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Below, you'll find extensive information on
leading temporary impotence articles and products to help you on your
way to
success.
Temporary Impotence
The most common cause of
temporary impotence is anxiety. What is impotence? Impotence or
erectile dysfunction (ED) means not being able to get a good enough
erection to have intercourse. Temporary impotence is very common
indeed, particularly in younger men, and especially when they are
either anxious, or have had too much to drink.
If you're having
erection problems, bear these points in mind:
• the most common
cause
of temporary impotence is just anxiety - not some serious disease! •
Impotence can be helped by medication, sex counselling, mechanical
aids, or - very occasionally - surgical treatment.
• Impotence may be a
symptom of another, as yet undiagnosed, disease requiring treatment;
the most common of these is diabetes. What causes impotence? An
erection happens when blood is pumped into your penis - and stays there
- making it stiff and hard. All sorts of things may affect this complex
process. Psychological causes
• Anxiousness about
whether you can
'perform' will almost certainly make it impossible to get an erection.
• Problems in a
relationship may affect potency.
• Impotence may be
caused by depression.
• Bereavement: recent
loss of a loved one is
notorious for causing impotence.
• Tiredness.
• Stress.
• Hang-ups -
for instance, guilt about sex.
• Unresolved gay
feelings.
• Having an
unattractive partner. Physical causes
• Problems with the
chemical
mechanism that makes erections happen - very common in older men.
•
Vascular (blood vessel) disorders. Patients with arteriosclerosis,
other heart or vascular diseases and high blood pressure are at greater
risk of developing impotence.
• Excessive drainage
of blood from the
penis through the veins (venous leak) uncommon.
• Diabetes often
creates erection difficulties.
• Smoking increases
the risk of
developing arteriosclerosis and, therefore, of suffering from
impotence.
• Side affects from
certain drugs, such as some blood
pressure (BP) treatments, some antidepressants and some ulcer healing
drugs; BP drugs, in particular, do this very frequently.
• Side effects
of non-prescribed drugs (tobacco, alcohol, cocaine and others). •
Nervous system diseases - uncommon.
• Major surgery, eg
prostate
surgery or other abdominal operations.
• Hormonal
abnormalities - rare.
What to do if you've got potency problems If you're having difficulty
in getting erections, you should definitely see a doctor for
assessment. We strongly advise you not to go to high-priced clinics,
where men in white coats pretend to be doctors while they extract large
sums of money from you! Really, it's best to start with your own GP.
But if you don't feel you can face your doctor, other doctors can be
found at:
• Family planning
clinics.
• Genitourinary
medicine (GUM)
clinics.
• Clinics recommended
by the Institute of Psychosexual
Medicine, the Impotence Association, or the British Association For
Sexual and Relationship Therapy (BASRT).
• Brook Advisory
Centres (for
young people only). (More details are supplied in the Further
Information section at the end of the article.) Assessing your case
whichever doctor you go to, he or she should carefully assess you, by:
• talking with you
• examining you •
doing any necessary tests - eg for
diabetes. How is impotence treated? Treatments for impotence vary a lot
and depend on the cause.
•
Psychotherapy/counseling: this is mainly for
use where the main cause is anxiety, guilt or a hang-up.
• Lifestyle
advice: this is mainly of help when the problem is related to
tiredness, stress, alcohol, nicotine or other drugs.
• Alteration of
medication: this is useful when the impotence is due to pills that are
being taken for high blood pressure or other disorders. In the summer
of 2001, an article in the American Journal of the Medical Sciences
claimed that changing men with a high 'BP' to a blood pressure lowering
drug called losartan (Cozaar) gave dramatically better potency. But the
company who manufactures the drug is so far unenthusiastic about this
research and makes no claims at all for its use in impotence.
• Drugs
for impotence have been developed very successfully in recent years.
