Post Date November, 16 2024
Erectile dysfunction refers to the inability or weakness of the penis during sexual activity, resulting in the inability to complete normal sexual activity quickly, or the inability to insert the penis into the vagina for sexual intercourse. Erectile dysfunction is the most common type of male sexual dysfunction, with complex causes. Before the diagnosis and treatment of impotence, detailed and complete medical history data should be obtained, professional examinations should be conducted, and its sexual function should be accurately evaluated.
What are the causes of impotence?
1. Mental and neurological factors: such as childhood psychological trauma, lack of sexual knowledge, tension and anxiety, or disharmony in marital relationships or family relationships; Or bad habits such as excessive masturbation, but penile sensitivity, mental tension, and excessive ideological burden can lead to impotence; Excessive mental or physical strength, or adverse mental stimulation, such as excessive depression, sadness, fear, or indulgence, excessive sexual life will lead to cerebral cortex dysfunction and impotence.
2. Neurological disorders: Hypothalamic pituitary tumors or other tumors, local brain injuries, such as localized epilepsy, encephalitis, cerebral hemorrhage compression, spinal cord injury, spinal cord tumors, chronic alcoholism, multiple sclerosis, pelvic surgery damage to the surrounding autonomic nervous system, can lead to impotence.
3. Endocrine diseases: such as diabetes, pituitary insufficiency, testicular injury or hypofunction, hypothyroidism and hyperthyroidism, adrenal insufficiency, etc.
4. Diseases of the urinary and reproductive organs, such as prostatitis, benign prostatic hyperplasia, epididymitis, and varicocele, often lead to impotence. Some middle-aged and elderly patients suffer from erectile dysfunction caused by prostatitis and prostate hyperplasia;
5. Drug effect: many drugs can inhibit sexual function in clinic, such as reserpine, guanethidine, digoxin, stability, fast urine, metoclopramide, etc.
6. Chronic fatigue: Fatigue can lead to impotence, as excessive muscle fatigue or excessive use of the brain, depression, tension, and other cardiac fatigue interfere with sexual desire, including inhibitory interest in brain function, excitation of emotional centers in the cortical limbic system, decreased secretion of pituitary gonadotropins and testicular androgens, and sexual excitement.
When self judging impotence, people are easily trapped in the following misconceptions:
1. Treat early sexual intercourse failure after marriage as impotence.
This situation is quite common. In fact, it violates the principle that spouses must have a period of 2 to 3 months of adjustment after engaging in sexual activity. At the beginning of the wedding, especially on the wedding night, they are too excited, exhausted, and even drunk; Alternatively, due to a lack of cooperation between spouses during the marriage phase, erectile function may temporarily be impaired. At first, this was not surprising. Some newlyweds also have poor sexual intercourse because they stole forbidden fruits before marriage. At that time, they acted under complex emotions such as exploration, experimentation, tension, and fear. The failure rate is high, so they leave a shadow of poor sexual ability in their minds. This situation should have an adjustment stage during sexual intercourse after marriage.
