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Male Erectile Disorder (Impotence)
Persistent or recurrent inability to attain, or to maintain until completion of sexual activity, an adequate erection.
This is also know as erectile dysfunction.
The disorder may cause marked distress or interpersonal difficulty. There are different patterns. Some individuals report inability to obtain erection from the beginning of sexual experience ;while others report being able to experience erection only during masturbation or on awakening, but not during the coitus. Some experience adequate erection,lose it when attempting penetration. Still other report that have an erection that is sufficiently firm for penetration, but they lose erection before or during thrusting.
Male erectile disorder is frequently associated with anxiety, fear of failure, pressure of sexual performance, and decreased sexual excitement and pleasure. This can disrupt marital relationship and may be the cause of unconsummated marriage and infertility.
Aging:with advancing age,
-The orgasm is less intensive,
-The ejaculate is reduced
The interval between the two successive acts is increased.
Fear of failure,
Low self esteem
Traumatic initial experience
Negative feelings towards the partner
Use of tobacco/Alcohol
Venous leak or occlusion
Harmonal causes :
Estrogen excess Adrenal
pituitary of Hypothalamic disease
Neurogenic causes :
Autonomic neuropathy (in Diabetes)
Spinal cord disease
Drug related casuses :
Stamp Test :A long strip of postal stamps in wound around the base of the penis at night before going to bed. Next morning if the perforations of the strip are found to be torn off, impotence is supposed to be of psychological in origin.
Peno-brachial index : The ratio of penile systolic blood pressure to that of brachial systolic blood pressure is normally 0.6. If found to be low, impotence is vascular in origin .
Papaverine Injection Test : Papaverine is a vasoactive drug. Using a 26 gauge needle, 30 mg papaverine is injected at the mid-shift of Corpus cavernosum of the penis. He is isolated, asked to stoke the penis and expose to erotic literature. An erection will occur in 10 to 15 minutes. If the erection is short-lived or partial, then impotence is considered as vasculogenic. If the erection is full, then impotence is considered to be neurogenic or psychogenic. In origin.
Caution : This test should be performed in a hospital setting or where the facilities for detumescence are available. The patient should be observed for next few hours till the erection subsides.
Rigiscan Test :
This is a gold standard for evaluation of Nocturnal Penile Tumescence and Rigidity (NPTR). This test is based on the physiological principle that a male gets erection 3 to 5 times during REM sleep. At night before going to sleep one ring of Rigiscan is slid over the base of the penis and the over the tip. Next morning, the tracing obtained are studied. This test can quantify erectile tumescence and rigidity. Rigiscan tracing indicates whether the impotence is organic or psychological in origin.
Arterial insufficiency and venous leaks can also be suspected on the basis of Rigiscan graphs. Patients with purely artery disease have low levels of rigidity but of adequate duration. Patients with venous leak will have varying rigidity levels with shortened duration.
Penile Ultrasound :
This test is for evaluation of the functioning of the penile arteries. A simple acoustic Doppler emits auditory signals or a colour Doppler can help visualization of arteries. Cavernosometry and caver nosography: this haemodynamic test is useful for diagnosing venous-occlusive dysfunction of the corpora. Biothesiometry, electromyography , nerve conduction studies: these are for evaluation of neurogenic impotence.
Sexual dysfunction is a marital unit problem and therefore both, husband and wife, should attend. Counselling is towards strengthening the marital relationship. Wife is requested to co-operate. The client is requested to quit smoking and alcohol. He is advised relaxation exercise, yoga. The couple is educated about anatomy, physiology of sexual organs sexuality are countered. Their myths and misconceptions about sexuality are countered. They are also explained that he does not have to do anything to have an erection. Erection is a physiological response to effective stimuli.
I have a sex feeling to all type ladies but I don't ask that ladies I want to sex with them please help me.
I am having erectile dysfunction and I am 21 years old ! While having sex I can not put my dick in vagina and this thing is putting me in a big depression.
I have a boyfriend and he wants to have anal sex I know it does not get me pregnant but I am not ready for it yet. And does not even force me to anything. But it seems he is unhappy I do not like to see him sad but m not at all ready. We have tlked about it many times. And he is also okay with it but I feel tht m not able to make him happy please give me an alternative to make him happy. Other then any kind of sex. And ya we have a long distant relationship.
Hello My husband have very low sperm count 12.0 million, 70% non.Motile & 30% morphology. We are married from last 3yrs. We consulted many doctors they recommend many heavy medicines but nothing is happen till yet.What will we do now.?
Does cholesterol affect sperm count and sperm quality? If yes plse explain me how does cholesterol affect sperm?
