Modern-day healthcare and clinical reports around the globe have decisively confirmed that psychological impotence impacts 10 to 20 per cent of adult males. Because of the social perceptions linked to men’s sexuality, and the oft-related emotions of frustration, inadequacy, anxiety and depression caused by male impotence, mental erectile dysfunction can be an indirect result of male impotence brought about by a physiological problem.
Impotence, or erectile dysfunction, in medicine, is a state in which a man is not able of attainig an erection that is tough enough for sexual penetration or sexual fulfillment. Impotence, however, should not be confused with premature ejaculation, loss of sex drive, or absence of orgasm; in every one of these cases, satisfactory erection may be achieved.
Impotence is a common problem; in the United States between 10 and 15 million men are afflicted with severe impotency. The incidence of this condition raises with age. As low as 1 percent of the male population under thirty years old is affected, 3 % below forty-five years, 7 percent between 45 and 55 years, 25 percent at age 65, and up to 75 percent in men 80 years old. Impotence looks to be ever-increasing, but this might be as a result of rising lifespan.
Male impotence is divided as either primary or secondary. Primary erectile dysfunction is expressed teenage years as a fundamental inability to obtain erection; secondary erectile dysfunction is more common and consists of an onset of erectile inability during adulthood, after a period of normal erectile ability.
There are numerous causes of erection problems. In primary anatomic erectile dysfunction the reproductive organs themselves may be faulty. In secondary impotence, functional causes such as emotional difficulties and side-effects of drugs taken for other problems are the reason for the greatest number of cases.
The most common psychological factors resulting in psychological erectile dysfunction are stress in a man’s life or problems in his sexual romantic relationships. As an example, if a man has suddenly lost his job, his sense of failure can result in temporary erectile dysfunction. It’s possible to tell if the cause of a man’s erectile dysfunction is completely psychological; if he still experiences regular erections during rapid eye movement (REM) sleep, there is unlikely to be any actual physical reason for his erectile dysfunction while awake. However, sometimes a physical condition that is not serious enough to cause erectile dysfunction on its own could make a man more likely to develop impotence problems if mild psychological factors are also existing.
A lot of medicine can play a role in impotence. Diuretics, tricyclic antidepressants, H2 blockers, beta-blockers, and hormones are some of the most common; once the drug treatment is stopped, healthy erections normally resume, unless mental problems have developed meanwhile.
Other causes of psychological impotence have to do with physical conditions, disease, or stress. Among these, diabetes mellitus accounts for 40 % of the cases in America; vascular diseases, thirty percent; surgery on the pelvis or penis, 13 percent; vertebrae damage, 8 percent; endocrine or glandular problems, 6 percent, and multiple sclerosis, 3 %.
Treatments of emotional impotence based upon various forms of psychiatric therapy are widely used for cure. In 1970 the team of William Masters and Virginia Johnson proposed a program of behavioral therapy for an affected man and his partner. This method has been highly accepted and consists of abstinence from intercourse for several weeks while the couple evolves other parts of their relationship. Only when the man get an erection and sustain it on a number of occasions should the couple attempt sexual intercourse.
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