How to prevention from ED?

How to prevention from ED?      

Impotence refers to during cannot erect, man or erection hardness is insufficient, or not lasting (namely easy fatigue soft), causes not intercourse.

In recent years due to the continuous improvement, inspection method for impotence etiology also had further understanding, is now proof impotence and the following several aspects about:

1, the implement qualitative lesions of sexual excitement is the cerebral cortex inhibition to strengthen, spinal cord erectile central excitability drops. The so-called functional reasons, not implement qualitative exist, can be a long-term or sex excessiveness, make neurological often in excessive excited state, eventually excessive and failure with excitement. Can also is a chronic disease, physical weakness or excessive fatigue, is caused by the physical or mental body except by weak or neurasthenia. Another reason is from the mental factors, such as fear, sexual intercourse environmental adverse, couple emotional apathy, or thought once spermatorrhea, masturbation and worry too much, or even for a sexual function lack of sexual knowledge produced or fear of her fear of the psychological factors. Blame

2, organic reason for the elderly, each organ system lesions, drug effects or surgery, such as the impotence caused by this kind of patient even in strong sexual stimulation situation all cannot erect penis, about 60%, are summed up and implement qualitative sex of impotence reasons are:

1) nervous disorders: such as spinal cord injury, spinal cord hengduan, spinal tumors, temporal lobe lesions, but because the conductivity excited for neurological disorders and cause impotence.

2) blood supply inadequate: atherosclerosis or other vascular diseases which can lead to blood supply shortage. Atherosclerosis, such as occur in the penis artery or dominate supply of blood vessels, yi ke makes nutrition patient happening impotence.

3) endocrine disorders: mainly diabetes, the hypothalamus gland anomalies and primary gonad dysfunction:

(1) diabetes accounted for about 50% more patient happening impotence, the crowd more normal age 2-5 times, if have peripheral and plant nerve lesions and vascular abnormalities aggravating impotence, more general with diabetes degree of impotency vascular and retinopathy degree is not uniform. The main factors happen impotence caused by diabetes, metabolic disorder neuropathy Diabetes causes caused obturator artery stenosis of blood flow to the penis is reduced, and diabetes cause metabolic disorder factors;

(2) the hypothalamus pituitary abnormality, accounts for about 7 to 19% of impotence patients pituitary tumor, mainly is around, other lesions are infiltrating or pituitary blood vessels). Promote impotency gonadal hormone release for promoting factors GnRH) to a reduction in the hormone (or follicle-stimulating hormone induces luteum production hormone (LH and FSH) reduce and prolactin increase;

(3) not all primary function, common with congenital and two Japanese b encephalitis Klinefelter syndrome, such as: the former congenital bilateral no inhibits the disease. If the latter sex mumps and inflammation, vascular disease, chemotherapy or radiation therapy, etc.;

(4) cortisol increase disease, bilateral adrenal cortical hyperplasia, adenoma, gland cancer or iatrogenic lead to increased cortisol, inhibits gonadotropin and leydig cell secrete testosterone and cause impotence;

(5) the hyperthyroidism, thyroid function about 56 percent of the hyperkinetic thyroid function, but mechanism can happen impotency is unclear;

6 hypothyroidism, this disease causes thyroid hormone secretion decline, testosterone and testosterone combining globulin reduce, prolactin increase. The cause is the whole impotence obstacles to the protein synthesis of fine fine tube testicular song degenerative diseases, and stroma cells reduce involved;

Adrenal insufficiency, is behaved with angular, malnutrition, so that the pituitary gland secretion LH and leydig cell secrete testosterone reduce involved; The tumor, and the tumor 7 May occur in adrenal or leydig cell, laboratory examination has estrogen, resulting in increased change development, testicular atrophy cause impotence.

