Impotence Support

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Article

Amy

2004-08-17, 7:12 pm

Here's an article I found.

> If your partner suffered from impotence...would you recognise the
> signs? Impotence is the condition in which a man is unable to attain
> or maintain an erection sufficient for satisfactory completion of a
> chosen sexual activity. It is a common problem, affecting at least one
> in ten men across all ages. The problem can be global, in that it
> occurs in all situations when sexual activity is attempted, or it can
> be situational - where erections can occur in some situations but not
> in others. For example, the man may have good erections on awakening
> but fail to attain or maintain erections when he tries to have sexual
> intercourse with his partner. There are many different causes of
> impotence but fortunately, nowadays, as many as 90% of sufferers can
> be helped to regain their potency.
>
> Tell-tale signs
> A man who is experiencing impotence often feels embarrassed and guilty
> that he finds it difficult to talk about the situation, even with his
> partner. Instead, he may manipulate events so that he avoids
> situations in which sexual intercourse may occur. Common examples of
> this include staying up late at night, so that his partner is asleep
> before he goes to bed, or working longer hours than usual at work, so
> that he is tired in the evenings, goes to bed earlier than his
> partner, and is asleep when she retires to bed. Another often-used
> play is to invite friends and relatives to the house frequently, so as
> to reduce the amount of 'private' time he has with his partner. He may
> also start going out more during the day, again to ensure that he is
> not available if his partner wants to approach him sexually. And of
> course, men can have the avoidance 'headache' when it comes to sex,
> just as women traditionally do. These are all normal responses to the
> problem, but they can all make the problem worse. When the man can
> attain an erection but has doubts about maintaining it during sexual
> intercourse, he may reduce the time spent in foreplay and may
> ejaculate soon after penetration, before he loses his erection.
>
> Partner's reaction
> The changes in the man's behaviour as described above may make the
> partner think that the man is having an affair. When she thinks this,
> a woman sometimes reacts by trying to be more attractive and behaves
> more sexually to try to 'win' her man back. Obviously, this can make
> the situation worse as it will put more pressure on the man and he may
> then take more extensive steps to avoid physical contact with his
> partner, a reaction that will probably reinforce the woman's mistaken
> idea that he is having an affair. When a woman knows that her partner
> is having problems with erections, she may react in a number of ways.
> Some women feel responsible for the problem: "It must be my fault he
> is having a problem. Perhaps I'm no longer sexually attractive to
> him"; "Perhaps my dislike for a lot of sexual experimentation has made
> him lose interest". Other women feel physically rejected, unsatisfied
> and resentful, feelings that can easily extend to other areas of their
> lives leading to arguments and bickering, often about trivial things.
> When a man can get an erection but loses it soon after penetration,
> some women blame themselves by thinking that their vaginas are too
> large to stimulate the penis sufficiently.
>
> What causes impotence?
> There are many causes of impotence. These can de divided broadly into
> physical or psychological causes. Physical causes include conditions
> which damage the nerves or blood vessels that supply the penis, such
> as diabetes, high blood pressure, atherosclerosis (furring up of the
> arteries, such as occurs when the man has high cholesterol) and spinal
> injuries. The nerves and blood vessels can also be damaged as a result
> of surgery on the rectum, prostate gland and bladder, or by
> radiotherapy to pelvic organs. Another important physical cause of
> impotence is drugs. Many, but not all, drugs prescribed to treat high
> blood pressure and various drugs used for psychiatric conditions
> impair erections. Smoking and excessive drinking of alcohol can also
> lead to impotence. Rarely, impotence can be caused by having too
> little testosterone (male sex hormone). Among the psychological causes
> of impotence, "fear of failure" is the most common. This is when the
> man is so pre-occupied that he will not be able to get or maintain his
> erection that he is unable to relax during sex. Other common
> psychological causes of impotence include tiredness, guilt, worry,
> depression and stress.
>
> What can you do to help?
> The conspiracy of silence that many couples maintain about impotence
> does nothing to help the problem. The first step to overcoming
> impotence is to face up to the problem and discuss it as openly as
> possible. Women can often take a lead in this respect by broaching the
> subject in a non-judgemental and non-pressuring way. Mutual
> reassurance of continuing affection and love can go a long way in
> helping the couple discuss the problem. It is also helpful to discuss
> each others sexual needs. So many men hold the view that sex means
> full penetrative intercourse and anything less than this is not
> acceptable. Hence, if they are unable to have erections, they feel
> that all sexual contact must cease. For many women sexual intercourse
> is a means to have intimate contact with their partners; they find
> foreplay just as or even more enjoyable and satisfying than
> penetrative sexual intercourse. When an impotent man realises this, it
> can remove a considerable burden of guilt and feelings of inadequacy
> and this can sometimes have the effect of improving his erections
> because he knows he is not under such enormous pressure to perform. It
> is often helpful for the couple to agree that they will not try to
> have intercourse even if an erection occurs but instead just enjoy
> mutual caressing and close contact. When these simple measures fail to
> overcome impotence the couple can mutually agree that professional
> help is needed. Women can sometimes take the lead in arranging such
> help. In the first instance this may involve discussing the problem
> with her general practitioner or the doctor at the Well Woman's
> clinic. At other times it would be necessary for the man himself to
> attend his general practitioner and it might be helpful if his partner
> went along too. Some general practitioners may have a special interest
> in impotence and are able to offer in-depth advice and a full range
> treatments. However, your GP may decide that a referral to a
> specialist is more appropriate.
>
> Final word
> Fortunately it is now possible to treat up to 95% of impotent men by
> variety of different treatments. Not all the treatments are acceptable
> to all couples and it is therefore important that you discuss with
> your partner the treatments offered and come to a decision together
> which seems the most appropriate for you both.
>
>
>
>

