This is the
inability in men to be able to have sexual intercourse.
What to look for
The most obvious symptom is
the failure to have an erection. However there are some other factors to consider -
if your impotence appears
only occasionally it is not usually a serious problem as this is quite common.
develops gradually and
persistently, there is probably a physical cause
develops abruptly, but you
still have early-morning erections and are able to have an erection while masturbating,
the problem is likely to be psychological.
Impotence, the inability to
attain or maintain an erection of the penis adequate for the sexual satisfaction of both
partners, can be devastating to your self-esteem as well as your partners. It can affect
nearly all males at some time or another.
There are a number of
supposed causes of impotence in men.
The normal aging process can
tend to slow a mans ability to sustain an erection. However, experts believe that the
cause is more often physical.
The stiffness of an erection
is caused by increased blood flow to the penis. Therefore, conditions that block the blood
flow to the penis such as atherosclerosis or diabetes can hinder erections. Another
vascular cause may be a faulty vein, which lets blood drain too quickly from the penis.
The nervous system has a
controlling influence on the male erection, therefore certain prescription drugs which
interfere with the nerves (or have this as a side effect) can cause impotence. Among the
possible culprits are stimulants, sedatives, diuretics, antihistamines, and agents to
treat high blood pressure, cancer, or depression. In addition, alcohol, tobacco, and
illegal drugs, such as marijuana, may contribute to impotence.
With younger men,
psychological problems are the likeliest reason for impotence.
anxiety may arise from poor communication with the sexual partner
or a difference in sexual preferences. The sexual difficulties may also be linked to a low
depression, rejection by parents or peers, or
sexual abuse in childhood.
As men age it does take a
little longer to become aroused, but if the problem you are having is persistent and
severe, seek medical help.
There is a vacuum inflating
device that is an option usually for elderly men and your doctor will inform you of the
Another treatment is the
injection of testosterone but it is difficult to know how much as each man is different.
Ask your doctor about this.
For blood-vessel problems,
vascular surgery to open arteries leading to the penis benefits up to half the patients
who opt for this treatment.
Men can opt for a penile
implant however this should be after all else has failed.
If the cause is judged to be
psychological, you could see a qualified counsellor to help you ascertain the underlying
causes and help remedy your situation.
Many alternative therapies
promote the good health and relaxation needed for a satisfying sex life.
clary, sandalwood, and ylang-ylang encourage relaxation and feelings
of sensuality. Add 2 drops of each to 4 tsp of massage oil or to a warm bath.
Chinese Herbs -
believe that too much anxiety can cause energy stagnation in the liver. Golden chamber, a
combination of herbs, sometimes with cibot root added, is often prescribed.
Herbal Therapies - Ginkgo,
Damiana, and Ginseng are sold in many formulations as sexual
Try to keep your
focus and mind off getting an erection while being intimate with your partner.
Try to keep the pressure off yourself.
Moderate exercise helps
relax the body, give you more energy, and stimulate sexuality.
Stress or anxiety diverts
blood from the sexual organs. Try to relax
When to seek further