Male Impotence Causes - Understand The Causes of Male Impotence

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Understanding Male Impotence Causes, The Cause of Impotence

 
 



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We now have a better understanding of the causes of impotence, what is responsible for a man's inability to achieve and/or maintain an erection.


Definition of Impotence - impotence also known as, erectile dysfunction is defined as the inability to achieve or maintain an erection sufficient for mutually satisfying intercourse.

Until recently, if you sought medical impotence treatment for your impotence symptoms you were told "It's all in your head". Doctors labeled you with some psychological "situation" and you were referred to a psychologist for counseling.

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Causes of Impotence (erectile dysfunction)

Historically, if you consulted your doctor concerning impotence you would  usually be informed there were no known physiological answers concerning the cause of your impotence. Today, a generation of research has resulted in significant advances in both the diagnosis and treatment of the cause of impotence . Doctors now understand that approximately 85% of impotence is attributable to physical/organic conditions while only 15% is due to psychological or mixed origin (both psychological and organic).  Some important causes of impotence are as follows:

Vascular Disease As An Impotence Cause

Vascular Disease is the leading cause of impotence. Vascular disorders include arteriosclerosis (hardening of the arteries), hypertension, hyper-cholestremia and other conditions which interfere with the blood flow to the penis.  Additionally, "venous leakage", a condition occurring when the penile veins are unable to constrict efficiently during an erection, also contributes to poor erections.  When these veins "leak", blood escapes to the periphery resulting in a poor erection.


Diabetes As An Impotence Cause - is another common cause of impotence. Approximately 50% of men with insulin dependent diabetes experience some degree of impotence symptoms after 55 years old.  Diabetes results in poor circulation and/or peripheral neuropathy.  When the nerves are involved, sexual stimuli are not transmitted appropriately to or from the brain and impotence symptoms develop.


Neurological Diseases As An Impotence Cause - such as multiple sclerosis, Parkinson's disease, spinal cord injuries and long term effects of diabetes can also result in the disruption of the normal sequence of events necessary for an erection to occur.


Endocrine System As An Impotence Cause


Deficiencies in the Endocrine System are another source of impotence. Low levels of testosterone or thyroid hormone can interfere with the stimulation process necessary in the erection sequence.  Excessive production of prolactin by the pituitary gland may contribute to decreased levels of testosterone resulting in a lack of desire.  Diabetes once again enters the scenario as it is classified as an endocrine disorder.


Prescription Medications That Cause Impotence

Prescription medications often cause impotence as a side effect.  Some two hundred known medications fall into this category including:

Antihypertensives medications specifically:

  1. Beta-blockers e.g. Atenolol, Propanolol and Tenorium.
  2. Diuretics medications e.g. HydroDiuril and Lasix.
  3. Ace Inhibitors/Calcium Channel Blockers - medications e.g. Vasotec®, Lotension®, Cardizem® and Norvasc® periodically cause impotence, however, they are generally represent an excellent alternative medication for individuals with drug induced impotence.

Antidepressant/Antipsychotic medications -of almost any label can also result in impotence e.g. Prozac®, Elavil®, Zoloft®, Thorazine® and Haldol®. Note: Many other medications in a variety of classes can periodically cause impotence.  If you take a prescription medication or an over-the-counter medication, regularly, please consult with your physician. 

However, do not alter a dosage or discontinue a prescription drug without the advice of your doctor.

Most of the impotence treatment drugs are completely safe to take while on your other medications (click here for details).
 


Smoking As A Cause Of Impotence

Smoking as been linked to impotence in numerous clinical studies.

The most common causes of the organic component in individuals with impotence are vascular abnormalities associated with atherosclerosis and diabetes mellitus. Atherosclerosis causes 40% of cases of impotence, and in cases of diabetes mellitus the prevalence of impotence is 50%. Smoking is significantly associated with the development of both atherosclerosis and diabetes mellitus.  Smoking also causes hypertension a known contributor to impotence.

The Epidemiology and Pathophysiology of Impotence.
The Journal of Urology 1999 Jan; 161(1):5-11



After smoking two cigarettes, the diameter of the internal pudendal artery narrows and the penile arteries almost completely close. This evidence suggests that smoking can cause an acute vasospastic constriction of the arteries in the penis. These observations are supported by physiological evidence that nicotine causes acute peripheral vasoconstriction. Acute Vasospasm of Penile Arteries in Response to Cigarette Smoking. Urology 1990; 36(1):99-100


Researchers at Wake Forest University, concluded that male smokers who suffer from long standing hypertension are 26 times more likely to be impotent than those individuals who do not smoke.
Ocotber 2008, The Journal of Family Practice.

Aside from impotence, smoking as also been linked to the following negative effect concerning male sexual health:

  • Reduced volume of ejaculation
  • Lowered sperm count
  • Abnormal sperm shape
  • Impaired sperm motility

Male Impotence Cause Understand The Causes of Male Impotence Stop Smoking Help With ZybanFortunately there is now an effective stop smoking drug, Zyban that will help you stop smoking without the nicotine cravings (click here for details).

 

 


Additional Causes of Impotence (erectile dysfunction)

LH-RH Analogs/Antiandrogen Medications As An Impotence Cause e.g. Lupron Depot®, Eulexin®, Nilandron®, Casodex®, etc. are medications are used in the treatment of prostate cancer.  They function by decreasing the production of testosterone in the testes and adrennal glands, which decrease in testosterone often results in impotence.


Chemotherapy/Radiation As An Impotence Cause - therapy is also a significant contributors toimpotence symptoms.  These drugs/treatments are used in the treatment of cancer.


Substance Abuse As An Impotence Cause - can also negatively effect male potency.  The chronic use of cocaine, marijuana, alcohol, steroids etc. often results in Impotence, as well as, a decrease in sexual desire.  Excessive tobacco use can also attribute to impotence by accentuating the effects of other risk factor such as vascular disease or hypertension.


Radical Pelvic Surgery As An Impotence Cause - can also be a cause of impotence. Surgical procedures involving the prostate gland, bladder or colon may interfere with the nerves involved in the erectile response.  Radiation therapy for cancer may also effect the erectile process.


Psychological Impotence As An Impotence Cause is usually diagnosed when no physical causes can be defined.  Pure psychological Impotence usually occurs suddenly without warning as opposed to physical impotence that may gradually develop over the years.  

Some common causes of psychological impotence (erectile dysfunction) are as follows:

  • Performance Anxiety As An Impotence Cause - is one of the most common causes of psychological impotence.  When a man feels pressured to achieve or maintain an erection, he will commonly become anxious and nervous when in a sexually demanding situation.  Stress increases the body's production of catecholamines such as adrenaline and nor- adrenaline, which act as erection inhibitors.  The release of these inhibitors further contributes to failure resulting in more anxiety.  Therefore, the cycle begins, increased stress resulting in increased catecholomines that further inhibits the erectile process.
  • Depression As An Impotence Cause - is another cause of psychogenic impotence.  Unfortunately, many of the popular antidepressant medications (for a list see prescription medications in the above section) have side effects which include impotence symptoms.

Anatomical Deviation of the Penis As An Impotence Cause


Anatomical Deviation of the Penis, known as Peyronie's Disease, may also cause impotence. This condition usually develops from an inflammatory process and results in fibrous scaring of the penis. The cause of this process is not yet understood;  however, when an erection does occur, there is a bending of the penis secondary to the scar tissue.  This curvature may interfere with erectile capacity and/or ejaculation.
  


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