Erectile dysfunction/potency dysfunction can occur in any age group. However, it increases exponentially after 40 years of age. About 30% of 60-year olds and 50% of 70-years-olds are affected. While at the age of less than 40 years mostly psychological/functional reasons in the sense of fear of failure, accompanied by an increased tone of the sympathetic nervous system and increased adrenaline secretion are responsible, at a higher age these are mainly organic causes such as circulatory or outflow disorders (venous leakage/swelling body insufficiency). Hormonal disorders like hypogonadism (testosterone deficiency) and hyperprolactinemia (hyperprolactinemia), play a part in the lives of 20-30% men.
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Erectile dysfunction in men over 40 can often be a sign of vascular disease, such as stroke or heart attack. Therefore, it is important to get a diagnosis. Based on the diagnosis, oral drug therapy may be used such as L-arginine and phosphodiesterase-5 inhibitors. Transurethral therapy using vasoactive substances or cavernous autoinjection therapy are additional options. Penile implantspenile implant (penile prosthesis), and vacuum therapy complete the therapeutic cascade. Low energy shock wave therapy for the penis is a new, non-invasive and hopeful therapy.
Diagnosis and Treatment of Erectile Dysfunction or Impotence
General laboratory diagnostics. It is recommended that all men suffering from long-term potency problems have their blood tests done. These include blood lipids (cholesterol, HDL and HDL cholesterol), blood sugar (glucose), and if this is elevated or a person with diabetes mellitus the so-called HbA1C. This will allow them to determine the medium-term blood sugar control. In all cases, it is important to determine the testosterone and prolactin hormone levels. It is possible to perform more extensive hormone and laboratory analysis depending on the patient’s medical history. Erectile function tests with vasoactive drugs, such as phentermine/phenylamine, are the main focus of urological diagnostics. prostaglandin E1 or papaverine/phentolamine). Injecting the vasoactive substance with an ultrathin needle is painless and usually results in stiffening of the penis within 5-10 minutes.
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This is provided there is not an organic cause. The penile arteries can then be imaged using color Doppler (or a duplex device) and the so-called systolic maximum flow velocity (PSV), as well as the vascular resist index (RI), in deep corpus cavernosum arteries. PSV values between 25-30 cm/sec are possible. These values are indicative of an arterial circulation disorder. The so-called bidirectional penile doppler can be used to measure blood flow in penis. However, this method is less precise and only gives an estimate of blood flow in penis.
Sex Therapy to treat Erectile Dysfunction or Impotence
Men with erectile problems should be examined using the detailed examination described above. No relevant organic causes can be found in approximately. 30 – 40%, i.e. The main cause of erectile dysfunction in men is psychological or functional.
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Functional (synonymous psychological) impotence refers to a variety of non-organic disorders that affect potency and libido:
- Constant professional or private excessive demands (stress)
- Problems with partnerships
- Relationship problems generally
- Psychosexual developmental disorders are a form of psychosexual disorder that can be caused by trauma in childhood or in the home.
- Earlier sexual abuse
It is crucial to identify and address all the factors that can disrupt a happy, healthy love life. Stress factors and fear of failure are the most common causes of dysfunction (psychological or functional) in our performance-oriented society. These triggers can cause an increase in the activity of the sympathetic nervous systems and an increase in adrenaline release. This is why I make it a point to all the couples affected by sex that sex requires energy from both body and soul. It’s possible to have a normal love life. It is no surprise that “man” will stop his love services if he works between 10-12 hours per day, sometimes even weekends. This is true for both Him and her.
You can’t have sex if you don’t give your energy to your hobbies, work, and other activities. On the rims. The same holds true for women. They cannot become “impotent”, but they suffer from sexual unwillingness and excitability disorders, as well as dyspareunia (painful coitus). Psychological impotence can be caused by any combination of the following factors: sex counseling sessions, lifestyle changes, and temporary drug treatment with a PDE 5 inhibitor. For erectile and sexual dysfunctions that are deeper within the mind, a long-term (6-12 month) therapy is required with an experienced and trained sex therapist.
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