Impotence or Erectile Dysfunction is when the man has
difficulty in getting or maintaining an erection hard enough
and for long enough to enable the sexual intercourse to take
What illnesses can cause Impotence?
The illnesses that are capable of causing Impotence
can have a psychogenic or physical origin. In general,
psychological illnesses are related to anxiety and negative
sexual experiences. Physical illnesses can be connected with
vascular factors (arterial sclerosis), neurological factors
(diabetes), hormonal diseases (gonadal deficiencies), bone
diseases (multiple myeloma), localized illnesses (Peyronie´s
disease), infectious diseases (prostatitis), kidney disease
(chronic kidney failure), metabolic diseases (stress,
depression). Another cause is the incomplete ingestion of
drugs used for hypertension, depression, sleeping pills,
appetite reducers, cocaine, LSD, as well as some types of
serious pelvic surgery.
How is Erectile Dysfunction diagnosed?
most frequently used methods are nocturnal penile tumescence
(NPT), Vibrophalloplethysmography, Computerized Eco-dopller,
pharmacologically induced simultaneous erection and erotic
visual stimulation, evoked potential, imaging of the cavernous
of the Penis
Treatment of Erectile Dysfunction:
The treatment of erectile dysfunction depends on the
underlying illness. Since a large number of impotent men
suffer from a lack of arteries in the penis, drugs that
increase the blood flow in the penis used a lot. Other drugs
such as prostaglandin, phentolamine, apomorphine and
sildenaphil cause an increase in the amount of blood in the
penis, thereby producing an erection. Sildenaphil, as well as producing an
erection that is between 50 and 100% hard also reduces the
amount of time that the penis remains soft between one
erection and another. Regardless of whether the medication is
taken intracavernously or orally the patient must be examined
by a doctor, especially to evaluate his heart, liver and
of the Male Genital Organs
Viagra, "the erection pill of 1998" may only
be used after tests carried by a doctor, in order to ensure
the correct dosage and observation of side effects.
For any sexual problem to be solved what is important
is the correct diagnosis of the cause.
Premature ejaculation is when the man has difficulty
in controlling ejaculation sufficiently long enough for his
partner to reach orgasm, at least 50% of the times he has sex.
The average time over which a man under 40 years of age can
control ejaculation is between 5 and 12.4 minutes, and between
9 and 20.4 minutes for men over 40.
What illnesses can cause premature ejaculation?
Generally speaking, psychological, psychogenic and
physical illnesses can cause premature ejaculation. Several
different psychological illnesses can interfere in the control
of ejaculation, but the most common is anxiety and the fear of
not performing well. These factors lead to a loss of control
over the process
of ejaculation, so that it happens in a unilateral instead of
the normal biphasic manner. Physical illnesses are divided
into: neurological illnesses (Diabetes), infectious diseases
(Urethritis, Cystitis), metabolic illnesses (lack of zinc and
oligo-elements), among others, all of which can cause a lack
of control over the time it takes to ejaculate.
Diagnosis of Premature Ejaculation:
Several types of laboratory tests can be used to
diagnose premature ejaculation, such as:
Electric Potential of the spine of the Penis
Blood and urine laboratory tests
Treatment of Premature Ejaculation:
Treatment depends on the illness that causes the
complaint. When the cause is psychological we recommend the
Semmans Method as adapted by Vargas.
In certain cases we can use either clinical treatment
(medication to correct the underlying illness) or surgical