Erectile dysfunction or erection problems?
Today, there should be more shameful for a man to talk with your doctor of any sexual problems. But because of our education, our prejudices, it is a taboo or embarrassing for many, including many doctors, and it remains difficult to discuss sexuality. However, sexual health has become an integral part of health.
Sexuality is a complex subject, however. It combines the personal psychology and history of each personal relationship with pleasure and desire and the purely physical, ie the functioning of the sex organ. Finally, sexuality is experienced as a couple and the relationship to another is of course always take into account.
But, addressing his sexuality is to reveal what is deepest in us. Tell can be lived, legitimately, as a lack of modesty, as laid bare.
Thus many men continue to suffer in silence. In recent years, however, medication can effectively treat these problems.
A man seldom consults his doctor about his sexual difficulties. The problem is often mentioned at the end of the consultation, when leaving the doctor with a sentence like "Oh, yes doctor I forgot, I have problems, you know what I mean. The doctor then replied "we'll talk next time we will have more time." Others dare not speak directly of their sexual difficulties and prefer to talk about urinary problems,
Then the doctor to decode the message. This is not always simple. Many prefer to let it be their doctor, who broached the subject by asking questions, when he dares.
There are different sexual problems: premature ejaculation, lack of sexual desire and erectile difficulties. We deal only erection problems or erectile dysfunction (dysfunction = difficulty setting), formerly called impotence, a term no longer used because of its negative connotation.
The erectile dysfunction are common and increase with age. Thus, 20 to 30% of men over age 50 are affected. If you're concerned you're not alone. It also seems that one day or another, almost all men have to face a problem of erection.
What is erectile dysfunction?
It is difficult to have a satisfying sexual relationship because of a lack of rigidity of the penis (no erection) or partial (soft penis).
The erection how does it work?
We will not go into details of the complex chemistry of erection or in the anatomy of the penis. More simply, for the erection occurs, it is sexual arousal and sexual desire. The first element is and to clarify the existence or not of desire. Lack of desire is not erectile dysfunction, it is treated differently. If you desire for your regular partner or the other and if, despite sexual arousal, your erection is faulty, you have erectile dysfunction.
Is this a problem of age?
No, erectile dysfunction is not related to age, as was long believed. It is true however, with age, spontaneous erections are less frequent, erection is a little more time to come and the rigidity of the penis is of poorer quality. The time between erections is also longer.
Another important factor is whether you keep spontaneous erections during the night or morning, ie erections involuntary (reflex) without any sexual stimulation. These erections are witness that the erection is possible that the system works. The erectile dysfunction is either linked to the history of the person and the relationship with (the) partner (psychological cause) is most often linked to a malfunction of the sexual organ, itself, is to say more physical origin. In reality, psychology and functioning of the body are intimately linked.
Note that the problem of erection may be associated with certain drugs. Sometimes just switching medications, if possible, to get everything in order.
Finally, depression often makes the sexual defective
Should make tests?
In general very few tests are needed immediately. The doctor checks your blood, your cholesterol and your blood sugar in the blood. The opinion of the cardiologist may be necessary if your doctor wants to assess your ability to perform physical exercise. For the "heart" with erection problems, ask the cardiologist is always necessary.
What are the solutions?
There is an effective solution for most men with erectile dysfunction.
The simplest solution is to take an oral drug that aims to maintain an erection (when desire exists of course).
Other methods are also possible. It is possible to inject into the penis (= intracavernosal injection in the corpus cavernosum of the penis) of substances that trigger an erection or to get an erection mechanically using a vacuum pump, called the vacuum.
A possible solution as a last resort when other methods have failed, is to use the placement of inflatable penile prosthesis during surgery.
What is the role of the sexologist?
The opinion of the sex therapist is often very useful in cases of sexual disorders. Indeed, the sexologist whether or not a doctor trained specifically in sexology (science of sex). The sexologist offers different kinds of treatment depending on each: simple advice, support long-term psychological (psychotherapy) or couples psychotherapy and medication if physician.
Psychotherapy or sex therapy may be useful alone or in pairs. Indeed, brown or maintain an erection is often insufficient to great sex.