Impotence has several causes, and treatment begins with pinpointing the cause to tailor treatment to it. Male sexual arousal, which triggers an erection, involves hormones, nerves, emotions, blood vessels and muscles. If something affects any one of these factors, achieving an erection becomes difficult. Fact: By age 50, approximately half of all men experience some degree of ED. In general, the prevalence of ED increases with age, but men retain their erectile ability well beyond their eighties. Age-related conditions and medications used to treat various medical conditions increase the likelihood that ED will occur.
Men who can develop but not sustain an erection may use a constriction ring. As soon as erection occurs, an elastic ring is placed around the base of the penis, helping prevent blood from flowing out and maintaining the firmness of the penis. If the man cannot develop an erection, a hand-held vacuum erection device can be applied over the penis. This device draws blood into the penis by exerting a gentle vacuum effect, after which the ring is placed on the base of the penis to retain the erection. Bruising of the penis, coldness of the tip of the penis, and lack of spontaneity are some drawbacks to this method. Sometimes a constriction ring and vacuum device are combined with drug therapy.
Q: (from a 26-year-old man in France) I’m 26 and I have not had many sexual experiments. Unfortunately it seems that every time I try with a new girl, I fail to obtain a real erection, though I have no problem obtaining a hard and stable erection via masturbation.
Erectile dysfunction (ED) is a condition that occurs when the penis does not receive enough blood to produce an erection that is capable of having sexual intercourse. For men with ED, this happens repeatedly and affects a man’s ability to sustain an active sex life.
An understanding of the physiological mechanism of erection has led to the development of new oral therapies for erectile dysfunction that target different sites in the sexual arousal process. Apomorphine activates the arousal center of the brain. Phentolamine increases penile blood flow. Sildenafil enhances the action of nitric oxide, an endothelial-derived vasodilator and smooth muscle relaxant. These developments constitute a significant advance in a much-neglected area of male medicine.
My suggestion is this: don’t think much about it on your everyday life. Live as you would live any other day. Don’t isolate yourself either. Just keep in mind that your blue pill friends have different priorities than you. I am going throught he same thing. Most of my friends” right now are blue pill, white knights and manginas. We train on the same place, so it is unavoiable. But no mater what they say, and do, the one that have the final decision on my life is me. And that is a great relief. So I don’t try to convert” anyone, neither I try to isolate myself (at least not for that reason, I’m a natural loner though), but I do observe. And let me tell you, you can learn A LOT from blue pill behavior. It is amazing, and also sad.
Current sexual and reproductive health guidelines don’t support overall screening of men—another reason for the scarcity of care directed to them. We have clinical guidelines to screen all women under the age of 26 for chlamydia wherever they are treated. But the only supported guidelines for males, despite that it takes a couple to pass on an infection, are venue based,” he says. They get tested in jails, through job corps, and adolescent services in general, or when they specifically request STI testing.
MS: There are dozens of known medical conditions that can cause ED but some of the most common are prostate cancer, diabetes, high/low blood pressure, heart disease, atherosclerosis, multiple sclerosis, Parkinson’s disease, peyronie’s disease, enlarged prostate and low testosterone.
Antibiotic-resistant bacteria are claimed to be one of the biggest threats to global health, sickening an estimated 2 million people in the United States each year. There is evidence that some resistance in bacteria is caused by antibiotic use in food animals (cattle, poultry, swine). In the last decade, federal agencies including FDA and APHIS, have taken a number of actions addressing the use of medically important antibiotics in food animals.
Hammond (1883) spent a large portion of his book detailing case studies that illustrate the ‘perversions’ described by Kraft-Ebbing, explaining how inverts, shoe fetishists, and other practitioners of deviant behavior were impotent by virtue of failure to be aroused by heterosexual intercourse. For Hammond, the mental phenomenon of perversion was inextricably linked to the physical sexual behavior understood to cause impotence. Hammond’s prurient catalogue of mental impotencies demonstrates how the condition was understood as a medical symptom linked with varying degrees of behavioral deviance. He highlighted this point by including the purportedly factual case study of a French shepherd who masturbated so excessively and with such dangerously unorthodox objects that he eventually split his penis into two (Hammond 1883:95). Hammond used such cases to argue for sexual continence by threatening permanent physical damage (as well as, quite probably, to encourage book sales).
Side Effects. Alpha-blockers can reduce blood pressure, which may cause dizziness lightheadedness, and fainting. Orthostatic hypotension, a sudden drop in blood pressure when standing, can occur and increases the risk of falling. Taking the medication close to bedtime can help reduce these side effects. Because of the reduced blood pressure side effect, do not take phosphodiesterase inhibitors such as sildenafil (Fildena) at the same time, at least without advice from a doctor.