Male Erectile Dysfunction or Impotence

What is Impotence or Erectile Dysfunction?

Erectile dysfunction is the persistent inability to achieve and maintain an erection that is satisfactory for sexual intercourse.

Persistence of the problem of achieving and maintaining an erection for sexual intercourse is impotence.

The occasional problem of achieving and maintaining an erection is not erectile dysfunction.

Cause of Erectile Dysfunction - Is Sexual Dysfunction All in Your Mind?

Millions of American man suffer from male ED and the vast majority of them suffer in silence for fear of embarrassment and the mistaken belief that male impotence is a natural inevitable consequence of aging.

It is estimated that more than 50% of men between the ages 40 to 70 suffer male impotence at some time.

One must always remember that age itself is not the cause of male impotence but age related conditions that develop as one gets older does increase the incidences and causes of impotence.

Age related conditions that increase the risk and cause of ED are diabetes, hypertension, vascular disease and medication for illnesses.

Why call it Erectile Dysfunction and not Impotence?

Erectile dysfunction is commonly known as impotence to the general public. The word impotence is laden with heavy, negative connotations and does not describe accurately the physical problem.

Male Erectile Dysfunction accurately describes the physical problem of men not being able to achieve an erection sufficient for penetration during sexual intercourse.

Note that men who suffer from male sexual dysfunction may not achieve an erection sufficient for penetration but may well be fertile, have a normal sex drive and the ability to achieve orgasm and ejaculate.

Seek ED treatment for a better sex life.

Erectile Dysfunction and Penile Erection

Penis and Penile Erection

The penis contains three chambers, two chambers which run along the length of the penis, called corpora cavernosa and one chamber on the bottom, called corpora spongiosis.

Chambers inside the penis are filled with spongy tissues which contain smooth muscles, fibrous tissues, veins, arteries, and spaces.

The chambers are surrounded by tunica albuginea, an elastic membrane.

Penile erection occurs with mental arousal and physical stimulation. Expectation and excitement of making love cause the smooth muscles of the corpora cavernosa to relax, allowing blood to flow and fill the penis causing penis enlargement. Tunica albuginea traps the blood by compressing the veins, maintaining the penile erection.

Erectile Dysfunction and Penile Erection

Achieving and maintaining a sexually stimulated erection is a sequence maintained by a complex interplay between blood vessels and nerves.

Persistent disruption to achieving and maintaining a penile erection will result in impotence.

Impotence or erectile dysfunction is experienced due to disruption in nerves impulses between the brain, spinal cord, penis and malfunction in the smooth muscles, tissues, veins and arteries near the corpora cavernosa.

Erectile Dysfunction Treatment

Don't live with impotence. Seeking treatment for impotence is important for a full and active sex life. Impotence or erectile dysfunction can in most cases be treated safely and effectively.

Seek impotence help from a professional urologist who specializes in sexual dysfunction treatment and is familiar with all impotence treatment options.

Impotence Treatment - When to seek help for Impotence?

Visit a professional urologist for erectile dysfunciton help and impotence treatment if you:

  • rarely have erections while sleeping or when getting up in the morning
  • cannot get an erection while masturbating
  • cannot keep an erection while ejaculating
  • get an erection only right before ejaculation
  • have decreased sex drive or sexual libido

Success of Impotence Treatment for Men with ED

Be prepared when seeking help for sexual dysfunction treatment as the urologist will need to know your medical history, your sexual history and a complete picture of the impotence problem.

Seek ED help with your partner and find a professional urologist whom you are both comfortable with and who is knowledgeable in both physical and emotional impact of impotence treatment including sexual dysfunction treatment options, their effectiveness, side effects, and costs.

For impotence treatment to be successful it is crucial that all parties i.e. you, your partner and your doctor finds the impotence treatment options that work best for you and your partner.

Causes of Erectile Dysfunction

Every man has an occasional problem in achieving and maintaining an erection from time to time due to fatigue, stress, performance anxiety and excessive alcohol consumption.

Persistence of the problem of achieving and maintaining a penile erection is erectile dysfunction.

Two fundamental cause of erectile dysfunction which are often intertwined are physical and emotional erectile problems.

