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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.
Today, these same doctors are more aggressive, armed with a prescription
pad. They are prescribing the popular impotence medications,
Viagra,
Cialis,
Levitra,
Uprima that have been
proven in so many clinical studies to significantly help men achieve
enhanced erections.
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Causes of Impotence (erectile
dysfunction)
Historically, when an individual consulted his physician concerning
impotence he was usually informed there were no known physiological answers
concerning his condition. Today, a generation of research
has resulted in significant advances in both the diagnosis and treatment 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 physiological 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 occuring 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 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
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
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 (erectile
dysfunction)
Prescription medications
often cause impotence as a side effect. Some two hundred known
medications fall into this category including:
Antihypertensives
medications specifically:
- Beta-blockers
e.g. Atenolol, Propanolol and Tenorium.
- Diuretics medications
e.g. HydroDiuril and Lasix.
- 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, never alter a dosage or
discontinue a medication without the advice of your doctor.
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.
January 2000, 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
Additional Causes of Impotence (erectile
dysfunction)
LH-RH Analogs/Antiandrogen
medications 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
- therapy is also a significant contributors toimpotence symptoms.
These drugs/treatments are used in the treatment of cancer.
Substance Abuse
- 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
- 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
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 -
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 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
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.
How to Safely Buy Impotence (erectile
dysfunction) Drugs Online
 Online
Consultation for Male Impotence Drugs -
secondary to the advent of the internet you can now communicate
both openly and candidly with a licensed doctor. You can now buy
prescription impotence drugs,
Viagra,
Cialis,
Levitra,
Uprima online with
no prior prescription from the privacy of our own home.
Instead of the traditional visit to a doctor's office,
you are simply requested to complete a medical questionnaire that addresses
the your medical history with regards to the impotence treatment you wish to
order. This is information that is required by a licensed doctor so that
he/she can make a decision whether the desired impotence treatment is
appropriate for your current condition.
Once the doctor has reviewed your medical history
he/she will send a prescription for the requested impotence drug. The
impotence drug will be subsequently shipped discreetly (with no hint of the
contents) to you within 1-2 business days. The impotence drug order will
include the medication, information explaining the impotence drug including
the proper dosing, contraindications/precautions. Important pharmacy contact
information will also be included with your order should you have any
further questions or concerns.
Impotence Treatment Drugs Available Online
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