Wendel Abel
LOSS OF nature often signifies either the loss of desire for sex or the inability to sustain an erection.
The problem of inadequate erection, referred to as impotence, is probably one of the biggest issues that a man faces. Studies have shown that one in two males will be affected by impotence over his lifetime.
What exactly is impotence?
Impotence refers to the failure to develop or maintain an erection of sufficient rigidity in order to penetrate during the sex act.
How does a man achieve an erection?
The penis is like a hose made up of sponge-like tissue. When a man is stimulated, blood pumps into the penis under pressure, like water flowing into a hose, and an erection occurs.
How does impotence occur?
Think of what may happen to a hose. Either the blood vessels become blocked and water cannot flow into the hose or there may be leakage from the blood vessels.
What conditions may lead to impotence?
Several conditions may affect the blood vessels or the nerves to the penis. Diabetes mellitus, or sugar, is a common disorder that leads to impotence. Half of men with diabetes may become impotent. Impotence may also occur as a result of sickle cell disease. Other conditions include strokes, excessive alcohol use, diseases of the kidney and the use of recreational drugs such as tobacco and cannabis.
A number of prescription drugs may also affect one's ability to get an erection. Some of these drugs are proscar, diuretics, drugs used to treat high blood pressure, such as aldomet, tranquillisers, decongestants, seizure medication, drugs used to lower cholesterol and anti-depressants.
Psychological stress can affect a man's ability to get an erection, such as stress related to jobs, conflicts in one's relationship, conflict arising from having several partners and unresolved issues about sexual orientation. In addition, anxiety, excessive guilt, depression and boredom may lead to impotence.
What does a man do if he is losing his nature or developing impotence?
This is often like a deadly blow to a man. It is very difficult for many men to accept this reality. Here are some recommendations
Seek professional treatment. Your doctor will do a complete evaluation, including a physical evaluation. Make sure you inform your doctor about any medication you may be taking.
Some men may be encouraged to seek therapy, especially if they have unresolved conflicts in their lives or issues that may be stressing them.
Drugs are available to deal with impotence. These drugs include viagra, cialis and levitra.
Lifestyle changes may be important. Stop smoking and drinking. Moderate exercise is always encouraged and may in fact help. A balanced diet is also essential. Decrease stress and conflicts in your life. Learn to relax, if you find you are always tense.
There are other interventions that may be used, such as the use of a vacuum device or implants in the penis. You will have to discuss these options with a urologist, who is the doctor who specialises in disorders affecting the male sexual organs.
Dr. Wendel Abel is a consultant psychiatrist and senior lecturer, University of the West Indies; email: yourhealth@gleanerjm.com.
