All about sexual impotence

The sexual impotence , or erectile dysfunction, as it is also known, is a sensitive issue for men. Although about 25 million individuals, according to the Brazilian Society of Urology, suffer from the pathology, talking about it is still complicated. The issues involved go far beyond physical health.

The condition appears around the age of 40, but under exceptional conditions, young people can also develop the disease . Although feared, impotence is not permanent or inevitable, as many people think.

The diagnosis does not mean that all men, from that moment in life, will not be able to have sexual relations. Depending on the individual’s lifestyle, it is possible that this problem will be easily overcome or not even become chronic . It all depends on how the diagnosed person lives.

Likewise, male mental health is often a topic that is rarely discussed in conversations. Most men still dismiss any conversation related to feelings and emotions, especially if it is associated with such an unpleasant and embarrassing subject for them.

However, the reality should be the opposite, as both conversations are extremely important. And they often intertwine. In this article, you will learn all about sexual impotence and also its impact on men’s mental health .

What is impotence?

As popularly known, sexual impotence, also called erectile impotence , is the impossibility for a man to maintain a satisfactory erection of the penis. This difficulty interferes with sexual relations, making them less profitable.

It is common for this scenario to occur from time to time. Although it is a shameful and frustrating situation for men, one or the other erection failure is nothing unusual . This happens even with the youngest.

The anxiety and stress are psychological factors, among many, that can interfere with sexual life of both genders. In the case of men, they can make it harder to get an erection. However, few are aware of this and believe that the problem is with the sexual organ.

However, in order to be diagnosed with impotence, erection failures must occur with a certain frequency. The difficulty in maintaining them must be seen in at least 75% of attempts at sexual intercourse.

How does impotence occur?

One of the most common causes for erectile dysfunction is damage to the arteries. For the penis to be erect, an increase in blood flow to the organ is necessary. Impotence happens when there is impaired blood circulation.

To understand the whole problem, it is necessary to understand that the penis has two groups of nerve fibers . One is responsible for the inhibitory signals and the other for the exciting ones. As implied in the respective names, the first group makes erection difficult and the second makes it easier.

When an erection occurs, brain mechanisms transmit messages, via circuits formed by neurons, to nerve fibers. Thus, inhibitory and exciting signals are caused, which facilitate the conduction of blood through the arteries to the organ.

The impotence occurs as a harmful factor is identified at some stage of this process , which may have various origins.

To reach a diagnosis, it is imperative to make a thorough investigation of the man’s health condition, especially if he has a history of pathologies.

What are the symptoms?

In addition to the difficulty of having or maintaining an erection, there are also other symptoms. These can be easily perceived by the individual during intercourse or attempts at sexual intercourse, as they happen commonly. See below what they are:

  • More flaccid erection;
  • Late or early ejaculation;
  • Greater need for concentration to achieve erection;
  • It takes time to get an erection;
  • Reduction of sexual libido;
  • Spontaneous erections, such as at night or in the morning, reduced;
  • Loss of erection during intercourse, especially if position changes;
  • Reduction of body hair;
  • Changes in the anatomy of the organ, such as size reduction or appearance of lumps;
  • Fatigue or rapid tiredness during intercourse.

As each individual is unique and has a different health history, symptoms may vary from one patient to another. Despite this, the most common ones (difficulty in having an erection, premature ejaculation and reduced sexual desire) tend to be present in all cases.

What are the possible causes?

It is evident that one of the most common causes originates in the arteries. However, damage to smooth muscles, muscle tissue of involuntary and slow contraction, found in the walls of blood vessels, and in fibrous tissues, consisting of long cells up to 15 centimeters, can also trigger impotence.

These are, generally, injuries caused due to a disease , such as diabetes, alcoholism, multiple sclerosis, kidney disease, arteriosclerosis, diseases in the blood vessels, among others.

Therefore, if the patient has any of the aforementioned pathologies, he may develop impotence in the future.

Other causes result from injuries to the nerves and arteries, caused by surgical interventions, and medications. Erectile dysfunction can also be a side effect of drugs used to treat diseases, such as hypertension, depression and ulcers.

In summary, the causes are innumerable, diverse and are not always related to any change in the penis or in the biological process responsible for erection. It is possible that the dysfunction has an emotional or psychological origin.

Risk factors

Since the biological process for getting an erection involves the brain, hormones, nerves, muscles and blood vessels, even the smallest failures at some stage of this complex mechanism can cause impotence . Therefore, the risk factors are diverse and affect multiple parts of the body.

