26, 2012—27 SATURDAY Vanguard, MAY 26 an aphrodisiac and does not increase sexual desire. • Levitra. Taken 10 minutes to one hour prior to sexual activity, Levitra can be effective for up to 12 hours. Levitra is not an aphrodisiac. It does not increase sexual desire. • Uprima. This medication is a pill taken under the tongue. Uprima dissolves within about 15 minutes and is effective for up to two hours. Uprima will not work without sexual stimulation.
When your body feels low: A man’s problem
Because erections involve multiple systems, there are often multiple causes of impotence, even for one man. Causes of impotence are often broken down into different categories. These include:
Physical causes:
Diabetes • High blood pressure • Multiple sclerosis • Parkinson’s disease • Heart disease • Conditions that affect thyroid function and/or interrupt hormones in the body • Spinal cord injuries • Injuries to the groin (recent research also points to consistent but mild trauma related to cycling) • Colon surgery • Hemodialysis • Prostatectomy • Other treatments for
What to do when impotent If you are experiencing difficulty with erections, the first step should be to speak with a doctor. Erectile difficulties may be an early warning sign of other potentially serious health problems — your body’s way of telling you that something else is going on. It’s important to understand what might be causing the changes in your erections. In addition to seeing a physician, you may want to consider speaking with a therapist or counselor, and perhaps a sex therapist. Sex therapists specialize in the diagnosis and treatment of sexual dysfunctions. If you see a sex therapist, you’ll also need to get a medical exam, but a therapist will likely have more information than your regular doctor about the details of sexual dysfunction. One of the most difficult aspects of erectile difficulties is the way that our thoughts and feelings can perpetuate our difficulties. We all have the right to use language we want
It is estimated that up to 90% of the cause of erectile problems have a psychological cause. This can range from relationships difficulties, performance anxiety or deeper more complex causes
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to describe ourselves. But you may want to consider how describing this problem as impotence, or calling yourself impotent, is actually working against your goal of feeling positive about yourself and your ability to both give and receive sexual pleasure.
What should we call impotence?
The term impotence is already in the process of disappearing from medical literature (although it’s a slow process). Impotence is a problem in part because of the way it makes men feel, and also the message it explicitly sends about sexual power being only about erections. Impotence is also a problem because it isn’t precise. This might be fine for literature, but if you’re trying to isolate and solve a health problem, the more precise you can be, the better. So impotence should be called whatever it actually is. If it’s erectile dysfunction, call it that. Impotence is a very common problem. Remember one in ten men have a problem achieving and or sustaining an erection at some point in their lives.
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Causes of impotence
prostate, penile, and rectal cancers, including some chemotherapy and hormone treatments • Medications for high blood pressure, heart disease, and some antidepressants • Alcohol • Marijuana • Cocaine • Tobacco Psychological causes: • Depression • Stress • Sexual performance anxiety • Relationship problems (which may or may not be related to sex)
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mpotence refers in general to a man’s inability to perfor m sexually, and specifically to his inability to get an erection. Of course, impotence has many other meanings, including powerlessness, helplessness, weakness, etc... The inaccurate idea that if a man can’t get an erection, he has no sexual power, is what makes impotence such a dangerous but also popular term. It’s a word that strikes fear in the hearts of those who are worried it might happen to them, and causes pain when it’s directed at someone as an insult. Impotence isn’t an accurate term because the truth is that men have sex all the time with and without erections, and a man’s sexuality or power isn’t related to just one part of his body. When we confuse ability to get erections with ability to give and receive sexual pleasure, we make worse a complicated and common sexual complaint — an inability to get an erection that is satisfactory for sexual pleasure. In order to understand why erections don’t work, you need to understand the basics of how erections work. Getting an erection involves multiple parts of your body, including your brain, nerves, hormones, muscles, and heart. Anything that interrupts this any of these systems may result in what gets called impotence.
In order to understand why erections don’t work, you need to understand the basics of how erections work. Getting an erection involves multiple parts of your body, including your brain, nerves, hormones, muscles, and heart
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The important thing is if you have a problem that does not seem to be improving, you get help. There have been big advances in the treatments for impotence.
Psychosexual therapy
It is estimated that up to 90% of the cause of erectile problems have a psychological cause. This can range from relationships difficulties, performance anxiety or deeper more complex causes. An experienced counselor or therapist can help. They look at and work through these difficulties with you offering possible solutions.
Medication treatments for impotence
Viagra is one of the best known medications for erectile dysfunction. You need to be sexually stimulated for viagra to be effective. Viagra works within an hour and usually lasts for three to four hours. • Transurethral therapy (Muse). A small pellet of a medication is put directly into the urethra. The urethra is the tube that runs through the penis and carries urine from the bladder and out through the tips of the penis. The drug is absorbed into the erectile tissue of the penis. It gives an erection within five to ten minutes. • Cialis. Cialis is taken 30 minutes before sexual activity. Cialis is effective only with sexual stimulation. Cialis is not
Injection treatments
A drug is injected directly into the shaft of the penis when you want to have sex. Although it sounds a bit worrying it is easy to learn. The medication usually works within about 15 minutes.
Hormone treatments
Hormonal problems are rarely the cause of impotence. The most common hormone abnormality is reduced levels of the male sex hormone testosterone. Testosterone can be restored to a therapeutic level with hormone replacement therapy. Testosterone replacement therapy should only be taken if you are tested and these tests confirm a deficiency.
Penile prosthesis treatments
You should not consider a penile prosthesis (implant) until other forms of treatment have been tried. There are two types of penile implant: The semi-rigid type penis implant: This penis implant keeps the penis rigid all the time. The penis can be bend it downwards when you’re not having sex. • The hydraulic type penis implant: The penis to stiffens when a pump that is implanted in the scrotum is activated
Surgical treatments There are a number of surgical procedures that can be carried out if there is a treatable cause of your impotence such as abnormalities in the blood flow in and out of the penis. Remember the causes of erectile dysfunction may be organic or psychological cause or a combination of the two. A specialist in the field of impotence are the best people to investigate and treat the cause. A starting point should be your family doctor or genitourinary specialist.
Next week: Sex questions to ask your partner and How to get into her pants