Impotence
Impotence covers a wide range of sexual problems such as lack of sexual desire and problems with orgasm both premature and delayed. Erectile dysfunction is the inability to get or maintain a firm erection. All men go through short times of these problems. Only if it is persistent over say 2 months is it considered to be erectile dysfunction by the medical authorities.
It is surprisingly common in men affecting anything up to 1 in 5 with the incidence increasing with age. In the UK the NHS, as with so many drugs, limits the availability and has tight conditions limiting who can obtain an NHS prescription.
Causes of Impotence
It used to be claimed that the main cause was psychological. This was and is rubbish. There are many more physical causes than psychological. They include diabetes, kidney disease, alcoholism, vascular disease, atherosclerosis ('furring' of the arteries which narrows them and slows down blood flow) and heart disease. Nerve damage after surgery, stroke, trauma and accidents also cause ED.
Drugs including blood pressure lowering such as beta blockers, anti depressants, anti histamines, some tranquillisers and anti stomach ulcer drugs also cause ED.
Lifestyle problems causing erectile dysfunction include smoking, obesity, alcohol and being unfit.
Psychological problems such as stress at work, anxiety, guilt, tiredness, exhaustion and depression can all cause erectile problems.
Treatment of impotence
Drug treatments
The main treatment is drugs. The 3 most popular drugs are viagra, cialis and levitra.They are a type of drug called phosphodiesterase inhibitors. They work by allowing increased blood to flow into the penis which causes an erection. They are taken by mouth and work within 30 - 60 min's.
Drugs such as papaverine hydrochloride, phentolamine, and alprostadil (known as Caverject) can be injected into the penis to get an erection.
A further alternative is Muse which is a pellet which is pushed 2.5 cm into the urethra and absorbed to produce an erection.
Other treatments
Vacuum tubes can be used to get an erection which is maintained by a rubber band around the base of the penis.
Changing your other drug treatments may help as things like blood pressure can be treated with a range of drugs but it must be under your doctors supervision.
Lifestyle changes include losing weight, drinking less and stopping smoking. Getting fit can help as well.
So you have many options available to treat impotence. You can decide which will work best for you.
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