They include, of course, Viagra (sildenafil). This is effective in up
to 80 per cent of patients (in diabetic patients the success rate is
around 60 per cent). It needs to be taken about one hour before
intended intercourse. It does not cause an erection unless the man is
sexually stimulated. Viagra is a very powerful drug and should never be
taken recreationally or purchased over the Internet. It
is important that any man taking Viagra is under the care of an
appropriate doctor. Possible side effects include flushing of the face,
headache, indigestion, blocked nose, dizziness and a short-term bluish
tint to the man's vision.
• Many other oral
drugs are on the way, and
one called Uprima was launched on June 21st of this year (2001).
Because you take it under your tongue (rather than swallowing it), it
works much faster then viagra. It should also be cheaper to buy than
Viagra - provided you shop around! However, Uprima has not been
evaluated as fully as Viagra, and unsuspected side-effects may still
emerge. At present, there are many known side-effects - which include:
nausea, headache, dizziness, yawning, nose and throat inflammation,
flushing, sweating, cough, alterations in taste, sleepiness, pain and
fainting. However, most men tolerate the drug very well.
• Other
medications that may become available soon are Cialis and vardonafil.
•
Injection therapy: the patient is trained to inject a chemical into the
penis thus causing an erection. The treatment is effective for about 75
per cent of men. The injection is given 10 minutes before intercourse
and the erection lasts one to two hours. Several different preparations
are available. There are possible side effects. Prolonged erections
(more than four hours) are rare but require urgent hospital treatment.
• Transurethral
therapy: a small pellet containing a drug similar to
that used for injection therapy is introduced a few centimetres into
the urethra (urine passage) using a special disposable applicator. The
drug is absorbed through the wall of the urethra into the erectile
tissue.
• Hormones: very
occasionally men with impotence may have a
deficiency of testosterone, and replacement therapy may be helpful.
There are also mechanical aids.
• Pubic ring: a
rubber or bakelite ring
that is put around the base of the penis. It is claimed to be effective
for men who can't maintain an erection for very long.
• Vacuum pump: a
tight-fitting cylinder, in which low pressure can be created, is placed
over the penis. The resulting suction gives an erection. Unfortunately,
the penis tends to look blue in colour, and feels cold to the touch.
Finally, there are surgical treatments.
• Splinting: this
treatment
involves the insertion of a flexible synthetic or metal rod
(prosthesis) into the penis to cause a mechanical erection. There are
several different types of prosthesis. It is important to realise that
this treatment cannot be reversed without more surgery, so it will not
normally be used unless other methods have failed.
• Sealing a vein
leak: unfortunately, this is not always very effective. It's also
important to note that whatever form of treatment a man receives, sex
counselling may be required. In cases that are entirely due to
psychological causes, counselling alone can cure the problem. But even
in the other methods, counselling is often necessary as a supplement to
the main treatment. Who can receive treatment on the NHS? The NHS has a
limited budget for drug therapy and the government has declared that
only certain patients can receive treatment on the NHS. The three main
groups who qualify for NHS prescriptions are:
• men with the
following
conditions: diabetes, prostate cancer, severe pelvic injury, kidney
failure, multiple sclerosis, spina bifida, Parkinson's disease,
poliomyelitis, spinal cord injury, single gene neurological disease, or
those who have had prostate or radical pelvic surgery.
• Men who are
severely 'distressed' as a result of impotence - this is rarely
allowed.
• Men who were
diagnosed as suffering from impotence and who
were receiving treatment on the NHS on or before 14 September 1998. The
availability of surgical treatment varies in different parts of the
country, For more information contact one of the agencies listed below.
Further help The Impotence Association. Helpline: 0208 767 7791. Family
Planning Association. Helpline: 0845 310 1334. Brook Advisory Centres.
Helpline: 08000 185023. This service is only for young people who are
25 and under. Relate: 01788 573241. Low-cost psychosexual counselling
available nationwide. British Association For Sexual and Relationship
Therapy. An association of highly trained private
counsellors/therapists. Email for more details: info@basrt.org.uk.
Institute of Psychosexual Medicine. An association of private
therapists who are also medically qualified doctors. Website:
www.ipm.org.uk.
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