I am having a problem while having sex with my wife. I am not able to last long before entering my penis I am getting election. Pls let me know how to control and have proper intercourse. Also I am worried about the size of my penis. Will it be a problem if the size is small.
Sir my penis is thin how I can it b wider What oil I use or not? Any capsule or msaaj oil or any aayurvedic product that increase width l.
My penis is very small and thin like 1-1.5 inches only when erected 4-4.5 inches I want to increase my penis and Strong Which medicine is better to me like ayurveda or homeopathy or English medicines like Japanese So please tell me.
I always use to ejaculate my sperm every night sometime daytime also but am not married and I can not control my self to ejaculate sperm at this age I love to read sexy article and watch sexy movies How I reduce my ejaculating sperm every night? thanks.
I removed my implant on Friday September 30 2016 at about 12 mid day and started the microgynon contraceptive pill at 11 pm the same Friday. I had sex 2 days after. Was it 2 early to have sex without condom since it was only 2 days since I switched to the pill? Am I at risk of getting pregnant?
Are you observing bumps and lesions in and around your vagina? These are female genital sores, which may be painful, itchy, produce a discharge, and are very tender. These lumps and sores may occur due to skin disorders. Female genital sores mostly appear as a symptom of STIs or sexually transmitted infections. STIs are considered to be a hidden epidemic, which many women leave untreated because of embarrassment or fear.
Diagnosis of female genital sores
A physical examination is conducted for determining the cause of genital sores and lumps in females. A pelvic exam test will be undertaken and you will have to provide reports of your medical history. Certain tests such as blood work and a culture of the sore may be required as well. A culture involves taking a swab sample from the affected sore and testing it for detecting bacteria. After the cause of your genital sores is determined, an ideal treatment method is prescribed.
On observing the symptoms of genital sores, you can apply some self-care measures to treat them before you get to visit a doctor. You can try a sitz bath, which is effective for pain and discomfort relief. A sitz bath can be prepared at home by filling your bathtub with warm water, going up to your hips when you get immersed. You should add a mild saline solution or baking soda to the bathtub water. A small basin for a sitz bath can be purchased from a drug store.
- The method or treatment for genital sores and lumps depends on the cause.
- Certain topical oral medicines are used for treatment of the sores and for relieving pain.
- Other medications such as antibiotics, corticosteroids, pain relievers, antiviral medicines and several anti-itch drugs are also used.
- Some types of genital sores do not need treatment, but you should get them removed if they bother you. A noncancerous cyst is an example of such type of a sore.
- The long term outlook for genital sores in females depends on the cause, once again. Sores and lumps caused because of chronic skin conditions and genital herpes are likely to recur. The long term outlook also depends on how fast you get an existing STI treated.
For the prevention of female genital sores, you should practice protected sex by using condoms. This prevents the infection from spreading to the people you have sex with. It is also important for you to open up about your condition and seek proper treatment, if you experience symptoms.
Kya penis mai bhi chaale hote sir I am do not know what to say chaale in english actually I have something like that on my penis and its pain when touch.
I am 32 year married man I am suffering from pre ejaculation since last 8 years. Now it has become very critical and my penis size is very small please suggest me.
I am 25 years male, white flum is coming some times not all the day but some times, why it happens I want to know?
Hi Am 27 years male, unable to tighten the pennis while inserting in vagina. Please suggest the solution so that sperm can be released.
You cannot enjoy your sexual life to the fullest if you are unable to last long enough during the act of intercourse. And the primary reason for not being able to do so is not having a good stamina. However just like athletic activities, sexual performance can get a boost if you work on stamina and follow these simple ways to achieve the same.
1. Try pelvic floor exercises: common knowledge is that women or people with bladder issues need to do pelvic floor exercises. What is little known is that pelvic floor exercises can help men treat premature ejaculation.
2. Let there be setting of mood: a pregame is a great mood setter and however crazy this sounds, it actually can help you last longer. Get your partner to massage you. Guide her into how you would like it and take it slow instead of rushing into the act. Research also suggests that if the man masturbates some time before he has sex; he can last longer.
3. Be open to being lead: men usually prefer to be in charge but a lot of times, especially in the bed, a woman taking the charge can prove to be a great experience for both; particularly if you have any problem or stress. Most men feel embarrassed to see a doctor for any sexual problem, ignoring the fact that if treated early, there might not exist any problem at all. Be open to consult a sexologisif you feel somethings not right.
4. Stop and go: while having sex, a little bit of stop and start can prove to be a good way to l cool down and start with renewed energy. When you stop, you can probably try bonding with each other to further help you satisfy each other.
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