Impotence reasons, superficial and points, rational and physiological heart (organ is) of two broad categories; 70 years ago less developed medicine that 90% of impotence are caused by psychological factors; but after the age of 80 found at least more than half of patients with impotence problem can be found in organs, not only gradually opened impotence mysterious secret anguish, but also for the treatment of male erectile dysfunction, the development of a number of ways.
A. psychological impotence
Psychological impotence is characterized by sudden, short-term or when the good or bad, many patients themselves to their own experience, when these psychological Su-excluded, the many anti-impotence drug can not be more male vibration as ever. Common causes such as the cause of heavy night or sudden changes, tired at the end of things is frequently out of position, not only the hardship erectile chicken, and even "interested" are dull, the improvement in physical and psychological pressure to lift after many can re - Zhen-Feng. Some patients met his wife on the "dejected" and other sexual partners but they gaggle, which "varies from person to person," the situation is a typical psychological impotence.
Another common factor is the psychological "sexual anxieties" (Performance anxiety), the aforementioned big event that will not do too much on the cases may have on his wife like a tigress; or excessive demand; or has in his "No" or performance sneer at him when good natter; sick themselves or their own expectations too high, feel like A film actor is not a man, so that each gave their own act before the pressure and expectation, I hope a good performance, often caused by "sexual anxiety "and do cold inverted.
B. organ sexual impotence
Other body organs or the penis itself can cause impotence problems, impotence is a sexual organ, other organs common illnesses such as diabetes, hypertension, heart failure, asthma, uremia, liver cirrhosis. Since sexual function is not necessary to sustain life, reproduce offspring are to survive in a healthy subject to be meaningful, so the foregoing when those who suffer from serious illness, is unable to show sexual function, the so-called "full warm thinking" is this reason. Therefore must be to improve the health of other organ diseases, will it be possible to improve impotence.
Impotence treatment
Treatment premise to consider the patient's age, health status and treatment motivation. Some people think that age has been great, no matter is not of good; I have also seen 80 mettlesome man, married a 28-year-old Thai bride, Tim had just one son,sexuality and unable to seek treatment; followed by the response to the causes of impotence and prescribe the right remedy.
Psychological treatment of sexual impotence First remove the psychological barriers and pressures, including the adjustment of life style, sexual partner's communication, feelings of culture, and even to different points in order to enhance life, aimed at creating a comfortable feeling happy, style and context. Of course, adequate sleep, balanced nutrition and moderate exercise to maintain physical health status is a basic requirement. If the result of these efforts are still unable to , then it must consult a psychiatrist.
Organic impotence, the first should be the treatment of its original medical diseases such as diabetes, although there is no cure, but should be a good blood sugar control; high blood pressure should be control of blood pressure, cirrhosis should pay attention to diet, nutrition and the amount of ascites, and then for the penis the cause of the treatment.
The second step is to see whether the lack of male hormone. Most of impotence patients do not lack testosterone, ventured to add, not only useless but harmful.
Is according to the penis for the most common vascular problem started.
Severe arterial insufficiency of the penile artery reconstruction surgery can be considered will be rough and healthy cavernosal arteries to increase blood flow into the supply, but this surgery and unpredictable consequences, connected to blood vessels may also be re-stenosis has been very less adopt.
Mixed venous serious penile vein ligation can do, but in fact can not be because of all vein ligation, addition of venous blood will be blocked from other small venous return, wait until these small veins gradually stretch, it also remains the Blood Leak . Vein ligation so one year and 50% of patients dying again.
Because of the penis against the effects of arterio-venous surgery is not very good, so for the treatment of vascular impotence generally are the following options:
1. Oral drug therapy
Used to increase blood supply to penis, commonly used drugs have ginkgo extract objects (such as Cerenin, Tebonin) or Pentoxifylline (trade name Trental or Ceretal), but the effect is not significant. Effects are better psychiatric antidepressants, such as Trazodone (Mesyrel, the United States), Fluoxetine (Prozac Prozac), simultaneously with the auxiliary erection and delayed ejaculation double effect, is the role of neurokinin in the central nervous system amine drugs (serotonin), the effect of up to more than half, has a slight disadvantage are the side effects of sleepiness, but also to take a few weeks in order to be effective. The most effective oral impotence drug Viagra is of course, this allows Pfizer earnedaphrodisiac century, please see the following section.
2. Urethral suppository
Urethral suppository - Miu silk (MUSE): Miao-wire is not a drug, but a urethral insert from the drug delivery methods are Medicated Urethral System for Erection of abbreviations into pharmaceutical are prostaglandin (PGE1), but Cypriot agent dose than intracavernous injection of larger doses. Miao-wire has just launched Flaccidity Mi really lift the spirit of the men, because well-known PGE1 could鸡鸡do not have to play in, and with the plug on it, but after a long time trial, found wonderful silk are only three or four into effect, and will stimulate urethral suppository, causing urethral pain, bleeding and infection, has now been abandoned.
3. Penis vacuum aspirator
Penis vacuum suction is like breast implants of "fast Takami" tubular suction device, the same principle, but designed to support the erectile penis pump, the fourth Units also have ads, but ads that will allow the penis and then grew up should be impossible, and disadvantage are feeling the penis has a lot of patients with cold and troublesome, especially in the Spring Lane stepholidine moment, but first drill out a pile of Items doubled,forget it, "head" have been dampen only unhappiness does. In addition occasional difficulties and penis ejaculation subcutaneous hemorrhage punctate. Can also be drugs or following injection with the use of PGE1.
4. Penis self-injection
This is second only to artificial penile implant surgery the most effective way (than Viagra is also effective). Injection of drugs are powerful vasodilator; with the smallest number of fine needle directly injected into the corpus cavernosum, the minutes on the "into a live dragon."
Commonly used drugs are poppy alkali (Papaverine) and prostaglandin PGE1, among PGE1 better and less side effects. Efficacy up.
The biggest disadvantage is to have an injection in the penis, the initial attempt to have a fraction of the courage of men really do, but there are a few points injection to pay special attention to:
Must be injected into the Intracavernosal to be valid, playing in the penile skin is invalid.
Regardless of poppy alkali or PGE1, is a strong vasodilator, the dose is too large a drop in blood pressure and even shock, so be sure to follow the doctors instructions, from the lowest dose began to slowly increase the dose; but the principle is valid, not playing more many more strong.
After injection to really pin down the mouth to stop bleeding, prevent penile subcutaneous hematoma, and not injected more than twice a week in order to reduce the injection sclerosis Department scarring.
After injection, if the erection does not subside over a few hours, treatment should be quick to find a doctor, otherwise the long-term cause of erectile smooth muscle Intracavernosal hypoxic damage, but will add to impotence.
5. Artificial penile implant surgery
This is the final step in the treatment of impotence is also a tricky move, once and for all and to be effective (unless of postoperative infections, must be removed).
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