Does impotence require treatment?
Many men over 60 years of age who encounter impotence come to terms with the fact that they are unable to lead an active sexual life. It is generally believed that impotence is a sign of old age and there are no ways to restore the sexual function. However, it is not true.
First of all, impotence, or inability to achieve and maintain a stable erection for sexual intercourse can occur not only in men aged over 60 years. It can develop in much earlier years of age due to various reasons.
Secondly, impotence is more of a symptom rather than a disease. It means that it doesn’t occur independently but rather as a result of certain negative changes in the body.
Causes of impotence
There are multiple causes of impotence that can be divided into two groups:
- Physical (organic) are diseases that affect the central nervous system, level of hormones, diseases of blood vessels, muscle-affecting diseases that cause muscle spasms, and so on. This group also includes the negative effect of medicines. For instance, impotence can develop as a result of antidepressants, antipsychotics, baldness medications, and others use.
- Psychogenic (psychological) causes are any disorders that affect male’s emotional and mental condition. For instance, it could be depression, bipolar disorder, anxiety, and even stress and fear of intimacy out of fear of causing your partner pain.
Treatment of impotence - first step
Based on the fact that there are various causes of impotence, treatment methods also differ.
First of all, it is important to diagnose the underlying disease or condition that causes it.
To clarify whether impotence in your case is caused by psychological or physiological causes, you should check its manifestations based on this comparison:
Treatment of impotence – the second step
Once you understand what type of impotence you have, you know to what doctor to go.
In psychological causes, you need the help of a psychotherapist or psychiatrist and focus the work on your mental state rather than physical health. In physiological impotence, the first doctor you should go to is a urologist. This specialist treats the male reproductive and urinary tract and can help you identify the physical cause of the diseases and chose treatment.
Worth noting that in men younger than 40 years or a bit older, psychological impotence is more common given that a man is generally healthy, i.e. is not obese, do not have diabetes, heart or nerve diseases, hadn’t had any serious surgeries or traumas.
In men over 60 years of age, impotence is likely to be developed as a result of a set of factors such as a lifelong bad habit (for instance, tobacco smoking, alcohol abuse), unhealthy diet (for instance, excess sugar, fats, minimum vegetables, etc.), sedentary lifestyle, lack of physical exercising, and untreated chronic conditions.
Treatment of impotence – instant results
There are several approaches to the treatment of impotence. The easiest way to solve the problem both in psychological and physiological impotence is to use erection-promoting drugs. They help even in impotence that occurred as a result of mental disorders but to a lesser extent than in physical diseases because even achieving an erection, a man with psychological impotence can lack the enjoinment of sex.
The undeniable benefit of erection-promoting drugs such as Cialis (Tadalafil) is that it is effective for almost everyone. Besides, the use of a single pill before intercourse is much safer, less traumatic, and cheaper than undergoing surgery for penis prosthesis or on the genitalia vessels.
Even if you have been unable to achieve an erection for many years, using just a single pill of 10 mg or more (if needed, dosages up to 60 mg can be used if the drug is well tolerated) 40 minutes before intercourse will ensure a stable and strong erection for an entire intimacy. Besides, an erection won’t occur if you are not aroused so you shouldn’t worry about any accidents.
The effect of the drug is based on the temporarily improved blood flow in the penis due to the relaxation of smooth muscles which constrict the blood vessels in the genitalia and do not allow it to be filled in with the blood.
However, to achieve a natural erection without any drugs, you need to work on your general health and improve your lifestyle.
Treatment of impotence – lifelong changes
To actually cure impotence, you need to focus on solving the problem that caused it in the first place. For instance, for men with psychological causes, it is important to go for psychotherapy and maybe even use the drugs to treat their condition, for instance, use antidepressants, antipsychotics, and so on.
For men with physiological causes of impotence, it is important to find what physical condition causes this symptom and focus on its treatment. Besides, given that impotence in older men develops as the overall health deteriorates, they should implement certain lifestyle changes and follow the new way for a lifetime. You know what improvement to make, they are general health rules – healthy diet, exercising, no smoking or alcohol overconsumption, treating any disorders only according to your doctor recommendations, and so on.
(Updated at Apr 14 / 2024)
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