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What
are impotence, erectile dysfunction (ED) ? What are causes and treatments for
impotence ?
A male problem: the sexual impotence
Sexual impotence is also defined as erectile dysfunction (ED). Impotence is a very common problem which affects most men at least once during their lifetime. The incidence of impotence varies with age, and increases in the proportion of affected men, from 7 to 8 %, from 20 to 39 years of age; to 55-60 %, in men older than 70 years, according to a study carried out in the USA.
The largest increase is seen in men in the range of 60-69 years. It is estimated that at least 10 million men suffer from chronic impotence only in the USA, and that at least 20 million more men have less severe forms of erectile dysfunction associated to age, chronic health problems or psychological problems.
Although in the past sexual impotence was regarded as having almost exclusively psychic causes, we now know that from 85 to 90 % of all cases of erectile dysfunction have organic causes, such as peripheral vascular diseases, diabetes, imbalances in the sexual hormones, the effect of medications, etc.
Impotence may sometimes translate itself in occasional dysfunction or in a total lack of erection, due to some complex psychological and physiological factors.
Psychological causes are often at the origin of an impotence: fears, anger, frustrations, and performance anguish, are the main reasons. The psychological factor is always important, because erectile dysfunction may severely affect self-esteem, provoke anxiousness and depression, and make the problem even worse, by an interaction of psychic factors with organic ones.
These problems may affect indirectly the female partner, particularly when there are marital or interpersonal problems.
Within the organic causes for impotence, there are some general causes like vascular problems: thickness of the arterial wall or precocious venous loss.
Treatments for impotence
Since the beginning of 1980, patients have the possibility to inject a medical substance in their penis. This substance causes a dilatation of the sanguine vases, creating an erection of one hour nearly. A prolonged utilization may cause some problems of ischemia.
In 1998 was created a molecule - the Sildenafil - a treatment for impotence commercialized under the name of
Viagra®, which assures an improvement of the erectile functions.
Viagra® induces the relaxation of the smooth muscles (therefore creating a blood filling of the vases) and it is utilized as a treatment against impotence. It can help to get and keep an erection when a man become sexually excited
(stimulated).
Viagra® must be used only under doctor's supervision, and medical prescription.
Viagra® side effects and contra
indications
Their undesirable side effects are essentially tied to a reduction of the arterial pressure (cardiovascular troubles, hypertension, etc.).
Furthermore, migraine headache, red stains, upset stomach, urinary tract infections, diarrhea, nasal congestions, stuffy nose, and visual changes (such as mild and temporary changes in blue/green colors or increased sensitivity to light) have also been identified.
The prescription of Viagra® includes a certain number of contra indications, especially tied to the association with nitrates of any forms, often utilized in the treatment of angina pectoris, as well as for hepatic and kidney insufficiency.
Doctors are drastically restrained the Viagra® prescriptions
against impotence, being conscious they are facing to a hazardous remedy.
Furthermore, you must consider its high selling price (nearly $13 per pill), the cost for the compulsory medical prescription and, last but not least, the embarrassment.
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