Erectile Dysfunction
Erectile Failure: is defined as persistent or recurrent, partial or/ complete,
failure to obtain or sustain, an erection until completion of satisfactory
sexual activity.
Alternative
terms for erectile dysfunction are
Impotence, erectile failure, erectile dysfunctions, sexual inadequacy, sexual
weakness, less erection, decreased erection, failure in intercourse, sexual
incompetence, unable to sex i.e. intercourse, erection problem, napunsakata,
less hardness of penis, looseness of penis in mid of sex or before penetration,
E. D., ED, etc.
The
symbol for the man's "masculinity" is the erect penis. It represents
manhood and is expected to be ready to perform at a moment's notice.
When
man suffers with erectile failure it comes as a major shock, when suddenly the
symbol of his masculinity does not respond on. It usually means much more to
the man than the simple fact that he is not responding sexually at that moment.
It causes him to question his status as an adequate male. Thus when he fails,
becomes panicky.
Severity of Impotence:
It
can take on many forms as:
I t
may be complete erectile disorder: i.e. some men achieve no erection at all.
For others, an erection may occur in the regular manner, but as the love play
continues the erection is lost (we call it mid failure). For still others, the
erection may be maintained very adequately up to the point of entry. As soon as
entry is either contemplated or attempted, the erection disappears. For some,
erection may be maintained beyond the point of entry, and then wane after a
period of activity inside the vagina. No matter when the erection goes away,
its loss is always troublesome. Erectile dysfunctions though a benign disorder
has a great impact on the affected individual. Patient feels frustrated,
depressed, and ashamed, has lowered self-esteem & may even disturb his
family relationship. There has been an explosion in the interest in male sexual
dysfunction with the development in techniques of modern scientific diagnosis
& treatment of male sexual disorders with very good treatment outcomes. Now
majority patients are cured by proper diagnosis & correction of the defect.
Thus now more & more people are seeking medical advice regarding their
problems.
In
India 1 in every 10 men suffers from some degree of impotence.
Erectile dysfunction affecting your quality of life
·
If you are
suffering with some of these problems it means you need treatment.
·
I feel
frustrated because of my erection problem,
·
My erection
problem makes me feel depressed,
·
I feel like
less of man because of my erection problem,
·
I have lost
confidence in my sexual ability.
·
I worry that
I won't be able to get or keep an erection.
·
I feel that
I have lost control over my erections
·
I worry
about the future of my sex life,
·
I have lost
pleasure in sex because of my erection problem
·
I try to
avoid having sex,
·
I worry that
I am not satisfying her because of my erection problem
The
above questionnaire will decide that whether your problem is significant or
not, if answer of any one question is yes then you must consult us either
personally or through online & get cure of your sex problem.
Causes for Erectile Dysfunctions
A) Impotence due to some
well-defined causes (Internal defect i.e. organic or physical causes)
B) Drug induced
C) Psychogenic Impotence: - i.e. erectile disorders due to various psychiatric disorders
All
above causes may be discussed in detail in following sections:
1) Hormones disorders are one of the common causes of impotence. There are two types
of hormones in body, some hormones as male sex hormones stimulates erection
& desire. Where as some other hormones inhibit the erection as prolactins
& others. There are many male hormones in the body as serum testosterone,
free testosterone DHEAS, Androstenidiones which, stimulate the sexual activity.
So we have to test these hormones to finds out hormones disorders. Once the
diagnosis is made they are easily treatable in few months time. Causes of
hormone disorder may be Diabetics, Hypogonadisms (Testosterone deficiency),
Hyperprolactinemias, Hypothyroidisms or Hyperthyroidisms, Cushing syndrome,
Endocrines dysfunction Secondary to drugs/toxin & systemic diseases,
Hypothalamic – pituitary deficiency: Idiopathic GnRH deficiency, Kallman
syndrome, Prader-Willi syndrome, Laurence-Moon-Biedl syndrome, Hypothalamic
deficiency, pituitary hypoplasia, Trauma, post surgical, postiradiation,
Adenoma: craniopharyngioma, other), Vascular (pituitary infraction, carotid
aneurysm), Infiltrative (Sarcoidosis, histiocytosis, hemochromatosis),
Autoimmune hypophysitis, drug-induced hyperprolactinemias, Untreated
endocrinopathies , Diabetics , Glucorticoid excess, Hypopituitarisms, Addison
disease. Isolated gonadotropin deficiency, Pituitary or Hypothalamic defects,
Associated with multiple pituitary hormones deficiencies: Idiopathic pan
hypo-pituitarism (hypothalamic defects), Pituitary dysgenesis, Frohlich
syndrome, fertile eunuch syndrome, Idiopathic hypopituitarism,Testicular
failure, development defect, drugs, trauma, congenital defect, congenital
adrenal hyperplasia, Chromosomal defect, testosterone hormone biosynthetic
defect, Mumps orchitis leading to testicular atrophy, Primary testicular defect
of testicular differentiation, inborn errors of testosterone synthesis, Klinefelters
syndrome.
