Male Erectile Dysfunction-Impotence

Occupations of daily life, work and spouse problems, mental tensions, fatigue, relational problems, etc. For reasons, every man may face erection problem at some point in his life. This situation is natural and normal. It is nothing more than a sexual myth that a man is always ready for sexual intercourse and should achieve an erection under all circumstances. However, if the erection problem recurs frequently and prevents union, this situation requires treatment. During sexual contact, the situation where the male genitalia cannot be erected adequately and absolutely despite sexual desire is called “erectile dysfunction”, “impotence” or “impotence”.

The point that should not be confused is that it is not a problem of impotence, sexual reluctance or ejaculation. It also has nothing to do with premature ejaculation or infertility. Contrary to the common misconception in our country, a man with erectile dysfunction can have an orgasm and become a father. In this sense, sexuality has an importance in our lives beyond reproduction and the continuation of generation. Sexuality, which regulates the relations between spouses and plays the role of “the insurance of marriage”, so to speak, is one of the main building blocks of happiness. Therefore, as with all sexual dysfunctions, impotence should be perceived as a joint problem of the couple, not just one person’s problem.

How Does the Penis Get Harder?

There are two spongy cylinders called Corpora Covernose, anatomically parallel to the urinary tract, inside the penis. When sexual stimulation occurs, the nervous system stimulates the penis to enliven. The muscles and arteries of the penis relax so that the sinusoids inside the cylinder fill with blood. This provides an erection with enlargement and hardening of the organ. Brain, spinal cord, nerves, blood vessels, penile smooth muscle and hormones are involved in the occurrence of this event. The muscles of the spongy cylinders are managed by special centers in the brain and spinal cord, allowing the erection and relaxation of the penis. While this system provides erection by being influenced by sexual contact, erotic stimuli or fantasies; anxiety, insecurity, excitement, fear and stress negatively affect the erection.

Incidence Frequency

The incidence of erectile dysfunction varies according to the definition (frequency of erectile dysfunction, degree of erection or deficiency level of expected hardness). Although it can be seen in 60% of the entire male population, this rate increases significantly over the age of 60. While the rate of men who have experienced erectile dysfunction for a certain period of time is 20%, the rate of men who experience erectile dysfunction 1-2 times reaches 70-75%.

In a study by Feldman (Massachusetts Study), erectile dysfunction was found in 52% of men aged 40-70 years. In a study conducted by the Institute of Sexual Health in Turkey, different levels of erectile dysfunction (mild, moderate, severe) were found in 60% of the adult male population. However, less than 10% of men with erectile dysfunction receive treatment. Despite this, it is the most common sexual dysfunction in applications for treatment.

Reasons

  • performance anxiety

  • Unresolved, persistent problems between spouses

  • Misconceptions and information about sexuality

  • Severe social and occupational depression

  • Extramarital affairs accompanied by feelings of guilt

  • sexual dysfunction in partner

  • Premature ejaculation, orgasmic disorders and sexual reluctance

  • Excessive smoking, alcohol, marijuana, etc. other drugs

  • Chronic diseases of the lungs, liver, heart, kidneys, nerves, arteries or veins (especially heart diseases, diabetes, high blood pressure, atherosclerosis, decrease in testosterone hormone, etc.)

  • Surgery for prostate, bladder or rectum cancer

  • Antidepressants, antihistamines, drugs for hypertension, or some drugs used to treat prostate cancer

Treatment

  • sex therapy

  • Limiting smoking and alcohol use

  • Changing medication habits

  • Changing eating habits

  • Exercise

  • Sildenafil citrate, yohimbine, apomorphine, trazodone etc. drug treatments

  • penile injection

  • Surgical methods

  • pump therapy

  • Penile prostheses (happiness sticks)

  • Herbal mixtures (gingo biloba, oat tincture and tea, preparations from ginseng root, etc.)

The main purpose of sexual therapy in erectile dysfunction; It is to help the couple to have a satisfying sex life with their partner again by overcoming the fear of failure, called performance anxiety, by putting their feelings into words and creating the ideal environment in a safe therapy environment. In this direction, correct information about sexuality, using behavioral homework and cognitive restructuring steps are applied.

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