During last few decades professional opinion about reasons for impotency has been changed. Researchers today allow that there are medical reasons for 70 to 80 percent cases of impotency.
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Not so long ago, generally accepted opinion was that most reasons for impotency or erectly dysfunction are of psychical nature. On the first place among medical reasons is arteriosclerosis, then diabetes complications, kidney diseases, chronic alcoholism, multiple sclerosis, surgical prostate removing and drugs as antidepresives, agents for appeasement and similar. A reason for impotency also may be hormonal deficit, just like smoking which influences vein and artery circulation.
Most of professionals believe that negative emotional state which appears as a side effects of this situation are probably more reaction to an impotency than its cause. Psychological problems are more often the reason for erectly dysfunction in young persons (some 5 percent of men in age up to 40), and physical in older people (15 to 25 percent in age of 65). However, just getting old don't cause impotency.
Considering that so many physical and psychological conditions can lead to erectly dysfunction, men should consider short impotency problems as normal appearance, like an ordinary cold. It will probably sound strange, but even a common cold may in fact cause the transient impotency.
Impotency or erectly dysfunction is constant inability of keeping erection sufficiently enough for sexual intercourse. Impotency may be completely inability of erection accomplishing, its inconsistency, or ability to keep only short lasting erections. In primary impotency man can't have a successful sexual intercourse, while in other situations he has normal erection. That rare condition is hard to cure. Secondary impotency is curable in any age, and more and more people ask for help, and after medical treating become potent for normal sexual life.
One of a indicators of physical impotency, as opposed to psychological, is impossibility of experience or keeping erection after morning awaking. Snap-gauge test, very simply test, serves for following night erection ability during sleeping. Before going to sleep, man bands around the penis a simple ring-like device called a snap gauge made up of plastic films. The films break at certain pressures, so an erection during the sleep will cause the film to snap.
In deduction of impotency and its causes a few diagnostic tests are performed. First of all, it is an open conversation in which patient is asked to speak freely. The doctor will ask information about previous and current treatments and drugs, about previous and current psychological problems including stress, anxiety or depression. She will ask questions about history of sex life which include initial nature of dysfunction, its frequency, quality, duration of erection and time when it appears (day/night).
If it is necessary, the doctor will interview patient's partner, too. After conversation, the doctor will check if there are some changes on prostate and then will make tests like blood tests, diabetes, nerve damages, thyroid and adrenal gland checkups, high pressure and other including specific tests for erectly dysfunction.
Due to the fact that impotency is in many cases caused by reduced blood flow from blocking artery, it is important to maintain the same life habits as those who come from high risk cardiac patient group. Those habits include nutrition rich with fruit and vegetables, integral grains and fibbers, low content of saturated fats and sodium. So called Kegel exercises, a popular way to identify the pelvic muscles in men and woman is to stop the flow of urine midstream. This is accomplished by contracting the pelvic floor muscles.
Restarting the flow of urine is accomplished by releasing the pelvic floor muscles. Once identified this way, the pelvic floor muscles can be contracted and released independently of controlling urination. Kegel exercises are most frequently preformed in sets of 5 to 15 contractions and every one of them lasts 10 seconds. The exercise is performed 3 to 5 times a day. ■