Check out the most common risk factors below:

  • Excessive alcohol consumption
  • Mental disorders
  • Hormonal diseases (diabetes, obesity, thyroid disorders, osteoporosis)
  • Neurological diseases (multiple sclerosis, Alzheimer’s, Parkinson’s)
  • Vascular pathologies (thrombosis, venous insufficiency, peripheral arterial disease)
  • Medicines (for diabetes, hypertension, depression)
  • Smoking
  • Sedentary lifestyle

If you are a patient of some of the diseases mentioned above , ask your doctor about your sexual impotence doubts, if you have not already done so . As the professional is aware of your health history, you can clarify about the probability of developing the disease and more effective prevention methods.

How is the diagnosis made?

First, the urologist talks to the patient about the family’s disease history and risk factors. For example, if the patient has hypertension, the condition needs to be treated. If the patient is diabetic, he must be under treatment. It is likely that the urologist will make changes to it to benefit the treatment of impotence as well.

The doctor then analyzes the quality and frequency of erections. Thus, the patient needs to detail his experiences . Often, treatment is started after clinical evaluation, without the need for tests or verification of the results of these.

However, there are more in-depth methods to investigate the existence of the disease . They are especially important for patients with risk factors and very young. In addition, patients who do not show improvement with the initial treatment may have a more serious problem, which can be investigated.

See below for the three typical tests to diagnose impotence. With them, the urologist is able to identify whether the problem is of organic or psychological origin.

Penile Doppler

In this examination, the penis is injected with a medication to stimulate an erection. Then, the arterial flow is measured, the tunic that covers the organ’s cavernous bodies is observed and, finally, the erection itself is evaluated – if it was stimulated without problems or not.

Through this procedure, the urologist is able to assess the severity of the dysfunction and recommend the best form of treatment.

Nighttime penile tumescence test

Performed with the aid of equipment, this exam assesses the amount, stiffness and duration of nighttime erections. The device measures the patient’s erection while he is asleep.

Drug-induced erection test

The procedure consists of applying medications directly to the penis to assess the organ’s response to the stimulus, as well as the quality of the erection.

What does mental health have to do with impotence?

It is common for men to fear approaching a certain age because of sexual impotence. As time goes by and the body ages, stories of erectile dysfunction increase.

In our society, the ability to have an erection is still related to virility or, in popular terms, to “how man” an individual is. The loss of this aptitude represents not only a possible degradation of physical health or the arrival of old age, but also the loss of a defining characteristic of man’s identity .

Certainly, men do not go through this experience in the same way. Some may not be affected by the virility issue and attach significance to other points. However, the concern with a possible loss of virility is still present in many cases of sexual impotence .

The mental health of man can be affected both before and after diagnosis. There is a great possibility for the diagnosed person to develop a mental disorder due to the challenges created by the dysfunction.

Despite this, the debate about the relationship between mental health and impotence tends to disappear completely from conversations between male individuals. To begin with, men avoid mentioning this condition as much, considered by many to be a ‘weakness’ .

Therefore, in order to understand the total emotional and psychological impacts of dysfunction on men, it is also necessary to think about male sexuality as a whole.

Psychological issues and impotence 

Have you, the reader of this article, who is suffering from this problem or possibly will suffer from it, ever stop to think about the state of your mental health? Or did you reflect on the quality of your emotions and thoughts and how do these factors influence your daily life?

It is common for the answer to be negative.

However, there has never been a need to talk more about mental health than today. The numbers don’t lie. Vittude survey revealed that 86% of respondents have a mental disorder .

According to the World Health Organization, more than 300 million people around the world have depression . Although women are the most affected group, men also develop the disease.

These data demonstrate the need to address the issue. Speak openly and more often.

The stigmas surrounding masculinity, which pressure men to stifle their feelings in favor of strength and rationality, hinder the diagnosis and treatment of mental disorders. However, there are many psychological factors that contribute to sexual impotence. In patients under the age of 40, they are usually the main cause.

Psychological factors that contribute to impotence

Below are some of the most common factors that contribute to the development and possible worsening of erectile dysfunction.

Anxiety

Anxiety is one of the most common conditions today. It affects people of all ages and can lead to the emergence of serious mental disorders, such as Obsessive Compulsive Disorder (OCD) and Panic Syndrome .

In the case of impotence, it is commonly linked to premature ejaculation. The man, in order not to lose his erection during the sexual act and create an embarrassing situation, ends up hastening the relationship. Over time, this conduct may displease and generate comments.

