north east regional medical center
Description

Impotence, and erectile dysfunction, which estimated that 10 to 30 million men in the United States. Previously thought to be primarily a psychological problem, or by the aging process, doctors believe that now more than 80 percent of cases stem from physical causes, such as illness, injury (especially spinal cord injury), drug abuse, or the side effects of prescription drugs . And while the incidence increases with age, it is not an inevitable consequence. Since the term impotence has a negative connotation, it is now rarely in the literature.

Among the most common causes are diseases of the blood flow, such as heart disease, arteriosclerosis and hypertension. Other common causes are diabetes, kidney disease, chronic alcoholism, liver failure, high cholesterol, hormonal disorders and neurological diseases like multiple sclerosis or spinal cord damage. Smoking also restricts blood flow. Drugs such as cocaine, marijuana, antidepressants, drugs, blood pressure medications, antifungals, and beta-blockers may also lead to impotence.

Psychological factors such as stress, anxiety, guilt, depression or low self-esteem, are estimated to cause 10 to 20 percent of the cases.

Signs and symptoms

Inability in men to achieve or maintain an erection for sexual intercourse more than 25 percent of the time, or a tendency to only brief erections

Conventional medical treatment

Since achieving and maintaining a determination of the man mental state, as in the assembly and of the nerves, muscles, circulatory system, and physicians often a team approach to treatment. Your doctor usually starts with a medical and sexual history and give you a complete physical examination. Typical analyzes blood count, urinalysis, lipid profile, measurements of creatinine and liver enzymes, and blood testosterone analysis. Because healthy men have involuntary erections during sleep, you may also be asked your erections during the night, in order to assess the possibility of psychological problems.

Although today more than 95 percent of cases of erectile dysfunction are treatable, only 5-10 percent of men seek treatment. One of the most successful and least invasive treatment is the prescription medicine sildenafil, sold as Viagra was originally used to treat high blood pressure disorders. Viagra works by inhibiting a specific enzyme in the body, hence the blood flow into the penis. It is not recommended for men with certain types of heart disease, but is effective for about 65 to 70 percent of men, including those with physical and mental health problems.

Before Viagra is available, other medications recommended that the testosterone and yohimbine hydrochloride, but both are controversial. Testosterone is available in only a small percentage of men with hormone disorders. Yohimbine, derived from tree bark and has been for centuries as an aphrodisiac, has not been proved effective in clinical studies.

Several mechanical devices have been used with varying success. One of them, a vacuum constriction device that draws blood into the penis by a vacuum created when the penis is placed in a plastic tube and air is then pumped out of the tube. The result is an erection to be maintained for about half an hour by a rubber band around the penis.

With penile injection therapy, medication is the side of the penis to an erection. The disadvantages, but also the pain of injection and the possibility of a prolonged erection of two hours or more. In the treatment known as intraurethral therapy, a soft pellet of medication, about the size of a grain of rice, is inserted into the urethra with an applicator. The drug is placed directly into the erection chambers of the penis, an erection which is between 30 to 80 percent of men, the last 30 minutes to an hour.

In some cases, particularly among young men with vascular injuries, the doctor may recommend surgery. Surgery may be used for implantation of a prosthesis to the penis to erect, reconstruct arteries to the blood flow to the penis, or repair of veins, a very rapid exit of blood from the penis. Two types of implants are used: one consists of two semi-rigid but malleable rods, the other is an inflatable implant which can be expanded with a saline liquid under pressure. Men and their partners with the prosthesis over a 93 percent satisfaction.

Read more on Home remedies. Check out green tea and infant care.