Impotence (medical term - erectile dysfunction) is a common male issue related to a man's inability to achieve ejaculation during sexual intercourse or to have sufficient erection for sexual activity.
Causes
Sexual dysfunction and male infertility are associated with various pathologies (diseases, injuries, and defects) of the nerve centers in the brain that regulate these processes. Another cause is damage to the spinal sexual centers. Impotence is also related to diseases of the prostate gland, developmental disorders or injuries of the penis, and other diseases of the sexual organ. Additionally, factors such as alcoholism and smoking, atherosclerosis, stress and depression, multiple sclerosis, kidney failure, hypertension, prostate cancer, and diabetes, as well as injuries and surgeries, medications, and prolonged cycling can affect potency.
Symptoms of Impotence
The first signs of impotence often include the absence of a normal erection at the time of sexual arousal and the disappearance of morning and nighttime spontaneous erections. If spontaneous erections are preserved, but there is no adequate erection at the time of arousal, then it indicates a psychological basis for impotence. If there is an erection, but the number of daily occurrences has decreased, and the penis lacks proper rigidity, then impotence is based on physiological disorders. Premature ejaculation (before penetration of the penis into the vagina) likely indicates vascular system disorders in the patient.
Diagnosis of Impotence in Israel
Diagnosing erectile dysfunction primarily requires determining the type of disorder (psychological or organic). The most accessible methods used in Israel include monitoring nocturnal erections and the cavernosal injection test. Based on the data obtained from these tests, additional examinations are prescribed to identify the causes, followed by treatment.
Treatment of Impotence in Israel
Impotence is treated in various ways. This includes traditional medication (testosterone + adrenergic blockers) and vacuum erectile methods. Psychological therapy used in Israel is quite effective. An innovation in the treatment of impotence is intracavernosal drug therapy. All of the aforementioned methods have an effectiveness of up to 80% and some minor side effects. The most effective treatment method with minimal complications is penile prosthesis implantation, which a large number of men suffering from impotence have recently resorted to.
Prevention
To avoid impotence, a man should pay close attention to his health, promptly address the causes that contribute to the development of disorders, give up harmful habits, and avoid provoking factors.