Although these are not always intended to hurt, the man is affected by the partner’s opinions. Again, the question of virility. As sexual performance is often intrinsically linked to masculinity, the individual may feel inferior and “less male”.

But the urge to prove your ability for yourself and the partnership only fuels the anguish.

In the next sexual intercourse, the man may present even more masked concerns and look for strategies to keep the erection awkward. Instead of performing the way you want, it ends up strengthening anxiety .

Depression

The depression can be both a cause and a result of this condition. This mental disorder has several symptoms, which are manifested in a unique way in each individual.

One is the decrease in libido. Therefore, the person is less interested in having sex. This lack of interest can also cause occasional failures to get an erection.

Another scenario would be the development of the disorder due to sexual impotence, especially if the disease is not diagnosed quickly. Therefore, it is important to see a doctor to confirm suspicions of symptoms as soon as they are noticed .

Otherwise, the individual suffering from the dysfunction may continue to harbor negative thoughts and opinions about himself, as he believes that he is the problem. Consequently, it can worsen depression and experience more intense and debilitating symptoms.

The diagnosis of depression is complicated because changes in behavior happen naturally. Generally, people do not realize that they are depressed, requiring a comment from a third party about the difference in their conduct.

The person with depression usually perceives the existence of the disorder through his negative thoughts , and not through changes in his behavior. It is common that the disease is already at a more advanced stage in this case.

Stress

Stress is another very common cause. Currently, the hectic daily lives of most people as well as constant contact with external factors of negative origin, such as news programs that show only bad stories, have contributed to the increase in stress.

Strenuous work routines are responsible for leading several people to mental, emotional and even physical exhaustion . Other scenarios, such as tight academic routines, also cause exhaustion .

Chronic stress has several negative consequences for people’s bodies and minds. Constantly tired and irritated, stressed people have neither the patient nor the spirit to find small pleasures in their lives.

For men, high levels of cortisol, produced by stress, decrease testosterone production . With the reduction of this important sex hormone, men are unable to perform sexual functions as before.

The sexual impotence , or erectile dysfunction, as it is also known, is a sensitive issue for men. Although about 25 million individuals, according to the Brazilian Society of Urology, suffer from the pathology, talking about it is still complicated. The issues involved go far beyond physical health.

The condition appears around the age of 40, but under exceptional conditions, young people can also develop the disease . Although feared, impotence is not permanent or inevitable, as many people think.

The diagnosis does not mean that all men, from that moment in life, will not be able to have sexual relations. Depending on the individual’s lifestyle, it is possible that this problem will be easily overcome or not even become chronic . It all depends on how the diagnosed person lives.

Likewise, male mental health is often a topic that is rarely discussed in conversations. Most men still dismiss any conversation related to feelings and emotions, especially if it is associated with such an unpleasant and embarrassing subject for them.

However, the reality should be the opposite, as both conversations are extremely important. And they often intertwine. In this article, you will learn all about sexual impotence and also its impact on men’s mental health .

What is impotence?

As popularly known, sexual impotence, also called erectile impotence , is the impossibility for a man to maintain a satisfactory erection of the penis. This difficulty interferes with sexual relations, making them less profitable.

It is common for this scenario to occur from time to time. Although it is a shameful and frustrating situation for men, one or the other erection failure is nothing unusual . This happens even with the youngest.

The anxiety and stress are psychological factors, among many, that can interfere with sexual life of both genders. In the case of men, they can make it harder to get an erection. However, few are aware of this and believe that the problem is with the sexual organ.

However, in order to be diagnosed with impotence, erection failures must occur with a certain frequency. The difficulty in maintaining them must be seen in at least 75% of attempts at sexual intercourse.

How does impotence occur?

One of the most common causes for erectile dysfunction is damage to the arteries. For the penis to be erect, an increase in blood flow to the organ is necessary. Impotence happens when there is impaired blood circulation.

To understand the whole problem, it is necessary to understand that the penis has two groups of nerve fibers . One is responsible for the inhibitory signals and the other for the exciting ones. As implied in the respective names, the first group makes erection difficult and the second makes it easier.

When an erection occurs, brain mechanisms transmit messages, via circuits formed by neurons, to nerve fibers. Thus, inhibitory and exciting signals are caused, which facilitate the conduction of blood through the arteries to the organ.

The impotence occurs as a harmful factor is identified at some stage of this process , which may have various origins.