Mungy@HorribleISP.gov

2004-08-18, 2:07 am

Amy <amy.lasher@verizon.net> wrote:

>Here's an article I found.

The usual touchie-feelie nonsense probably extracted from one of the
women's magazines or "Our Bodies..." or similar.
[vbcol=seagreen]

Now this in the first two sentences is what really set me off. NO!
Impotence is NOT the inability to maintain an erection sufficient
for... etc. That's a passable definition of "erectile dysfunction" but
in no way encompasses the other and in my view vastly more important
aspects of sex such as libido, ejaculation, and orgasm.

When confronted with this objection the writer of the original article
would probably say, "Ah yes, I didn't mean to be all encompassing.
Those other things are important but just for the sake of this article
let's equate erectile dysfunction with impotence." This view is all
too common (unfortunately also among scientists who should know a lot
better) and results in the proliferation of papers rehashing what we
all know about ED and in the erroneous conclusion of the last
paragraph of the article.

We know something about and for most men can assist in or produce an
erection almost on command and even with a total inability to perform
in the other areas.

We know nothing about provoking or maintaining libido in any
consistent manner (except for some guys who are T-deficient).

We know nothing about reducing the duration of the refractory period

We have no ability to increase the quantity or size of the
ejaculation. (While Northian performance is surely the dream of most
males, simply maintenance of an about-age-40 quantity would be a
realistic goal. In my view this is at the heart of the orgasm
problem.) Other than with external electrical stimulation (probably
not too pleasant) we have no way of provoking ejaculation.

We know little about the neurological and chemical steps leading up to
orgasm making one urologist comment "This is a really murky area,"
when confronted with a dysorgasmic patient.

<snip>
[vbcol=seagreen]

Only 90% at this point? (see the last paragraph) Sloppiness? Or maybe
the writer just hasn't a clue as to what he's parroting.

<snip>
[vbcol=seagreen]

Yeah, well provide him with a compliant and permitted Mandy Moore and
lots of that ED will disappear. There's actually a study somewhere
that shows that the number of viable sperm increases when males are
having an affair. Males are promiscuous animals instinctively driven
to mate with fecund females as much as possible.

<snip>
[vbcol=seagreen]

<continues with more of the boilerplate obtainable from any
web-medicine site>

However I have a problem with blood supply in relation to ED. Since
when was the obtention of an erection a race? If the blood only comes
in a tenth of the speed of a teenager so what? It takes you ten times
as long to get fully erect...let's see...the average teenager gets an
erection in about 5ms just thinking about any barely attractive
female...50ms for the 50 year old... hmmm...even if it were 15 minutes
there's no real problem. And if there's a supply problem to the extent
that it effects the ability of the penis to inflate the owner has a
lot more that just ED problems. Extremities with that poor a supply
endure tissue death and eventually gangrene.

The blood problem is that of stopping the blood exiting! (Note that
veins endure neither arterio- nor arthero-sclerosis.)

(There is a problem called the "iliac steal syndrome" which relates to
inadequate blood supply affecting orgasm and ejaculation but that's
not what the article is discussing.)

<snip>
[vbcol=seagreen]

Aha! What did I say about the source of this article?

<snip>
[vbcol=seagreen]

And here's where it rose from ninety to ninety-five percent.

Gemini 06

2004-08-18, 10:08 pm

Mungy@HorribleISP.gov wrote:

> Males are promiscuous animals
> instinctively driven to mate with fecund
> females as much as possible.

You may want to watch "CNN Presents: Infidelity" this Sunday August 22.

http://cnn.com/presents

Mungy@HorribleISP.gov

2004-08-25, 11:34 am

Gemini 06

2004-08-25, 11:34 am