3 and other organic disease

Including:

(1) drug effects, such as metformin b organism, reserpine, methyl dopamine, Ann palace progesterone, anticholinergic drugs, estrogen, etc.;

(2) all sorts of complications, such as the perineal resection, sympathetic resection, colorectal cancer, can affect vesssed erections anatomy and learn and cause impotence;

(3), such as lead and toxic substances (two block herbicides plants grow chemicals);

(4) trauma, such as testicular trauma neutered, pelvic fractures, penis trauma, etc.;

5 urinary system diseases, the penis scleroma disease, scrotal seeper, varicocele, packet stem, scrotal rubber is swollen, etc are likely to cause impotence.

 

Venereal will cause ED?

Venereal will cause ED?      

Then, actually venereal will not cause impotence? Generally speaking, venereal, long after the regular treatment, after recovery won't get impotence.

Some people due to lack of knowledge of STDS before, I slipped and, misguided, a sexually transmitted disease, experienced a physical pain and mental tension process, although after the cure, but for sick after suffer when fresh, spirit "locks" is heavy, fear of bacteria enter the reproductive organs internal no cure, fears and his wife have sex will take all day to wife, bacteria would not worried, with his wife, sex, so that is really happening spiritual impotence, these people concern heavy, emotional tension, mentally sense and earned from his wife guilty, plus the blame or social discrimination, which adds impotence and sustain.

Actually, had venereal, just in time to formal specialized subject to accept system after the diagnosis, can fully cured, from Angle analysis, won't affect sexual function, won't produce impotence. In addition, the more important is to correct understanding, correct bad sex, obtains the wife's understanding and sympathy, will remove baggage, mood calm, sex naturally fortunes.

But, as a few venereal HuiJiJiYi, or after TouYi medicine, or ignored messy her joy, lead to pimp still aggravating, cause infection, inflammation, seminal vesicle phlogistic with formation, fistula, abscesses, various complications. Because of the reproductive system produce inflammation, serious impact on the sexual function, the situation is can produce impotence.

 

What caused the psychogenic impotence

What caused the psychogenic impotence     

1, lack of proper sex knowledge. Due to sex in families from their parents to stricter requirements; Or both parents feelings strife; In children or parents, not only developing proper sex education for their children, but always asked sexual issues, it caused ashamed to answer them for sex have a wrong understanding, think it is a kind of low-level mean thing, that they produce overweight psychological pressure; Or because of the dangers of secular behavior, let those overstate this is a normal phenomenon sexual release behavior said to be way delun lose, putting them back psychological burden; Or received bad sex information stimulation, such as yellow books, videos and DVDS of such publicity sex, mislead people sick disdainful of sexual ability, when himself as good as person, it caused a psychological pressure, etc. These conditions are likely to cause impotence occurs.

2 and nurture relationships disaccord or party has other sexual partner. Such as the failure of the first intercourse newlywed, the wife told the husband dissatisfaction, thus making the couple doesn't coordination, the husband took unhappy mood to marital; Or because her husband to his wife, and there was a third party hostile; Or the man was having an affair, told his wife lack of interest, the woman can't cause a husband sexual excitement, etc. Are the psychological factors cause impotence.

3, lack of self-confidence. For instance, in his short worry overly, don't think others so big, afraid of sex requirement cannot satisfy the wife; Or emphasize to satisfy the husband to his wife, think the responsibility if once the need, cannot satisfy the wife's own went wrong; Psychological quality is poor, or practiced in sex process when a wife, by the blame for the next had sex, still didn't get rid of this kind of psychological pressure, etc. For those who are great husband to his wife, this kind of case is relatively more.

4, from the doctors mistakes explanation. Some doctors in order to increase the income, or medical level was so bad, the patient is difficult to heal, kidney said to all the worry about their kidney patients, it seems really no cure. This will cause erectile difficulty.

In addition, there are a few patients, other diseases, or because he had had a sexually transmitted disease, cure have sequela after also worry that with their sex life, and performance of incompetence, etc. Actually, here the heave psychological factors is only part of it. In actual work, when meeting the specific problems still need to treat is respectively.

