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What are the causes of impotence?

PSYCHOLOGICAL CAUSES:

Masturbation Guilt can lead to sexual problems. It is a widespread false belief that masturbation is harmful. The actual fact is that alirnost all men masturbate. Masturbation provides a safe release for sexual energy when sexual intercourse is not possible. If however, a man becomes tense and anxious because of a false belief that masturbation will harm him, then this tension and anxiety will lead to psychological and sexual problems.

Depression can cause a lack of energy and a reduced sex drive, which may result In an occasional inability to get an erection. This itself may produce more depression resulting into impotence. The first step is to treat the depression.

Stress, whether caused by your job, marital, financial, or other problems, adds to the impotence. Performance anxiety or fear of failure, happens to most men occasionally, but if it persists it can lead to Impotence.

Misinformation about sexuality and about how men should not be able to "perform" at a certain age can lead to anxiety and stress, which can lead to impotenc.

 

PHYSICAL CAUSES:

Diabetes can cause damage to the nerves or blood vessels that control the low of blood to the penis. In some cases, keeping your diet and blood sugar under control may decrease the risk of impotence. But permanent damage to these nerves and vessels may result in chronic impotence.

Cardiovascular problems, such as hardening of the arteries, can slow the blood flowing into the penis, making it difficult for you to get or keep an erection. In other cases, the veins that keep blood in the penis during an erection are damaged, and you cannot keep the erection long enough for sexual intercourse.Impotence can also occur if the nerves that control this flow of blood to the penis are damaged.

Pelvic surgery or trauma, including cancer surgery in the prostate, bladder, colon or rectal area, can cause impotence. In cancer surgery, the surgeon's most important goal is to remove all of the cancer. Nerves and blood vessels that control erections may be near the cancerous tissue; sometimes these are damaged in an effort to remove the cancer.

Neurological disorders such as spinal cord injuries can cause impotence. The spinal cord is the relay center for nerve impulses, brain messages and blood flow. When the spinal cord is damaged in certain locations, messages can't get through to the nerves of the penis, causing impotence.

Medications, including some prescriptions for high blood pressure, depression and a number of other conditions, may cause impotence by interfering with the nerve impulses or blood flow to the penis. Sometimes a change in the medication or the dosage will decrease the risk of iirnpotence. However, medications should never be changed without the doctor's permission.

Alcoholism disrupts hormone levels and can lead to permanent nerve damage, causing impotence. This type of impotence may be reversible depending on the severity of the nerve damage.

Hormone problems are rarely the cause of impotence, but certain diseases can disrupt the balance of hormones which control erections. Kidney failure and liver disease are among these conditions.

If it is detern-dned that you are impotent, and that your impotence Is caused by a physical problem, your doctor can offer several options for treatment. These may include hormone therapy, injections, vaccum devices, penile implants or vascular surgery.

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