Impotence

Let us also add something more about the importance. First of all we have to think about the reasons that may cause this serious disease.

• There is a large number of reasons that can cause importance. First of all, it can happen because of diseases such as diabetes or kidney disease, which affect hormone levels, blood circulation, and at the same time strength and energy levels. But we have also to remember that different problems that affect nerve function, such as multiple sclerosis or a spinal cord injury, also can cause impotence. It’s well-known fact, that various drugs, especially certain high blood pressure pills, can cause you to have problems getting and sometimes keeping an erection. You have to remember that all other possible causes include surgery, drug abuse, alcoholism and emotional problems, such as depression, anxiety, stress, marriage problems or fear that you may not be able to perform sexually. As you know, the importance may also be caused by a combination of physical and emotional problems. You may have a question about how is importance diagnosed. First of all, you may be sent to a doctor, called a urologist, who specializes on the urinary system. You may be asked several questions by a doctor for him to find out some more information about your health. He will take a medical history, do a complete physical examination, evaluate your emotional state and interview your sexual partner to find out if you have importance. Some other tests that may be ordered for you are such as measurement of the male sex hormone (testosterone) in your blood, evaluation of the nerve and blood supply to your penis, evaluation of nocturnal (nighttime) erections.

You may also have such a question:

How is impotence treated?
Doctors believe that the best treatment for you depends on the cause of your impotence. Your doctor will help you to make a choice. If your problem is emotional, seeing doctor can be very helpful. The perfect variant would be if you come to the doctor together with your partner. In case your problem is caused by a drug you are taking, the doctor may order another medication.

As for drugs, sometimes, the doctor may inject a drug directly into the penis. The effect of this drug is that it causes a large amount of blood to go into the tissues in the penis, resulting in an erection that lasts from one to two hours. Sometimes, this treatment may lead to a long-lasting, painful erection.

There’s also another cause that make people to become impotents. It is a hormone problem. Some drugs, like testosterone, are sometimes used to correct this problem. But a lot of drugs have a side effect, that’s why you should consult to your doctor.

Some men say report being helped by one oral medication called yohimbine, which comes from the bark of a tree that grows in India and Africa . You have to take this drug every day, it has been reported to help about 20 to 25 percent of the men taking it. Also there’s quite new but widely used oral medication called Viagra but which requires a careful medical evaluation by your doctor.

There’s one other way to improve your erection like Vacuum Pump: Your doctor may advice one other treatment, called a vacuum pump, which effectively helps to draw the blood into the penis. You know, that when erection caused by this treatment can be continued by using a special elastic ring around the penis. But the ring may cause occasional bruising.

Here is one of the most radical ways to solve erectile problems. It is the surgery: If neither drugs nor the vacuum pump works, your doctor will probably suggest it. With surgery, the doctor can place a device in your penis which will obviously cause enough hardness for intercourse. Sometimes, infections may develop after the operation, and the doctor may have to remove the device he placed. But another operation that can help you is rebuilding the blood vessels in the penis to increase blood flow into the penis or decrease blood flow out of it. But anyway, these procedures can help you to get and maintain your erection.

Obviously, these operations aren't right for all patients. You must speak to your doctor about whether this type of surgery could help you in your individual case.

There’s another one very important problem about the role of sex therapy. The answer for this question is that with sex therapy your counselor looks at the sexual problems you andd your partner are having. Everybody knows, that sex therapy works with problems such as performance anxiety, which means that you worry so much about if you will be able to have sex that you are not able to. It helps in most cases when you have erection problems that are not due to physical or drug problems, or premature ejaculation (you come too quickly). It must help you not only to reach orgasm but also to learn to relax enough to avoid pain during sex. You may consult to a doctor and talk to him about his opinion about your disease in order to choose the best way for improving your health. It would be naturally, if you also have a question about the way you may know what treatment is right.

You have to talk to your doctor about all possible treatments. Of course you may want to talk to other patients who have had the treatment planned for you. It is ok when you also want to seek a second doctor's opinion about surgery before making your decision. Of course you may find rather difficult to talk to your doctor about impotence. It is also okay if you want to find a doctor who treats this condition and will help you feel comfortable while talking about the problem and choosing the best treatment for you. You can also get more information by contacting your local hospital, that specializes at these questions.

You also may have a question whether insurance plans cover the cost of treatment.
I would say that most insurance plans will pay most of the cost of diagnosis and treatment. You have to talk with your doctor about the cost. Then you should check with your insurance agent to see what will be covered by your insurance plan.

 There's also one important topic about child health and pregnancy that was taken from impotence forum. One man said that he is 33 year old and he has a problem with premature ejaculation. this is very disappointing for him as i t happens very quickly. He asks what causes this and how can he stop it? One doctor answered to him that p remature ejaculation is simply treated with the squeeze technique popularized by Masters and Johnson. This method is not difficult, w hen the male feels the beginning sensation of ejaculation, he withdraws quickly and (he or partner) squeezes the penis immediately behind the glans (head).

But you have to remember, that this should be a very firm squeeze. Because t his should inhibit the stimulated neural pathway, reverse the impending climax and allow the male to resume stimulation towards a n ext climax. Position is a lso very important, the matter is, that some men are less stimulated and the partner is stimulated by different positions. Take into your attention that these and then change to a position that works well for you. There's also a second therapy-the t opical anesthetic gel rubbed into the glans , this can cause local irritation to the male or female partner. Many believe that premature ejaculation can be unlearned by the male masturbating towards climax and stopping before there is an ejaculatory drive; restimulating and stopping. But thus , in theory, it takes longer for the male to reach orgasm. You have to remember that t his information is provided for education purposes and is not a medical consultation. If you have specific questions for your individual case , please contact your physician.

One man said that he is 33 year old and he has a problem with premature ejaculation. this is very disappointing for him as i t happens very quickly. He asks what causes this and how can he stop it? Another doctor added to the answer that c ondoms, one or two, reduce the rapidity of stimulation and prolong the time to ejaculation. Therapy by a trained sex counsellor can be very helpful if both husband and wife participate .