Impotence (Erectile Dysfunction)
Impotence is a violation of potency, sexual impotence, manifested in the inability of a man to have sexual intercourse. Often it serves as a manifestation of the underlying disease and is eliminated by its cure (endocrine, nervous, cardiovascular disorders, diseases of the genitourinary sphere). Erectile dysfunction can cause deep psychological depression, disharmony in sexual and family relationships. Erectile dysfunction or impotence is manifested by the inability to achieve an erection sufficient for a full-fledged sexual intercourse while maintaining psychological comfort during it.
Erectile dysfunction or impotence is manifested by the inability to achieve an erection sufficient for a full-fledged sexual intercourse while maintaining psychological comfort during it. Recently, the pathogenesis and causes of erectile dysfunction have been sufficiently studied in order to restore a normal sexual life, and today the problem of impotence is not difficult to solve.
Diagnosis of impotence
All diagnostic procedures are aimed at establishing the cause of impotence, which means the possibility of restoring erectile function and eliminating emotional distress. For this, first of all, it is necessary to differentiate between psychogenic and organic impotence. A simple and reliable method is monitoring of nocturnal erections and an intracavernous injection test (caverject test). If, according to these methods, the organic nature of impotence is confirmed, then a number of additional examinations are carried out to identify the main cause.
Modern andrology has a fairly wide selection of schemes and methods for treating erectile dysfunction. The choice of treatment is based on the decision of the andrologist and on the acceptability of the use for the patient concerned. Drug therapy for impotence is a traditional method of treatment, usually resorted to testosterone replacement therapy and drugs from the group of adrenergic blockers. Against the background of the main treatment, courses of such drugs as trazodone, trimipramine, nitroglycerin, metachlorophenylpiperazine are periodically carried out – they are used in the form of ointment applications. The effectiveness of drug therapy does not exceed 30%, therefore, drugs are not indicated for all patients.
Psychotherapy can be the main method of treating psychogenic and neurogenic impotence, but on condition that psychotherapeutic procedures are carried out professionally. Vacuum erectile therapy, which was developed in 1970 by Dr. D. Osbon, when properly performed, gives an efficiency of up to 83%; complications in the form of punctate hemorrhages, painful intercourse occur in isolated cases.
Intracavernous drug therapy is a relatively new treatment for impotence. For the first time, papaverine was administered intracavernously to improve erectile function (1982), then phentolamine, prostaglandin and other drugs began to be used. Minimal side effects, high efficiency and ease of use are given by the drug prostaglandin; the use of this technique in 80% of cases allows you to have a high-quality sex life without any restrictions. Learn more about drugs for men’s health.