Causes of erectile dysfunction (Impotence).
Occasionally, the causes of erectile dysfunction  are deeply enrooted in psychological or more rarely in mental spheres of a male's entity. However, well above 80% of these causes are of physical origin.
Overnight while sleeping, men may have three to five nocturnal erections of nearly thirty minutes duration each. These erections occur in a rapid-eye-movement (REM) phase which is associated with dreaming. Although, the cause of this phenomenon is unknown and the mechanism has not been identified yet, nocturnal erections are considered absolutely normal.
For a man suffering from impotence, the presence, the intensity or the total absence of nocturnal erections can be a decisive criterion, whether the sexual disorder is due to underlying psychological or medical causes. If the individual does not have any or has very few or weak nocturnal erections, it is quite likely for him to suffer impotence of physical etiology. The presence and the quality of nocturnal erections can be evaluated with the help of simple devices applied on the patient's thigh near the genital area.
Psychological causes of erectile dysfunction.
 Stressful lifestyle is perhaps the most common reason for the development of temporary or chronic impotence. Lack of spare time for relaxation and privacy, family problems, too much public relations activity, anxiety, financial difficulties, unemployment or career ambitions may accumulate too much psychological strain and destruct the individual from any sexual interest.
Boredom and lack of variety in sexual life may result in occasional impotence. Statistics show that men are far more likely than women to seek another partner at some stage of their life. Specialists have been convinced that many males need more sexual plurality than females, since they get more easily bored.
For instance, in discreet surveys, far more men than women have expressed their preference to have sex outside their marriage and with more than one partner at the very same time.
The fact that the majority of males are attracted from hard porn material, whereas females are interested in more romantic or soft porn content, indicates how differently the two genders approach sex.
The above examples can somehow explain why a man may be sexually impotent with his wife or permanent partner and fully active with another woman. However, this male sexual nature should not be regarded an easy excuse for infidelity and definitely, the woman should not feel responsible for any such situation caused.
If the couple wants to keep their sexual relation alive, both have to look after themselves, in order to remain attractive and desirable. They also need to communicate openly and honestly and to express their sexual preferences to each other. Imagination, playfulness and variety are necessary for the couple to break sexual routine and to avoid boredom and its consequences.
Marital problems can be
the aftermath or
a major causative factor of sexual disorders, including erectile dysfunction. Competition among spouses, lack of communication or trust and infidelity are only a few of the situations that can eliminate any desire for sexual activity. In such cases, a specialist’s advice and help may be the only option for the problem to be resolved.However, many people are very reluctant or negative to see a specialist, because they feel nervous or embraced to discuss their personal situations with a third person, especially if this is associated with sexual difficulties. Sometimes, this consultation is far easier to take place, when the specialist does not have to be seen in person. The good thing is that nowadays, a couple can get help online, without a need to see a specialist. You can try the button, if you are interested in a marriage counseling course on the internet.
You will be advised accordingly which package is suitable for you, if you cannot make a decision.
Medical causes of erectile dysfunction.
The range of medical conditions that can lead to impotence is impressively wide. In many cases, erectile dysfunction may be the sign which can reveal underlying and undiagnosed health problems, like the ones mentioned below.
Diabetes mellitus usually results in diabetic neuropathy which, in turn, may cause impotence. In diabetics, the incidence of erectile dysfunction reaches the 80% of the cases and the onset of symptoms occur at the age of thirty five or forty, whereas the relevant average age in non-diabetics is fifty years.
Cardiovascular disease may result in impotence. Arteriosclerosis, which involves the narrowing and the hardening of arteries, can restrain adequate blood flow to the penis and prevent erection.  High cholesterol blood level is a risk factor for cardiovascular disease.
Conditions that involve impaired hormonal levels, such as testosterone deficiency due to dysfunctional pituitary gland or testicular disorder can cause erectile dysfunction. Hypo- or hyperthyroidism are other endocrine conditions related to impotence.
Respiratory chronic problems and conditions, such as sleep apnea, bronchitis and emphysema can be causes of erectile dysfunction.
Neurological damage due to surgery in prostate, bladder, abdomen or colon may result in erectile dysfunction, as well. Pelvic trauma or spinal cord injury can lead to impotence because of nerve damage.
Neurological disorders, such as Parkinson's and Alzheimer's diseases, Guillain-Barré syndrome, multiple sclerosis and epilepsy are potential causes of erectile dysfunction.
Peripheral vascular disease, like venous leakage often contributes to the development of impotence. In such cases, blood leaks from penis back to the main body and renders the erectile failure inevitable.
Penile conditions such as Peyronie's disease, epispadias and priapism are typical causes of erectile dysfunction. Peyronie's disease involves the development of scar tissue or plaque in the erectile tissue within the penis, occasionally resulting in inadequate or painful and curved erection.
Scleroderma which is a chronic systemic disorder characterized by hardening and thickening of the skin can lead to permanent impotence.
Hemochromatosis is another possible cause of erectile dysfunction. Hemochromatosis is a systemic condition and it is characterized by a gradual increase of iron stores and pathological iron accumulation in multiple organs.
Kidney and liver conditions, such as diabetic nephropathy and cirrhosis can be
Underlying
conditions in cases of impotence.
Medications and other causative factors of impotence.
Prolonged use of certain medications can lead to erectile dysfunction. These include high blood pressure drugs, antihistamines, anti-ulcer agents, appetite suppressants, antidepressants, tranquillizers and lithium.
The uptake of alcohol, nicotine or cocaine may result in impotence.
Radiation therapy used for treatment of cancer can cause erectile dysfunction, as well. |