 

Smoking may cause ED

Smoking may cause ED    

The impotence of pathogenic factors is more, but the main one is for artery or vein blood is insufficient, can't maintain blood trapped in the sponge body, and send the penis cannot erect. Tobacco tar the nicotine, carbon monoxide and the rutin protein pests energy make penis artery atherosclerosis, happened blood viscosity increases, microcirculation, resulting in vascular cavity narrowing and narrow, intravenous closure mechanism heartbeats.

When these hemodynamic process can't coordinate, supply the penis blood volume significantly reduce, the penis cannot erect. Foreign studies also found that smoking the young men in systemic atherosclerosis, has happened before a few years that the arteries of the penis lesions. Currently has caused the smoking as independent risk factors of impotence. Therefore, men, in order to keep a man's penis, must smoking.

 

Youth, don't misidentification about ED

Youth, don't misidentification about ED    

Penile erectile can induce through two kinds of stimulation. One way is by man's vision, smell, hearing, touch, thinking, if watch caused the plot movies, novels, this stimulation through in the spinal cord in chest lumbav spiritual erectile central make penis hyperemia erections.

Another kind is the penis is directly stimulation, such as sexual behavior etc, this stimulation through the spinal cord di period in central make penis erectile reflective hyperemia erections. In these two kinds of stimulation, the latter to stronger. Therefore, some young consciously penile erectile shortage, is actually not suffered enough because of sexual stimulation. At the sex before marriage, such as the film, fiction than this kind of stimulus sex life after marriage are much smaller.

During sex, both sides of the body and genital touching each other, can make the penis fully, and happy life sex Ed harmonious. Therefore, unmarried youth don't put the lack of reflex sexual get erections mistaken for impotence, otherwise you will give oneself cover on the spirit of unnecessary bonds.

 

Prevent impotence, don't do too excessive

Prevent impotence, don't do too excessive   

Medical experts through long-term observation, physical exercise will not reduce sexual function, but also increase the sexual awakening ability and sexual gratification, still can improve the quality of sex and sex. Physical exercises can comprehensively improve human health, for sexual will certainly have enhancing effect. Impotence and mental tension, depression, anxiety, all have very big concern, and sports time experience to secrete more substance, including the sentiment a called endorphins substance, in high mood letting a person after motion for several hours, can effectively prevent anxiety, depression and stress occurs. In addition, sports can also improve circulation, reduce blood cholesterol level, for increasing blood supply is very good.

But everything to moderation, exercise also cannot excessive, excessive exercise easy to cause sexual desire is reduced, even can happen temporary impotence. According to foreign reports, some of the perennial marathon will appear to atrophy. If to sports such as taking reproductie hormones to sexual, illegal drugs can be more big. Damage On the other hand, proper sex can also improve sports scores, before the match of sexual activity can relieve nervousness of athletes.

 

How the diabetes cause ED? Talk from four angle

How the diabetes cause ED? Talk from four angle   

Generally think erectile nerve is affected by pelvic viscera nerve and nerve domination, these pussy sacral nerve originated in the vertebral (S2 ~ S4) in the plane of the spinal cord, when patients with diabetes mellitus neural pathological changes involving these neural occurs when impotence. Recent research data show that the incidence of diabetes impotence with course and severity is closely related, namely, the longer the duration of diabetes, the more serious illness, the higher incidence of impotence. These impotence patients with 84% exist other nerve damage, and diabetes mellitus not performance, less than in patients with impotence 12% of patients with other nerve damage.

Another according to relevant material report: diabetic patients with bladder the impotence of disorders often associated with bladder, because penile erectile function by the same nerve and spinal cord central control. Someone with diabetes of impotence on bladder pressure determination, the results indicated that 80% visible abnormalities.

Diabetic neuropathy triggered impotence, the exact cause is still unclear, it is generally thought that there are several theories:

(1) metabolic disorders doctrine: diabetes because of the relative or absolute insulin secretion in shortage, and accompanied by the stress of too much in the circulation of blood glucose discomfort factor is increased and lipid metabolism local change accordingly foundation, due to glucose activation obstacles and lipid metabolic disorders, peripheral nerve absorb glucose decrease, nerve fructose, sorbitol increase due to increased, cells osmotic pressure caused dysfunction. Not control diabetes, lipid metabolism disorder, coenzyme A necessary vinegar acetylation in low sulfur kinase diabetes, membrane formation obstacles, accompanied by A demyelinated and cell degeneration of ganglion section damage. These ill caustic usually feel whole body, motor-neuron, nerve root, spinal cord and the autonomic nervous system.

