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Few Words About Erectile Dysfunction

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Copulation is the key to procreation and there is no level of satisfaction for Sexual pleasures. To be always Potent and Fit Virile is a man’s eternal desire for the fulfillment of his pursuits of life, world, wealth generation lineage. And since no man in this world would ever like to be called impotent or experience impotency, the search for potency measures to attain the desired satisfaction levels is always on.

Modern Physicians would either suggest just to accept abstinence and appreciate good years of the past or refer impotent cases for psychiatric counseling, when all modern scientific methods including penile prostheses, intra-cavernosal injections of vaso-active drugs, vascular surgical procedures and application of discomfortable external vacuum pressure devices, are either mentally not acceptable to patients or report a failure in achieving desired level of sexual pleasures. Sex is the most burning the most sensitive issue and Men, facing onset or any stage of impotence due to any cause, are not ready to sacrifice their intimate relationships developed with time with their beloveds and are often ready to challenge their physician’s suggestions.

The most common sexual disorder, Porn Induced Erectile Dysfunction, affects most men at some time during their life-span, which may be temporary or long-standing. Approximately 10% of impotence is caused by a physical disorder (e.g. Diabetes mellitus or a disorder of the endocrine system) or by a neurological disorder (e.g. damage to the spinal cord or an alcohol related disorder). Impotence may also be caused by taking various medications particularly antidepressant drugs, antipsychotic drugs, antihypertensive drugs and drugs used to induce forceful diuresis. Impotence associated with aging is possibly because of altered circulation, or very occasionally, lowered levels of the male sex hormone, testosterone.

Erectile dysfunction may be defined as an inability to achieve or maintain erection sufficient for a successful coital attempt or a failure to ejaculate intravaginally. The mechanism of penile erection is divided in four phases:

  • The latent phase, which involves in penile lengthening without any change in intra-corporeal pressure.
  • The tumescence phase, which involves in hardening due to an increase in corporeal pressure and flow.
  • Full Erection, when corporeal pressure stabilises.
  • The passive stage of detumescence.

These phases result from active relaxation of sinusoidal spaces in the corpora cavernosa, active arteriolar dilation, venous constriction and finally a passive reversal of these phenomena.

The adrenergic nerves have a role in maintaining the resting smooth muscle tone in blood vessels and vesicular network keeping penis flaccid. An essential mechanism in penile erection is non-adrenergic, non-cholinergic relaxation of this smooth muscle and the search for the neurotransmitter mediating penile erection has centered around the vaso-active intestinal polypeptides.

In a chapter of Urologic Clinics of North America, Dr. Roy Witherington, M.D., Professor of Surgery and Chief of Urology at the Medical College of Georgia School of Medicine, writes about impotence as under:

“Impotence is a widespread problem, and the incidence increases with age. It creates mental stress and sociologic problems both in the affective man and his partner”

“Since the dawn of time, man has tried to combat impotence with the medications and therapies”

Most men fail to get an erection from time to time, despite feeling sexually aroused in other ways, for any one of a number of reasons, including psychological factors, physical factors or a combination of both.

Some men can get erection only while masturbating or during oral sex, but not when they are trying to have sexual intercourse. Others can get an erection with one woman, and not with another. The majority of men reach their sexual peak physically in their late teens or early twenties. During sexual intercourse they reach orgasm quickly, ejaculate powerfully and are able to have another erection soon after.

As a man gets older it may take him longer to get an erection that may not be as stiff as in the past, and more stimulation may be necessary. The time it takes to develop another erection may be longer.

However there is usually no physical reason why a man should not continue to have an active and happy sex life until well into the old age. For many men, sexual activity becomes more enjoyable with increased experience confidence. A reduction in the frequency of orgasm is often more than compensated for by the enhanced quality of the sexual experience. However some men become anxious about their sexual performance as they approach middle age. There are occasions when men ejaculate before they wish to.

The anxiety that often accompanies premature ejaculation tends to make the problem worse and may lead to avoiding of sex that may lead to disharmony between the partners.

Causes

In most cases, impotence is caused by psychological factors that may be temporary (e.g. when caused by fatigue or stress) or long-standing (e.g. when caused by feelings of anxiety and guilt that originated in the childhood or it may also be a symptom of severe depression).

Approximately 10% of impotence is caused by a physical disorder (e.g. Diabetes mellitus or a disorder of the endocrine system) or by a neurological disorder (e.g. damage to the spinal cord or an alcohol related disorder). Impotence may also be caused by taking various medications particularly antidepressant, antipsychotic antihypertensive drugs and drugs used to induce forceful diuresis. Impotence is more common with aging, possibly because of altered circulation, or very occasionally, lowered levels of the male sex hormone, testosterone. Male sexual arousal is governed by both psychological factors and the male sex hormone testosterone. If a man has an exceptionally low level of testosterone, he is unlikely to have a great interest in sex and may find it difficult to become sexually aroused.

However most cases of reduced sex-drive have non-hormonal causes, including physical illness, stress, sexual difficulties, boredom and discontent with a current relationship. To diagnose, tests may be performed to eliminate the possibility of any physical disorder.

Modern scientific medicines were either not available or useful to treat these sexual disorders and Modern Physicians used to either suggest just to accept abstinence and appreciate good years of the past or refer impotent cases for psychiatric counseling when all modern scientific methods including penile prostheses, intra-cavernosal injections of vaso-active drugs, vascular surgical procedures and application of discomfortable external vacuum pressure devices, were either mentally not acceptable to patients or reported a failure in achieving desired level of sexual pleasures.


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