erectile deficiency can arise from physical, psycological or enviromental situations. although initially they can be divided into either psychogenic (of the mind) or organic (of the body) causes, they are not mutually exclusive.
Erectile dysfunction (male impotence or simply ED) is a sexual disorder, associated with inability to build up or sustain an erection of the penis adequate for acceptable sexual performance. It is estimated that as many as 30 million males worldwide are afflicted with this condition. Erectile dysfunction may sometimes appear together with another condition called premature ejaculation. Erectile dysfunction has several degrees of severity and it may be divided into two groups: ED due to physical impossibility and underlying causes and ED due to psychological problems. Normally psychological impotence is easier to treat and with more success rate than physical impotence. It is essential to identify the underlying causes of both types of impotence before effective treatment can be administered. The first step to combat ED or other virility problems such as premature ejaculation is by encouraging the male to admit and confess his problems. Males are often ashamed to admit problems which are seen as degrading to their masculinity. In such condition, the spouses or partners have a major role to play in encouraging the males to seek treatment for their conditions. The other half should support their partners and be patient at all times, no treatment would cure ED immediately. Treatment could commence when the male patients are willing to confess and share their problems with a specialist in andrology. Next, the doctors treating the male patients are supposed to identify the core problems to their impotence. The doctors should evaluate whether the impotence is physical or psychological. Physical impotence is associated with vascular problem and blood flow disorder to the penis while psychological impotence may arise due to the psycho-emotional status of the patients. If it is established that a patient is suffering from physical impotence, therapy should be focused on healing and improving his physical health. Underlying diseases which may cause vascular problems such as hardening of penile vessels should be investigated. Such diseases and bad habits as diabetes, heart disease, liver failure, alcoholism, hormone imbalance, smoking and hypertension may lead to male impotence and premature ejaculation. Treatment directed at the underlying causes should commence at the same time specific treatments for ED are applied. Specific treatments to help cure ED range from abstention from bad habits such as cigarette smoking to other proven medical methods which include proper diet, adequate exercise, medications and counseling. As a last resort, surgical intervention may be required for severe ED which cannot be treated by medications. As for psychological impotence, the main causes are depression, anxiety, stress and relationship problems. Such conditions may arise suddenly and sometimes may disappear on its own when the effects of psychological trauma fade. If the symptoms persist, male patients should try talking their spouses, partners or trusted friends. Professional counseling help should be sought if other ways fail to improve the patients' conditions. The best way to combat ED is prevention before the condition arises. Healthy lifestyle, adequate exercise, proper diet and reduction of bad habits will help to reduce the risk of premature ED and prolong virility. Sensitive issues like male potency should be handled with care so that men's pride are not damaged. Likewise, annual medical check up should be done for early detection of health conditions and to allay any fear of developing erectile dysfunction.
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