Emotional erectile dysfunction or emotional impotence usually arises as a result of coping with physical problems.

Causes of Physical Erectile Dysfunction

Arteries and veins are critical to achieving and maintaining penis erection. Any disease, disorder or medication that affects the arterial system can cause penis erectile dysfunction.

Physical problems related to a circulatory and nervous system are a major cause of erectile dysfunction.

Major causes of physical erectile dysfunction are:

  • diabetes
  • kidney disease
  • chronic alcoholism
  • arteriosclerosis (hardening of arteries)
  • vascular disease
  • multiple sclerosis
  • medication and prescription drugs that cause a problem with erections, sexual desire, potency or ejaculation
  • excessive smoking

Causes of Emotional Erectile Dysfunction

Is erectile dysfunction in your mind? Many healthcare professional believed that emotional erectile dysfunction or penile dysfunction is "all in the mind".

Today we know that psychological factors and emotional problems only accounts for 10% to 20% of the cause of erectile dysfunction or penile dysfunction problems.

Major cause of emotional erectile dysfunction or emotional impotence are

  • depression
  • mental and emotional stress
  • performance anxiety

Erectile Dysfunction Drugs

Medication and Prescription Drugs for Sexual Dysfunction

It is extremely important to understand the history of your medication and prescription drugs you are currently taking in the treatment of erectile dysfunction.

Erectile dysfunction attributable to medications prescribed for other medical conditions accounts for 25% of all cases of erectile dysfunction.

If medication is the cause of erectile dysfunction - stopping, cutting back and substituting medications, is the answer to your erectile dysfunction problem.

Medication and prescription drugs for the following medical condition which may affect and hamper your sexual functioning are:

  • high blood pressure and antianginal medication
  • ulcer and irritable bowel syndrome medication
  • antianxiety drugs
  • antidepressants
  • antipsychotics
  • amphetamines

See your doctor right away if you are experiencing any sexual dysfunction. Although medication may be a cause of erectile dysfunction, don't stop taking medication on your own!

Your doctor should be the one deciding which medication is the cause of erectile dysfunction and your doctor should decide what to do about it.

Erectile Dysfunction Treatment Methods

Erectile dysfunction treatment should start with the least invasive treatment before moving on to more invasive treatments.

Psychological Counseling

Erectile dysfunction that results from depression, performance anxiety, mental and emotional stress often requires professional counseling.

Psychological counseling for patients with no physical cause of erectile dysfunction is often enough to help reduce the impact and duration of erectile dysfunction.

ED Drugs - Viagra, Cialis, Levitra

Drugs for ED are first line erectile dysfunction treatment option and impotence pill works best for men whose main problem are emotional problems.

Oral ED drugs in the form of impotence pill also work for men with a physical problem where the erectile tissue has not been severely damaged.

Viagra, Cialis, Levitra are the top oral impotence drugs available for impotence treatment.

Hormone Supplements

ED may be caused by abnormal levels of sex hormones such as low level of testosterone, excess prolactin or excess estrogen.

Low testosterone level decreases sexual desire which is a contributing factor to ED in older men. Testosterone injection or testosterone patch are normally prescribed for low testosterone levels.

Penis Pump - Vacuum Devices

A penis pump is vacuum mechanical device that causes penile erection by creating a vacuum around the penis and drawing blood into the penis causing penis enlargement and erection.

An elastic band is placed around the base of the penis to maintain an erection for sexual intercourse after the penis pump cylinder is removed.

Injection Therapy

Injection therapy requires a prescription and involves the self-injection of medication with a very fine needle into the shaft of the penis. It produces a very good quality erection for 30 to 60 minutes for men with erectile dysfunction.

The downside is that many men are turned off the very thought of putting a needle to their penis. It also affects disrupts sexual activity, sexual spontaneity, scarring and deformity to the penis.

Penile Implant

Penile implant involves surgery, are basically irreversible and should be the last resort for men with erectile dysfunction.

There are two basic types of penile implants which replace the natural erection tissue i.e. semi-rigid and inflatable penile implants.

Today's state of the art penile implant is easier to put in and more effective than ever before.