This can be explained as follows: despite the desire for sex, failure to the right strengthening or the inability to continue the relationship. Any person may occasionally have such a problem. That which is important to diagnose the disease is time. If the problem persists for more than 6 months, then we say that the person has impotence.
Is the problem of impotence visible only at the adults?
No. It appears more often to those with over the age of 40 years, but can occur at any age. According to a recent study half of men aged 40-70 years, occasionally have problems with erection or can not keep it enough. Major cause of impotence are age diseases such as hypertension.
What are the reasons for impotence?
Causes are divided into two groups: organic and psychological factors. Organic factors are heart and vascular disease, hypertension, diabetes, multiple sclerosis, Alzheimer's disease. Another reason is organic trauma. If trauma affects the spine and create a cut that affects the bone, it may appear the problem of impotence. Hormonal disorders such as low testosterone level is another factor that causes impotence. Operations are an important influencing factor. Especially during the operation of the heart or blood vessels which are affected the part of the body that is important for erection.
How is the diagnosis?
At firstly, the history of the patient is made to know that person's sexual development from childhood, as well as past illnesses. After that, some tests are required as septicemia, protactinium and testosterone, as well as tests involving the cardiovascular system. In addition the person evaluated by a psychologist. Psychologist assesses whether there's marital, economic or stressful problems. Psychologist creates a preliminary idea about the person doing some minor psychological tests. One important thing is if impotence is displayed immediately or for a long time. If impotence is displayed after a long time, in this case thought it caused more by organic factors. If impotence occurred immediately, then it is thought to be psychological. If the patient says that when it just does not have problems with impotence, but when located near the right fails strengthening partner, you may feel more psychological reasons.
Can organic and psychological factors be present together?
Yes. Sometimes we fail to distinguish whether the cause is organic or psychological. Then sleep test is used. During the test the patient is put at least three times in deep sleep. During deep sleep, which lasts 30 minutes, normally every man must have an erection. So it is noted in the sleep test if the person has an erection or not. The test is very simple. Patient is placed in the test chamber of sleep. A small device connected to the patient's foot and two other handsets that come from the main camera, placed over the penis. Incentives coming from the apparatus, recorded on the computer. Thus, it is achieved to understand how erections occurred during the night, their duration and how strong happened to the head and body of the penis. These data give us accurate information about the patient.
Do this test applies to every man?
No.This test is used only for young people and for those with difficulties in diagnose. Also, if you planned to have prosthesis operation, this test should be done definitely.
How is the disease treated?
If the problem is psychological, then it is applied behavioral treatment. In this case, the main factor are situations that turn the relationship in fear. If a person has experienced this problem once, he may have fears that might happen again, and if it is fixed in the mind, the person begins to experience a panic attack in the relationship. This situation can only be resolved with behavior therapy. In this therapy the tasks required to implement any partner of the couple. At first touch, and then massage without sex. So step by step couples achieve success.
How are Organic causes treated?
If the hormone level is low, it can be replaced. Regardless if the person fails desire proper erection can be used drugs like Viagra, Levitra, Cialis.
Do I have a doctor's recommendation for the use of medication?
Yes, because each of them has the effect of time and use themselves. For example Viagra can create proper erection only after 30 minutes or an hour. Levitra suffices to be taken 15 minutes before intercourse. The effect of both drugs lasts 5-6 hours. Each medication has different effect and duration, and therefore should definitely get a doctor's recommendation to use the medicine properly.
Which persons can be operated?
If drugs are not effective, the injections can be made in the body of the penis. The patient performs prior relationship injection itself. Cardiac patients who are using nitrate can not receive the above medication.
These patients can use injection. Prosthesis is the last solution which is recommended when any of the above treatments has not been effective. Urologist physician chooses a prosthesis with flexible pump. Operation is also used to solve such problems as pain during erection and penis curvature. American Hospital urology team conducts successful surgical intervention to resolve impotence.
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