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Impotence was once thought to be a predominantly psychological problem, or a normal part of the aging process.
However, impotence
or erectile dysfunction
as it is now described, nearly always has an underlying physiological cause which
can be treated. An penis erection is a complex event but ultimately it comes down to rigidity provided by hydrodynamic forces. These forces will not get started if the mood isn't right and that is where the mental aspect features. Potency is not just a man's sexual issue, it is a relationship issue.
Hormones do not have much to do with the mechanics of penis erection, but a lot to do with the mood, motivation and arousal required to achieve erection. With advancing years, the male hormone testosterone declines and results in a lowering of energy, sexual libido, rate of beard growth and frequency of night-time or early morning waking erections. Hormone levels however do not affect the quality of an erection.
The rigidity of an erection is more of a function of blood flow. Healthy arteries will facilitate an inflow of blood in response to the dilation or opening of the channels. This flow rapidly increases in response to appropriate stimulation either through natural arousal or artificial stimulation by medication such as Viagra , Cialis , Levitra .
An inadequate response to either natural or drug stimulation suggests good arterial filling but failure to trap blood within the penis erectile tissue. Veins, which drain the erectile spaces, may leak inappropriately causing Venous leakage and a soft and weak erectile response, or a rapid loss of erection is often the result.
This failure of the veno-occlusive mechanism (blocked obstructed vein) lets the pressure out, and is the single most common cause of impotence. It may co-exist with poor arterial inflow, hormone abnormalities or both.
Venous ligation is a relatively minor procedure, highly successful with some risk, done in a day surgery setting. This method is the most acceptable treatment as it results in improved natural response. Offering a success rate approaching 90% with little surgical trauma, this procedure offers an attractive option.
SUMMARY
Erectile dysfunction
that responds well to medication is
usually related to psychological issues
rather than arterial blood flow. When the response
to either natural or stimulated arousal results in a poor erection,
or one which is quickly lost,
the problem is more likely to be venous.
Find a doctor near you in the USA.
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