To reach a diagnosis, it is imperative to make a thorough investigation of the man’s health condition, especially if he has a history of pathologies.

What are the symptoms?

In addition to the difficulty of having or maintaining an erection, there are also other symptoms. These can be easily perceived by the individual during intercourse or attempts at sexual intercourse, as they happen commonly. See below what they are:

  • More flaccid erection;
  • Late or early ejaculation;
  • Greater need for concentration to achieve erection;
  • It takes time to get an erection;
  • Reduction of sexual libido;
  • Spontaneous erections, such as at night or in the morning, reduced;
  • Loss of erection during intercourse, especially if position changes;
  • Reduction of body hair;
  • Changes in the anatomy of the organ, such as size reduction or appearance of lumps;
  • Fatigue or rapid tiredness during intercourse.

As each individual is unique and has a different health history, symptoms may vary from one patient to another. Despite this, the most common ones (difficulty in having an erection, premature ejaculation and reduced sexual desire) tend to be present in all cases.

What are the possible causes?

It is evident that one of the most common causes originates in the arteries. However, damage to smooth muscles, muscle tissue of involuntary and slow contraction, found in the walls of blood vessels, and in fibrous tissues, consisting of long cells up to 15 centimeters, can also trigger impotence.

These are, generally, injuries caused due to a disease , such as diabetes, alcoholism, multiple sclerosis, kidney disease, arteriosclerosis, diseases in the blood vessels, among others.

Therefore, if the patient has any of the aforementioned pathologies, he may develop impotence in the future.

Other causes result from injuries to the nerves and arteries, caused by surgical interventions, and medications. Erectile dysfunction can also be a side effect of drugs used to treat diseases, such as hypertension, depression and ulcers.

In summary, the causes are innumerable, diverse and are not always related to any change in the penis or in the biological process responsible for erection. It is possible that the dysfunction has an emotional or psychological origin.

Risk factors

Since the biological process for getting an erection involves the brain, hormones, nerves, muscles and blood vessels, even the smallest failures at some stage of this complex mechanism can cause impotence . Therefore, the risk factors are diverse and affect multiple parts of the body.

Check out the most common risk factors below:

  • Excessive alcohol consumption
  • Mental disorders
  • Hormonal diseases (diabetes, obesity, thyroid disorders, osteoporosis)
  • Neurological diseases (multiple sclerosis, Alzheimer’s, Parkinson’s)
  • Vascular pathologies (thrombosis, venous insufficiency, peripheral arterial disease)
  • Medicines (for diabetes, hypertension, depression)
  • Smoking
  • Sedentary lifestyle

If you are a patient of some of the diseases mentioned above , ask your doctor about your sexual impotence doubts, if you have not already done so . As the professional is aware of your health history, you can clarify about the probability of developing the disease and more effective prevention methods.

How is the diagnosis made?

First, the urologist talks to the patient about the family’s disease history and risk factors. For example, if the patient has hypertension, the condition needs to be treated. If the patient is diabetic, he must be under treatment. It is likely that the urologist will make changes to it to benefit the treatment of impotence as well.

The doctor then analyzes the quality and frequency of erections. Thus, the patient needs to detail his experiences . Often, treatment is started after clinical evaluation, without the need for tests or verification of the results of these.

However, there are more in-depth methods to investigate the existence of the disease . They are especially important for patients with risk factors and very young. In addition, patients who do not show improvement with the initial treatment may have a more serious problem, which can be investigated.

See below for the three typical tests to diagnose impotence. With them, the urologist is able to identify whether the problem is of organic or psychological origin.

Penile Doppler

In this examination, the penis is injected with a medication to stimulate an erection. Then, the arterial flow is measured, the tunic that covers the organ’s cavernous bodies is observed and, finally, the erection itself is evaluated – if it was stimulated without problems or not.

Through this procedure, the urologist is able to assess the severity of the dysfunction and recommend the best form of treatment.

Nighttime penile tumescence test

Performed with the aid of equipment, this exam assesses the amount, stiffness and duration of nighttime erections. The device measures the patient’s erection while he is asleep.

Drug-induced erection test

The procedure consists of applying medications directly to the penis to assess the organ’s response to the stimulus, as well as the quality of the erection.

What does mental health have to do with impotence?

It is common for men to fear approaching a certain age because of sexual impotence. As time goes by and the body ages, stories of erectile dysfunction increase.

