Impotence (sexual impotence, sexual weakness) is a condition in which the sexual act or cannot be completely fulfilled, or is possible only in the full volume.
Impotence is to be distinguished from the inability of male fertility, which saved the ability to have sex. Impotence is manifested by a variety of disorders of sexual intercourse (sexual desire, erection, ejaculation, orgasm), breach of its duration. There are three major forms of impotence.
Organic impotence occurs when a mechanical obstacle to sexual acts (epispadias, hypospadias, a giant dropsy of testicular, bilateral hernias, deforming scars after burns and injuries external genital organs).
Cortical (cerebral) impotence is a result of organic and functional diseases of the brain, often suffers erection, rarely ejaculation and libido. A significant increase sexual arousal leads to premature ejaculation (coming before or at the beginning of sexual intercourse), which may be a symptom of sexual excesses, Masturbation or severe neurasthenia.
Spinal impotence associated with the primary lesion of the spinal sexual centers (myelitis, syphilis, multiple sclerosis, tuberculosis, injuries). Absence of erection and slowing ejaculation observed in functional depletion spinal centers; libido remains normal.
Neuroreceptors impotence occurs in inflammatory diseases of the prostate, urethra and seminal vesicles. The constant irritation of peripheral receptors of these bodies leads first to increased excitability, and then to the depletion of erection and eyaculaciones centers.
Endocrine impotence is caused by reduction or termination of the endocrine function of the testes (hypogonadism) and is reflected in the weakening of sexual desire, and erectile. Distinguish between primary (cryptorchidism, hypoplasia) and secondary (disease of the pituitary gland) hypogonadism. For endocrine impotence characteristic features of evnuhoidizm - reduction of hair, high voice, the development of subcutaneous fat.
Treatment with organic impotence online (plastic urethra, graineterie or operation concerning the hydrocele, excision of the scars).
When cortical impotence shown psychotherapy (suggestion, hypnosis). Patients with increased excitability sexual centers is recommended to temporarily stop sexual intercourse and to minimize sexual stimulation. In the diet include more sugar and reduce spices, sauces and condiments. Good effect gives physiotherapy and health resort treatment. When premature ejaculation to reduce high anxiety prescribed drugs bromine and Valerian. With the weakening of erection - tonic (phosphorus, strychnine, Pantocrinum) and stimulating (ginseng, Magnolia-vine).
Treatment of male sex hormone in combination with vitamins a and group b in some individuals can eliminate endocrine impotence. Treatment of male sexual hormone is performed under medical supervision. Methyltestosterone appoint one tablet 0,005 grams twice a day sublingual (keep in the mouth under the tongue until resorption). For intramuscular injection using oil solution testosterone-propionate (1-5%) 1.0 ml 2-3 days. In inflammatory diseases of the urethra and prostate gland illustrated local treatment (instillation, massage, physiotherapy).