Are
you at risk of turning impotent?
Impotence
often comes without warning and can strike even the most virile
stud like a bolt of lightning.
How
much of a risk do YOU face?
In
this discussion about the risk factors leading to impotence,
let's begin by looking at what the indicators of impotence are.
If
your erections are not firm enough to allow vaginal penetration,
you are impotent. If your erections have the necessary rigidity,
but only briefly, you may have an impotence problem. If your
erection loses its strength upon penetration, once again, you
probably have the problem. If any of these conditions apply
to you, it may be time to admit it, and begin to move toward
a treatment that can change your life.
Impotence
is not by itself a disease, but is a secondary condition brought
on by other primary causes. It is a side effect, a symptom of
something else. Thirty years ago, when men went to their doctors
asking for help for erectile problems, they were told that there
was no treatment because it was caused by ageing, or that it
was "all in their minds". A generation of research has been
conducted in the intervening years. With more knowledge now,
doctors divide this very common disorder into four general causes:
- Psychological
- Physical
(Organic impotence)
- Mixed
origin-both psychological and physical
- Unknown
origin
About
85% of this problem is due to a physical (organic) cause. Slightly
more than 10% is totally psychological, or "all in your mind."
The other 5% is unknown. The 85% figure includes a mixture of
physical factors with psychological involvement. Once a man
fails to erect a few times, he places more stress on himself
to erect by sheer will power. When this too fails, he begins
to have a psychological problem as well.
The
main point here is: more than 4 out of every 5 impotent men
are that way because something within the body other than the
penis, has let them down.
Psychological
Impotence describes the problem when physical causes are not
present. Often, pure psychological impotence comes on suddenly
rather than over a long period. It can be caused by job stress,
a rocky marriage, or financial worries. Any nagging everyday
situation which occupies conscious and subconscious thoughts
can cause impotence. Also, depression can create it. Concern
over poor sexual performance can cause it. It should be noted
that almost every man experiences temporary periods of impotence.
Physical
Impotence stems from a variety of causes. The consensus among
most authorities is that the table below represents an accurate
distribution of the causes of physical impotence:
| CAUSES
OF PHYSICAL IMPOTENCE |
| Diabetes
mellitus |
33% |
| Diseases
of blood vessels |
25% |
| Radical
pelvic surgery |
10% |
| Trauma,
including spinal cord injury |
8% |
| Various
endocrine problems |
6% |
| Prescription
drugs |
8% |
| Substance
abuse |
7% |
| Multiple
sclerosis |
3% |
| Total |
100% |
There
are almost always psychological aspects to impotence. However,
where older men are concerned, if they once had a life of normal
potency, organic reasons quickly raise their heads and tend
to dominate. Some physicians like to talk about the "risk factor
approach" which is defined as weighing arterial factors, venous
factors, neurological factors, medication factors and hormonal
factors. These point to erectile insufficiency in some way and
imply that impotence is almost always a mixed bag.
Diabetes
is the leading cause of impotence. This disease causes damage
to large and small blood vessels, resulting in impotence in some
men. Diabetes inflicts damage to peripheral nerves also, affecting
the brain's ability to transmit its wishes to the body. About
50% of all diabetic men become impotent after age 50.
| DISEASES
OF BLOOD VESSELS |
Diseases
of blood vessels (atherosclerosis, or hardening of the arteries)
cause reduced flexibility of the tissues, accompanied by a decrease
in the inside diameter of the vessel. If obstructed vessels are
heart or coronary vessels, the disease produces heart attacks;
when it's to the brain, it produces strokes; and, when it's to
the penis it produces impotence. Another problem, venous leakage,
occurs when the penile veins are unable to close fully during
an erection. The man may be able to achieve erection or a partial
erection, but he cannot maintain it because the blood escapes
back into the body.
Radical
pelvic surgery can cause impotence. When surgeons cut through
flesh to get to the prostate, the bladder, or the colon, they
sometimes sever nerves connected to the penile area. Impotence
is a frequent result.
Spinal
cord injury victims become impotent because there is nerve damage
from the site of the injury downward. Some impotence treatment
modalities work in these cases.
The
endocrine system can be a source of impotence. A disorder may
disrupt the normal functioning of vital hormones. Diabetes is
an endocrine disease, but there are others. The hormone testosterone
is needed for a healthy sex life, but minor deficiencies do not
usually cause erectile problems.
Other
hormones are also important for erectile function. A low level
of the thyroid hormone can cause low quality erections. And,
the excessive production of prolactin by the pituitary gland
can be responsible for the low production of testosterone and
this can lead to problems.
Prescription
drugs are a major cause of erectile problems, with over 250 drugs
incriminated. Here are some of the major drugs that can cause
impotence:
| PRESCRIPTION
DRUGS CAUSING IMPOTENCE |
| Endocrine |
Estrogens
Anti- androgens
LHRH analogues
5 alpha reductase inhibitors |
| Anti
- hypertensives |
Diuretics
Methyldopa
Beta blockers
Ca antagonists |
| Psychotropics |
Major
tranquilisers
MAO inhibitors
Tricyclic anti-depressants |
| Others |
Histamine
receptor antagonists
Anti-hyperlipidemics |
Substance
abuse includes beer, wine, whiskey, cigarettes, and the use of
illegal drugs like marijuana, heroin, cocaine, PCP, LSD, and methadone.
A 1991 study reported that men who smoked 20 cigarettes a day
for five years were 15% more likely to develop blockages of the
penile arteries than non-smokers; and those who smoked 20 cigarettes
a day for 20 years were 72% more likely to have those arteries
blocked.
Multiple
sclerosis, a progressive disease of the nervous system, causes
impotence in 25% of cases, due to the nerve damage the disease
causes in the brain and spinal cord.
Ultimately,
you are the person most familiar with your medical history,
and you are in the best position to make initial judgements
about your situation. By reading this far, you may already suspect
the reason for your problem. Mentioning your suspicions to the
physician may shortcut your treatment cycle. However, if you
do not know why you are impotent, it may be important to find
out.
Impotence
treatment options are by prescription only. Here's why: as a
symptom of an underlying disease, discovering the cause could
be important. Some men who had heart attacks or strokes reported
the onset of impotence a few months before their attacks. When
impotence starts, the body is speaking. Listen, see a doctor,
and find out what is going on.