In our society, the ability to have an erection is still related to virility or, in popular terms, to “how man” an individual is. The loss of this aptitude represents not only a possible degradation of physical health or the arrival of old age, but also the loss of a defining characteristic of man’s identity .

Certainly, men do not go through this experience in the same way. Some may not be affected by the virility issue and attach significance to other points. However, the concern with a possible loss of virility is still present in many cases of sexual impotence .

The mental health of man can be affected both before and after diagnosis. There is a great possibility for the diagnosed person to develop a mental disorder due to the challenges created by the dysfunction.

Despite this, the debate about the relationship between mental health and impotence tends to disappear completely from conversations between male individuals. To begin with, men avoid mentioning this condition as much, considered by many to be a ‘weakness’ .

Therefore, in order to understand the total emotional and psychological impacts of dysfunction on men, it is also necessary to think about male sexuality as a whole.

Psychological issues and impotence 

Have you, the reader of this article, who is suffering from this problem or possibly will suffer from it, ever stop to think about the state of your mental health? Or did you reflect on the quality of your emotions and thoughts and how do these factors influence your daily life?

It is common for the answer to be negative.

However, there has never been a need to talk more about mental health than today. The numbers don’t lie. Vittude survey revealed that 86% of respondents have a mental disorder .

According to the World Health Organization, more than 300 million people around the world have depression . Although women are the most affected group, men also develop the disease.

These data demonstrate the need to address the issue. Speak openly and more often.

The stigmas surrounding masculinity, which pressure men to stifle their feelings in favor of strength and rationality, hinder the diagnosis and treatment of mental disorders. However, there are many psychological factors that contribute to sexual impotence. In patients under the age of 40, they are usually the main cause.

Psychological factors that contribute to impotence

Below are some of the most common factors that contribute to the development and possible worsening of erectile dysfunction.

Anxiety

Anxiety is one of the most common conditions today. It affects people of all ages and can lead to the emergence of serious mental disorders, such as Obsessive Compulsive Disorder (OCD) and Panic Syndrome .

In the case of impotence, it is commonly linked to premature ejaculation. The man, in order not to lose his erection during the sexual act and create an embarrassing situation, ends up hastening the relationship. Over time, this conduct may displease and generate comments.

Although these are not always intended to hurt, the man is affected by the partner’s opinions. Again, the question of virility. As sexual performance is often intrinsically linked to masculinity, the individual may feel inferior and “less male”.

But the urge to prove your ability for yourself and the partnership only fuels the anguish.

In the next sexual intercourse, the man may present even more masked concerns and look for strategies to keep the erection awkward. Instead of performing the way you want, it ends up strengthening anxiety .

Depression

The depression can be both a cause and a result of this condition. This mental disorder has several symptoms, which are manifested in a unique way in each individual.

One is the decrease in libido. Therefore, the person is less interested in having sex. This lack of interest can also cause occasional failures to get an erection.

Another scenario would be the development of the disorder due to sexual impotence, especially if the disease is not diagnosed quickly. Therefore, it is important to see a doctor to confirm suspicions of symptoms as soon as they are noticed .

Otherwise, the individual suffering from the dysfunction may continue to harbor negative thoughts and opinions about himself, as he believes that he is the problem. Consequently, it can worsen depression and experience more intense and debilitating symptoms.

The diagnosis of depression is complicated because changes in behavior happen naturally. Generally, people do not realize that they are depressed, requiring a comment from a third party about the difference in their conduct.

The person with depression usually perceives the existence of the disorder through his negative thoughts , and not through changes in his behavior. It is common that the disease is already at a more advanced stage in this case.

Stress

Stress is another very common cause. Currently, the hectic daily lives of most people as well as constant contact with external factors of negative origin, such as news programs that show only bad stories, have contributed to the increase in stress.

Strenuous work routines are responsible for leading several people to mental, emotional and even physical exhaustion . Other scenarios, such as tight academic routines, also cause exhaustion .

Chronic stress has several negative consequences for people’s bodies and minds. Constantly tired and irritated, stressed people have neither the patient nor the spirit to find small pleasures in their lives.

For men, high levels of cortisol, produced by stress, decrease testosterone production . With the reduction of this important sex hormone, men are unable to perform sexual functions as before.

 

by Abdullah Sam
I’m a teacher, researcher and writer. I write about study subjects to improve the learning of college and university students. I write top Quality study notes Mostly, Tech, Games, Education, And Solutions/Tips and Tricks. I am a person who helps students to acquire knowledge, competence or virtue.

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