If you have erection problems, you should not simply wait and see, but actively strive for your sex life. Otherwise psyche, partner and partnership suffer. The therapy is very effective - but it must also be comprehensive.
There is hardly a penis that has not refused to straighten up at the
desired time. Perhaps because there was too much red wine in the
evening, or because stress at work has diminished the desire.
so bad, man thinks, and rightly so. But if the problems occur more
and more frequently and "the inability to get or maintain an
erection sufficient for sexual intercourse" is the rule rather
than the exception, the matter should no longer be taken lightly. Not
only the penis suffers from erectile dysfunction, but also the psyche
and partnership. And sometimes there is another serious illness
behind erectile dysfunction (ED), which should be treated urgently. A
visit to the doctor brings certainty here - and usually also help.
frequent impotence is in Europe was demonstrated by a study carried
out a few years ago, in which the erectile capacity of 2,869 men was
tested with special questionnaires within the framework of the health
examination: 32.2 percent of the men involved fought with erectile
to the population as a whole, about one million Europeans would be
affected - 700,000 by a mild form of ED, 300,000 by a moderate to
problems become more frequent with age. Between the ages of 51 and
60, ten percent complain of moderate to severe problems during sex;
between the ages of 71 and 80, the figure is already 50 percent. All
forms of erectile dysfunction together, 37 percent of men in the 50s
and 71.2 percent of men in the 70s are affected.
the years before, erectile dysfunction is more or less evenly
distributed in the age groups: Around 20 percent of Twens report
having "failed" several times, as do men between 40 and 50.
"In these young men, erectile dysfunction was usually mild, but
the pressure of suffering was all the greater because of the high
pressure of expectations."
course, not all these men are in need of treatment," we point
out. "That depends strongly on the personal feeling. Impotence
not only threatens sexual function, but is often experienced as a
general loss of status and a weakening of male identity. If men
cannot get an erection for a longer period of time, they do not feel
sexually any more than men. Depression can be the result.
partners of those affected and the partnership often also suffer
massively as a result," says Prof. Siegfried Meryn, Chairman of
the Society for Men's Health and Gender. "Open dialogue with
women is the first step towards solving problems. Otherwise, the
spiral of silence and withdrawal will continue."
next path should lead to the doctor. Especially in older men,
erectile dysfunction can be a sensitive sign of functional disorders
of the inner wall of the vessel, the first stage of atherosclerosis.
Erectile dysfunction is also an early sign of diabetes. "No one
should shy away from openly addressing sexual problems," advises
Prof. Meryn. "Because sexual health is a high good and the
doctor is the specialist with whom one can talk about it - and who
the introduction of the class of PDE-5 inhibitors, impotence has
become a more frequent topic in medical practices. Previously, there
were hardly any drugs that could help with an erection so reliably.
long as only injections into the penis or vacuum pumps promised
improvement, many men preferred to accept the problems. With modern
medication, it is now possible to achieve a sufficient erection in
about eight out of ten men simply by taking one tablet. Of course,
the success of therapy depends on the underlying disease, but even
with nerve damage resulting from prostate surgery, spinal cord
injuries or severe vascular changes, PDE-5 inhibitors can still
improve the situation.
some of the men - the size of the proportion is controversial -
psychological problems are the cause of impotence. Disgruntlement,
nervousness or fear of failure spoil pleasure. The woman's reactions
also have an effect, of course. What role do the problems play in the
partnership? In some cases the honest answer to this question -
worked out together - can already solve the problem.
partner should be involved in the treatment as early as possible,"
advises Prof. Meryn. In couple therapy or sexual therapy,
difficulties are tackled that even the hardest erection cannot
overcome. After all, it's all about "sexual health" and not
just penis circulation. Don't worry: couples' consultations are today
a time-limited, goal-oriented measure, which has nothing in common
with a year-long analysis according to Freud's model. In ten to 15
sessions all relevant things should be discussed.
the case of mild erection problems, a change in lifestyle is often
sufficient for a significant improvement. The usual suspects have
been proven to be associated with impotence: Smoking, overweight and
lack of exercise. Slimming a few kilos seems to be particularly
effective: In a study conducted by the University of Naples on 110
overweight men with potency problems between the ages of 30 and 35,
one third of the participants were cured by diet and exercise alone
(weight reduction of around ten percent).
a sexuality to be experienced as satisfying, several factors must
come together: Physical health and sufficient fitness, the ability to
have an erection, a functioning partnership, emotional readiness in
both men and women.
Accordingly, a one-dimensional treatment in the form of a pill is sometimes not enough to achieve sexual health. Just as a couples counselor cannot ignore physical problems. However, if the different areas of sexuality are considered together, and corrected if necessary, sexual satisfaction is achievable for the vast majority of people.
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