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Below, you'll find extensive information on
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Psychological Impotence
By Prasad
Less than 20% of men
have psychological impotence, so chances are it's NOT 'all in your
mind'... Recent clinical and doctor-patient studies have conclusively
proven that psychological impotence directly affects only 10% to 20% of
men. However, because of the perceptions men attach to their sexuality
and virility, and the subsequent feelings of frustration, anxiety and
depression caused by impotence, psychological impotence can be the
indirect result of impotence brought about by a physical condition.
Impotence (or erectile dysfunction) is defined as the inability to
achieve or maintain an erection sufficient for sexual intercourse, and
includes the inability to get an erection as a result of sexual
stimulation or to lose your erection prior to ejaculation. Impotence
does not generally include other symptoms such as lack of libido,
inability to ejaculate or the inability to achieve orgasm.
What Causes
Psychological Impotence?
The brain plays an
integral part in the
physical process of creating an erection. It can also be equally
responsible for preventing one. If the portion of the brain responsible
for sending impulses to the penis that result in an erection receives
negative rather than positive messages, it will respond by releasing
chemicals that constrict the blood vessels in the penis and inhibit the
natural process that causes an erection. Therefore, feelings of
inadequacy, anxiety, stress, guilt, depression or sheer boredom can
result in what is called psychogenic impotence (or psychological
impotence) - the inability to achieve or maintain an erection due to
psychological rather than physical causes.
Most men will
experience
psychological impotence at least once in their adult life, so it's
important to know that an occasional episode is not a diagnosis for
on-going impotence. In most cases, isolated episodes are more likely to
be due to fatigue, stress or an over-indulgence in alcohol. However,
many men react to an occasional episode of impotence by becoming more
anxious, which results in further sexual problems, hence more anxiety.
This is called the "impotence domino effect" of anxiety - failure -
more anxiety - more failure. Despite the enormous advances men and
women have made about their sexual roles and identity since the sexual
revolution of the 1960's, many men still feel enormous pressure to
"perform" sexually. Very often their feelings of self-worth and
masculinity are intricately interwoven with their ability to "get it
up". So it's easy to see why impotence, even if it is an isolated
incident, can lead to "performance anxiety" and the subsequent loss of
self-esteem. The most important thing to remember is that occasional
episodes of impotence are
normal. Unless there is an underlying physical cause for impotence, or
the episodes increase in frequency, there is no need for treatment.
Factors That Contribute To Psychological
Impotence
• Depression
Depression and anxiety disorders are cited as the most common causes of
psychological impotence. However, depression and anxiety can be both
the cause and the consequence of impotence. In many cases, it can be
very difficult to determine whether depression and anxiety disorders
cause impotence, or if impotence leads to feelings of depression and
anxiety. A bit like "the egg and the chicken" - which comes first?
Clinical depression can cause psychological impotence because it
interferes with the brain function necessary to stimulate sexual
arousal and produce an erection. Depression also suppresses positive
feelings and emotions, which inhibit libido and the desire for sexual
activity.
• Medications A
number of prescription drugs used to treat
severe depression and anxiety disorders are known to cause
psychological impotence. These include certain anti-depressants,
anti-psychotics, tranquilizers and lithium.
• Relationship Issues
The
answer to relationship issues often lies in good communication.
Problems with impotence can put severe pressure on the healthiest
relationship, so it's important that both you and your partner share
your feelings. Reducing your anxiety prior to sexual activity is vital.
By working together, you and your partner can enhance your relationship
by creating a stress-free, intimate and stimulating environment.
•
Stress Stress is one of the leading causes of psychological impotence.
While a little stress helps drive achievement and success, too much
stress is not good for you. Most of us live fairly stressful lives
these days, so stress can be work-related, financial, marital, sexual
or any one of a number of other reasons. Most men have experienced
either a loss of libido or an inability to maintain an erection during
periods of stress, however these episodes are usually transient. In
most cases, once the stress has been reduced, full sexual function
returns.
• Fatigue Like
stress, fatigue affects us all at certain times
and is a common cause of temporary psychological impotence. Fatigue
drains mental and physical energy and can result in anxiety if the
problem is not addressed. Like stress, once fatigue is reduced, normal
sexuality is restored. On-going fatigue may be a symptom of an
underlying medical illness, so consult your doctor if the symptoms
persist. Psychological impotence usually responds well to impotence
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