormone status is determined. In special cases, the nerves of the pelvic floor are neurologically examined. In men with impotence older than 45 years, the blood can also be examined for signs of prostate cancer.
Also important for the safe diagnosis of erectile dysfunction ultrasounds the blood vessels of the penis at rest - and sometimes after the injection of an erection-promoting drug.
With the help of a simple device, the degree of swelling of the penis can be measured at night (tumescence measurement, NPTR measurement). It provides indications of the nature of the present impotence. Showing spontaneous erections during sleep suggests that the erection mechanism works.
For men with impotence there are a number of individual therapy options. Ultimately, however, the choice of therapy depends on the cause of the problem and the attitude of the man to different forms of treatment. Man must be aware that most treatment approaches only treat impotence, but not eliminate their causes.
medications: Among the drugs against impotence are the so-called PDE5 inhibitor as a therapy of first choice. They block the enzyme phosphodiesterase-5 (PDE-5).As a result, the penile muscles relax, the blood vessels can dilate better and the erectile tissue is filled with blood. The effect only works if the man is sexually aroused. The active substances sildenafil, tadalafil and vardenafil differ mainly in terms of their onset and duration of action. If PDE-5 inhibitors do not help or may not be used, the preparation Yohimbine may increase potency.
Corporal Injection Therapy (SKAT) / Transurethale Application (MUSE): These two therapies help patients with impotence for whom tablets are not suitable. Prostaglandin E1 preparations are used, which are either injected directly into the erectile tissue of the penis with a needle (SKAT) or pressed as a separate preparation into the urethra opening on the penis tip with the aid of an applicator (MUSE). The administration directly into the cavernous is more effective, but also associated with more side effects.
Vacuum pump: In the vacuum pump creates a negative pressure, the blood sucks in the penis and temporarily fixes an erectile dysfunction. A ring that is striped around the penis root prevents the blood from draining too fast from the erectile tissue after reaching the erection.
Penile prostheses: Penis prostheses should only be implanted in men with impotence if all other methods have failed - because the procedure is final.
operations: A vascular impotence can also be treated surgically. Such interventions are risky and promise little success.
Psychological procedures: In case of impotence, use the possibility of psychological counseling. Sexual counseling and education as well as behavioral and talk therapy are generally recommended for impotence. Even if there are only organic reasons for erectile dysfunction, many men are plagued with anxiety, experiencing changes in their relationship and, consequently, their social environment. Counseling can give many food for thought to better deal with impotence. For existing potency problems, you can also contact self-help groups.
Zwifellhafte potency aids: Impotence nDo not try to control the impotence yourself with medications or dubious aphrodisiacs from the sex shop. Erectile dysfunction is often an important early warning sign of serious illnesses that are easily overlooked. Only a doctor can find out the cause of the impotence and treat it effectively.
Beware of illegal network offers! Do not be tempted by illegal Internet offers that provide prescription drugs for the treatment of impotence even without a prescription. They often do not increase the potency, but only strain your wallet and your health. Keep in mind that the use of effective PDE-5 inhibitors can also have dangerous side effects - for example, in diseases of the cardiovascular system.
If you experience side effects after using illegally sold prescription drugs, you have no liability claims against the manufacturer. In addition, the tablets provided can be a fake - in the best case, there is baking soda or flour, in the worst case poison in it. For orders from abroad, the package can be confiscated by Customs - and you will be left blank.
Overall, the chances of a cure for impotence are higher the sooner it is treated. The decisive factor is whether or not the disease underlying impotence can be treated.
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Pelvic floor training for men - that's how it works
Incontinence, erectile dysfunction, impotence - regular pelvic floor training can help men with various health problems. We tell you how the training works!
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The right muscles
To find the right one among the many muscles in the abdomen: first, pretend to pull the urine stream off and pull the muscles together several times. Then press the buttocks together several times. Now concentrate on the area between the muscles that are straining one after the other - the perineum with the pelvic floor muscles.
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Press and release
Pull the pelvic floor muscles together for three seconds; then relax for about ten seconds. It is helpful to imagine that you want to pull the dam inside. Repeat the whole thing about ten times a day. This goes inconspicuously alongside, such as at the bus stop, brushing your teeth or making calls.
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Also goes while sitting
You do not have to stand to exercise the pelvic floor. It also works while sitting, for example at the desk or in front of the TV in the evening.
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Rest breaks comply!
As with the weight training in the gym applies: Muscles build up in the breaks and not when they are just strained. When contracting the muscles of the pelvic floor several times in succession, you should definitely follow the relaxation phases. Those who focus only on tensing can also get hemorrhoids.
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Do not exaggerate!
Some males use the motto "Much helps a lot" to approach the pelvic floor training: they practice too often or too long. So: Exercise regularly, but do not overdo it!
You can do that yourself
For potency disorders, it is always recommended to first improve the lifestyle. Because now there is increasing evidence that certain changes not only improve overall health, but also the ability to erect:
- smoking cessation
- weight loss
- physical exercise (sports)
- Lowering the blood sugar level
- Normalization of blood pressure and cholesterol
- Reduction of alcohol consumption impotence.