Impotence - a disorder in which a man does not come erection sufficient for sexual intercourse. This problem is very common, especially among older men. It is estimated that about half of men aged 40 to 70 years in varying degrees, suffer from impotence.

Symptoms

The main symptom of impotence (or erectile dysfunction) is an erectile dysfunction. This disorder should not be confused with premature ejaculation when ejaculation occurs too early, but still an erection occurs.

In some patients with erectile dysfunction Impotence - a female perspective on the problem   erectile dysfunction occurs only in certain situations. For example, a man can get an erection during masturbation, it also can occur erections during sleep, but during sexual contact with another person does not. In such cases, the most likely that impotence is caused by psychological reasons. If an erection does not occur under any circumstances, the reason most likely is a particular physical disease.

Consult your doctor if erectile dysfunction is observed for several consecutive weeks.

Causes

The causes of impotence can be:

• Cardiovascular diseases;
• High blood pressure;
• Diabetes;
• Multiple sclerosis;
• Parkinson's disease;
• Damage to the spine;
• Stroke;
• Hypogonadism;
• Hyperthyroidism;
• Hypothyroidism;
• Cushing's syndrome;
• Peyronie's disease;
• Receiving the following drugs: antidepressants, diuretics, beta-blockers and other drugs that are used in hypertension, corticosteroids, anti-epileptic drugs, histamine H2-blockers of receptors, anti-epileptic drugs. Talk to your doctor if you suspect that impotence has led some of the drugs that you are taking at the moment;
• Depression;
• Anxiety.

Other direct and indirect causes of impotence can be a problem in a relationship Seven of problems in relationships and how to solve them Lack of sexual experience (this is one of the common causes of erection problems in young people), sexual problems in the past. In some men, impotence appears at the beginning of a new relationship - for example, because of a strong fear not meet the expectations of your partner. Severe fatigue, alcohol or drug abuse also sometimes become a cause of impotence.

Diagnostics

Before you assign any diagnostic procedure, the doctor talks to the patient about his symptoms, and general health. In addition, he can ask questions about whether you are taking drugs or consume any alcohol, how often do you have previously visited sex, about your sexual orientation, previously transferred to the psychological trauma related to the sexual sphere.

It may then be assigned a number of procedures to test for cardiovascular and other diseases that can cause impotence. Patients may also be referred to a psychologist or psychiatrist, to identify possible emotional problems that led to erectile dysfunction.

The diagnostic process may be used a method such as intracavernous test: administered directly into the penis synthetic hormone which stimulates the blood circulation. If the injection will not cause erections Erection - what hinders and what helps a man to be a man This indicates a high probability that the blood flow to the penis is broken, this problem can only be eliminated by surgery. If the injection occurs after erection, impotence may cause problems with blood vessels in order to identify which may require ultrasound.

Treatment

A method for treating impotence are selected on the basis of the reasons for the breach. If the cause was any disease primarily necessary to treat it and then, if necessary, to take additional measures to restore potency.

• Lifestyle changes may be recommended if the cause of impotence is diabetes or cardiovascular disease. If such patients are overweight, they should lose weight. It is also necessary to limit the consumption of alcohol, stop smoking, exercise regularly and learn to control stress levels How to beat stress? Create an oasis .
• Inhibitors of phosphodiesterase (PDE) type 5 most commonly used and effective drugs for the treatment of impotence. They temporarily increase blood flow to the penis, allowing erection occurs. For drugs of this type include sildenafil (better known as Viagra), tadalafil, vardenafil.
• PDE5 inhibitors take effect within 30-60 minutes of ingestion. After using sildenafil and vardenafil man can have sex one to ten hours. The effect of tadalafil is maintained up to 36 hours. All these drugs act slowly, if you take them with food, so it is usually recommended to do this on an empty stomach. Any PDE-5 inhibitors may be used no more than once per day. Side effects of these drugs may be nasal congestion, back pain, nausea, vomiting, indigestion, hot flashes, temporary blurred vision, muscle pain.
• Surgery for the treatment of impotence is usually given only to young men who have erectile dysfunction caused by severe pelvic trauma, as well as patients who have impotence caused by certain anatomical problems.
• Cognitive-behavioral therapy and some other therapies are applied in cases where the cause of impotence are psychological problems.

Worried that worn Sneakers and unpainted face can sicken your man? Do not jump to conclusions. Especially for you we have compiled a list of 15 surprising things that men seem sexy.

Lack of cosmetics

Scientists estimate that over a lifetime, women spend more than 180 000 dollars on cosmetics. However, this is not necessary when a woman is not made up, see her natural beauty. In addition, many men terribly excited kissing passionately kissing a woman painted for a long time and then wipe off the face of lipstick - a dubious pleasure. So it may not make as much to attract a man, how much to push him away.

Round belly

We all dream of graceful forms supermodels and athletically inflated muscles in the abdomen, but it turns out, men are just crazy about the little tummy! Men like soft, "cozy" women, so terribly charming tum-ons - with him the woman looks so natural. Moreover, if a woman is not ideal, the man can not from complexes about their appearance.

Wrinkles

Wrinkles bother women much more than men. They think if say the wrinkles of age. But actually talking about wrinkles rich experience, including sexual, that gets scary men - they immediately are, what pleasure could give them such an experienced woman in bed.

Streamers

These pink or silver lines - the cause of suffering hardball most women, but some men find it extremely exciting! Most men raises a woman's natural, and all its manifestations. Stretch marks - a reminder of the child, who bore him a favorite, and how she betrayed him. In addition, it is the intimate details of a woman's body, which is known only to him, and that very tune.

A phone call from the woman drunk

After a stormy night out in the company of friends you call love to tell you what a good time and missed. If you call a man when drunk, it speaks volumes about your confidence in him, which is a. In addition, intoxicated woman can not always control their emotions and speech, which is also very exciting. And then - who does not like to hear compliments Compliments and their meaning: do not mistake the words   in the address?

A healthy appetite in food and drink

Long gone are the days when a woman confined to a romantic dinner glass of wine, salad and dessert. If a woman is, and drinking plenty as she wants it, not thinking about what will think about it around, talks about her self-confidence and decision making. In addition, a healthy appetite for food and looseness in the choice of alcohol gives grounds to assume that sex is a woman as insatiable and uninhibited.

Small breasts

Ironically, not all men are obsessed with model looks. Small breasts are always resilient, indicating youth and physical health. Men are attracted to the attributes of youth and vitality - they point to the fact that a woman can give birth to his children.

Everyday linen

Most women save up a lacy or satin lingerie for special occasions and everyday wear comfortable underwear made of cotton and synthetics. Men like to see a woman everyday underwear. They think it is extremely sexy: like you did not plan to sex, and they - through the power of persuasion and irresistible - all managed to persuade you to the intima.