the queen medical center
impotence, the inability to achieve and maintain an erection, usually starts in the bedroom, but its effects can go beyond this place. Most men do not want to talk about it which is understandable since impotence is embarrassing and devastating for each relationship.

"" Many men experience temporary impotence at some time in her life, but chronic (recurrent) Impotence can people's self-esteem and a strain on his marriage or social relationships, according to the editors of Consumer Guide's Family Health & Medical Guide.

"If left untreated, persistent impotence, the sex life and self-image of one or both partners," said Dr. David E. Larson, editor-in-Chief of the Mayo Clinic Family Health Book.

How common is impotence? In the United States, more than 10 million people have this problem and many suffer in silence. Although impotence is more of the trouble, old men, they can each and is not necessarily an inevitable part of aging.

"" It is claimed that 25 percent of men over 55 are impotent. In Australia, around 40,000 men are affected. But that does not mean that young men are still there. We have patients from 18 to 22 years old, the impotent. The average age is 55, however, showed Dr. Edward John Keogh, Medical Director of the Institute for Reproductive Medicine at the Queen Elizabeth II Medical Center in Nedlands, Western Australia.

What happens in impotence? To provide and maintain an erection, three things are needed. First, the man must be sufficiently aroused and have enough testosterone (the male hormone) to get things running.

"If the testes which produce testosterone have been surgically removed (as is often the case in prostate cancer), or are no longer working as well because of their age, then the intense sexual provocation will do nothing else but as you wonder what all the fuss is all about, "explains Dr. Isadore Rosenfeld of the New York Hospital - Sloane-Kettering Cancer Center in the best treatment.

The second condition is that the brain must be functioning well, to the sexual arousal of the penis. The nerve pathways from the brain to the penis must be healthy enough to this message.

The third and last step is that blood must reach the penis to an erection. This is supported by two cylindrical sponge-like structures in the penis fill with blood at the time the man aroused to sexual intercourse is possible.

"Nerve impulses cause the blood flow to the cylinders to increase about seven times the normal amount. The sudden influx of blood expands the sponge-structures and then the penis straight and stiff is what an erection. Continued sexual arousal or excitement, the higher level of blood flow, the erection. After ejaculation or when the sexual arousal, which drains blood from the spongy tissue and the penis back into its non-erect size and shape, "said Larson.

If any of the above are interrupted, impotence occurs. This can be done either through physical or psychological factors. In the second part of this series, we talk about these factors.

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