(2) Decreased blood supply to penis:
The
causes of this may be as follows:
(i)
Obstruction to arterial blood flow
(ii)
Veno - Occlusive dysfunction i.e. Venous Leak: There are certain conditions in
which penis become full tight initially but very soon becomes loose because
blood from penis leaks back. Normally during sexual excitation blood flows into
penis & this blood is not allowed to go back in body by various venous
valves. Due to certain disorder these valves may not work. So that blood coming
in penis keeps leaking in body all the time so that either penis does not
becomes fully hard or even if becomes fully hard it becomes loose any time
during sex due to leakage of blood.
3) Penile Nerve Abnormality: When erectile dysfunction is caused by disorder of central
nervous system or due to peripheral nerve is called neurogenic erectile
disorder. these disorders leads to decreased sensitivity of penis & sex
centre to female touch & sexual excitation leading to less erection.
4) Sex Centre Disorder: In the brain there is a particular centre in the hippocampus of
the brain, which regulates the penile erection during intercourse, the desire
of sex time, taken in discharge & enjoyment of sexual act. So any disorder
of sex centre due to various causes can lead to impotency, less desire &
premature ejaculation.
(7) Local Causes
Peyronies disease. (painful penile curvature d/t fibrosis), Penile trauma,
carcinoma. Following Priapism (i.e. prolong longstanding erection) etc.
8) Other Systemic diseases
B) Drugs & Toxins various drugs impair sexual activity. So detailed drug history taking is must.
(C) Psychogenic: Many
psychiatric disorders as obsessive-compulsive disorder, Neurosis,
schizophrenia, depression can cause impotence.
1) Fear of failure In
this the moment person thinks of going for sex, he start fearing that I may
fail again thus he loses confidence in his sexual competence. This fear
decreases his confidence further leading to further worsening of sex
dysfunction. Many times due to this fear patient starts avoiding sex & his
desire for intercourse decreases.
2) Sexual Performance anxiety means development of severe anxiety before real sex. Patient
develops obsessive concern for full erection i.e. whether or not he can get a
normal erection and if he does whether he can keep it long enough for
intercourse to occur & his partner to be satisfied. Due to this anxiety He
tries to erect his penis hard by concentrating more on it & contracting the
pelvic & leg muscles rather than allow it to occur in natural response to
erotic pleasure. Thus the more patient tries too make penis hard, the just
opposite happens i.e. penis becomes looser. Thus this anxiety to perform better
really further worsens the hardness of penis. This performance anxiety can be
cured by sex therapy in few sittings.
3) Spectator attitude means whenever patient goes for sexual activity though he may
be touching the body of female but his brain is always thinking and
involuntarily (unconsciously) looking towards his penis i.e. whether his penis
is getting hard or not. This is called spying of penis. Thus his mind is always
preoccupied about penile hardness. Patient loses confidence in his performance,
and instead of relaxing & enjoying he starts watching their sexual
responses like 'spectators', rather than being involved in what is going on. So
that in place of enjoying the female touch, he always keeps spying his penis
leading to lack of enjoyment of sexual activity thus\leading to repeated
failures.
In
most cases, for cure of impotence detailed sex counselling & sex therapy is
necessary.
Treatment for Erectile Dysfunctions
Medicines,
¬ Symptomatic Homeopathy Medical treatment (i.e. prescription of
various drugs to increase blood supply to penis, nerve rejuvenating etc… are
given to correct the basic cause found on investigations.
Sex Counselling:
¬ After detail discussion with our male & female sex
therapist, we try to finds out the root cause of sex problem then we treat
accordingly. For counselling we take detail history of sexual development, his
thoughts, his misconception about sex, his old experience in sex, and his
unconscious fears about sex. This counselling session unravels all the hidden
psychological causes of sexual inadequacy.
Sex Therapy:
¬ For cure of secondary problem patient needs details sex therapy.
Basic purpose of this exercise is to make patient free of any fear of sexual
performance. After this exercises all performance anxiety disappears. In sex
therapy the patient is taught various exercises & how to use various body
parts in particular way so that erection become good, sustained & patient
does not have any fear. Normally in six to eight sittings patient's all fear
disappears. Sex therapy is a very effective in impotence, premature ejaculation.
Thus we advise all of our patients not to hurry, and take few sessions of sex
therapy sittings for permanent cure.
Whom to contact for Erectile
Dysfunctions Counseling & Treatment
Dr.Senthil
Kumar Treats many cases of Erectile
Dysfunctions, In his medical professional experience with successful
results. Many patients get relief after taking treatment from Dr.Senthil
Kumar. Dr.Senthil Kumar visits Chennai at Vivekanantha Homeopathy Clinic,
Velachery, Chennai 42. To get appointment please call 9786901830, +91 94430
54168 or mail to consult.ur.dr@gmail.com,
For
more details & Consultation Feel free to contact us.
Vivekanantha Clinic Consultation Champers
at
Chennai:- 9786901830
Panruti:- 9443054168
Pondicherry:- 9865212055 (Camp)
For appointment please Call us or Mail Us
For appointment: SMS your Name -Age – Mobile Number - Problem in Single word -
date and day - Place of appointment (Eg: Rajini – 30 - 99xxxxxxx0 – Erectile Dysfunctions – 21st Oct, Sunday - Chennai ),
You will receive Appointment details through SMS
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