Impotence (erection problems) is usually easy to treat as 80% of those affected have physical causes. If you have had impotence for a period, the relationship has usually been affected, which is also important to consider when dealing with impotence problems.
Impotence is not just about the penis. Sex requires stimulation both locally and through other senses. An erection begins in the brain, where a look, a touch, a scent or a memory stimulates particular nervous pathways, which causes the blood vessels in the penis to relax and widen, which causes the blood flow to the penis to increase sharply. Penis gets erection. For those affected by impotence, difficulties in getting an erection can lead to him pulling away from the sex life completely, for fear of failure. You easily end up in a vicious circle.
Symptoms of impotence
Men of all ages can suffer but it is more common for older men. 40% of all 40 year olds and 70% of all over 75 years are affected. The most common symptoms are:
- The penis is not hard long enough to perform a sexual intercourse.
- The erection is not as hard as before.
- The penis does not rise as straight up.
- Erection fails completely.
Vascular problems may be behind impotence
Causes of impotence can be stress, performance anxiety, anxiety, smoking, alcohol but also many times a underlying illness. Men with diabetes have a four-fold increased risk of suffering from impotence than the average man. There are also studies showing that men with impotence often have problems with high blood pressure, high cholesterol and other risk factors for vascular disease. Both diabetes and cardiovascular disease can lead to damage to the blood vessels in the penis, which increases the risk of impotence. Impotence can be an early warning signal for both diabetes and heart and vessel problems.
Consistency between impotence and benign prostate enlargement (BPH)
50% of men with impotence problems over the age of 50 may also suffer from benign prostate enlargement (BPH). For unknown reasons, the prostate is affected by growth and new prostate tissue is formed in the middle of the prostate gland where the urethra also passes. When the prostate gland becomes larger, it can cause so-called urethra, which makes it harder to urinate because the urethra is squeezed.
Men who suffer from benign prostate enlargement usually do not suffer. Also, no external symptoms such as swelling or hardening are noticed. However, it is common for the urine to become weaker and that greater force is required to empty the bladder. Other common symptoms are urine rupture, drip and a feeling that the bladder is not emptying. Those who are affected need to urinate more often and often feel the need for night time. More recently, there are opportunities to treat both conditions with a daily low dose of an erection drug that has a long half-life. If you experience any of these symptoms, go to your doctor to see if you have BPH.
Treatment of impotence
Treatment may consist of sexual counseling, drugs, implants and penis surgery. It is important to examine the entire patient for other underlying diseases.
The most common treatment is with tablets. Since the drugs seem to last for a long time, ranging from continuous treatment to a few hours, doctors usually discuss with the patient and then recommend a specific drug. The drugs given in tablet form work by relaxing the muscle around the swelling bodies of the penis. As the muscles relax, it is possible to widen the cavity of the swelling body and the penis can thus be filled with blood and a natural erection is achieved. The fact that the tablets work for a certain number of hours does not mean that you have uninterrupted erection during these hours, which is a common misconception. Other common misconceptions are that you get increased sex drive or increase the possibility of having multiple erections one after the other. Sex desire is just as usual and erection ability can return to about the level you had before you had problems. The tablets provide an opportunity to have an erection during sexual arousal. If you are not excited, nothing happens when you take a tablet.
When the erection works again
For most men, it is a great relief when the erection works again, but it can also raise questions with the partner. How are we going to get back together after such a long time? It is important to approach each other at a rate that both think is ok. How long this process takes is individual. Some couples may need a month to get both in the right mood. For others it might be enough for a day.