| Disease |
IMPOTENCE |
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| Quotation |
“The thing that takes the least amount of time but causes the most trouble is sex” |
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| Definition |
Impotence basically means failure to achieve erection, ejaculation or both. Contrary to older belief, most often, there is some underlying organic disease.
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| Prognosis |
Depends upon the cause. Organic cause leads to chronic problem unless reversible. Psychogenic impotence remits spontaneously in 15-30% of cases. Situational erectile impotence tends to vary with control of situation.
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| General Measures |
Method recommended by Masters and Johnson in stages
(1) The stimulation of the partner’s body to learn how best to arouse the other. Genitals must not be touched at his stage.
(2) Genital stimulation introduce when both partners arenot getting anxious in the first situation.
(3) Commencing intercourse with the husband lying supine.
Exercise to increase male sexuality. Certain exercises to strengthen muscles of the pelvis, like repeated stopping of urine flow during micturition by voluntary checking.
Vacuum devices – For older men, who are less fit. Cheap and simple therapy, but cumbersome.
Penile implants – To be considered for refractory cases. These are mechanical devises for erection. Expensive and the cosmetic and functional results are not uniformly satisfactory. They do not address the issues of sexual drive and orgasm.
Psychotherapy. To overcome anger, anxiety, fear and guilt that lead to psychologic impotence.
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| Advice to Patient |
Technique of intra-caverrnos injection.
Smoking to be stopped and alcohol intake controlled.
Proper use of penile implants.
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| Inadequate Response |
Penile implants to be considered.
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| Prevention |
Proper sex education to children, and youth |
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| Reference From |
www.impotence-causes-treatment-male-sexual-dysfuntion.com/impotence-treatment.html |