(2) vascular disorders doctrine: diabetes is the most common chronic complications of diabetes vascular complications, also is the main threat to the death, disability. Diabetes can make the hyperglycemia blood-clotting heighten, red deformation property is abate, platelet clumping function abnormal increase. In capillary pathological changes, there are high perfusion, high filtration, etc, microcirculation, dynamic change oxygen, the basement membrane thickening and composition change involved. In addition, vascular endothelial injury theory is the hot topic research in recent years, � PGI front row ring hormone (2) after the endothelial synthesis released into the body blood concentration in diabetic patients, reduced significantly, and weaken the vessels to dilate and platelet anticoagulation role, fibrinolysis enzymes from the vascular endothelial activation factor releases quantity reduce blood clotting, increases the sexual heighten. Because blood stream is slow, blood capillary basement membrane thickening, ischemia heavier.

Insulin is diabetes metabolic disorder is one of the important factors vascular disorders. Diabetes insulin secretion relative shortage and absolute lack of. Insulin overmuch can stimulate arterial smooth muscle hyperplasia, strengthen cholesterol and fat synthesis and deposition in blood vessel walls. Insulin is less and less, because of lipoprotein cleared after hematic disease caused by high lipoprotein. So too are less insulin can cause atherosclerosis.

(3) vitamin deficiency: someone found diabetes patients reduce vitamin B clan concentration. Vitamin B participate in various metabolic body was put forward for people with diabetes should long-term supplement vitamin B clan.

(4) stress theories: diabetes is caused by environmental factor interactions a syndrome. Stress can make the diabetes increase or worse. Due to the stress in the hypothalamus, the brain cortex of neuropeptide active strengthening, between sugar metabolism, caused lipid metabolism, endocrine dysfunction, make the abnormal further deterioration of peripheral nerve.

 

How diabetes cause impotence?

How diabetes cause impotence?   

The etiology of diabetes causes impotence are not entirely clear, with several factors could about:

(1) the general thought by pelvic viscera erectile is pussy nerve and nerve domination, when diabetic patients appear mental derangement rational change involving the pelvic plant nerve and nerve, pussy will cause impotence.

(2) diabetes can cause endothelial happen pathological change, often involving the systemic large and small blood vessels. When diabetes vascular lesions involving when penis sponge body blood vessels can cause erectile dysfunction. Diabetes patients vascular antrum stricture, be hemal wall calcification and vascular intima change, can affect the blood supply of the penis caused erectile dysfunction.

(3) diabetes can cause the endocrine abnormalities, causal relationships is unclear, may and diabetics dysfunction, male hormone secreted too little about.

(4) diabetes is associated with high blood pressure, coronary heart disease and cerebrovascular diseases that need the service uniforms some antihypertensives and diuretics and beta blockers, these drugs can cause or cause impotence sometimes.

(5) mental influences. Diabetes patients need long time control, drab, long-term drug, often laboratory tests, patient majority has certain mental burden, this anxiety also affect sexual function.

(6) period insulin-dependent diabetes, with insulin can accompany the retardation organ in adulthood, and affect sexual function.

 

Investigated the etiology of all kinds of impotence etiology

Investigated the etiology of all kinds of impotence etiology 

Impotence is divided into primary and secondary, primary impotence in second period before sexual function, drop, or by times also cannot penis into person; Secondary impotence is by former had normal sexual life, but later erections occurred disabilities. Still others, only in a backlog of cases to deelop impotence. Occasionally temporary penis cannot erect in fatigue, the mood restless, alcohol, etc. According to impotence and can be divided into spiritual causes impotence and organic impotence.

Spiritual impotence mainly due to the nervous system function change and cause impotence, (1) in sexual development process had mental trauma; Lack of sex correct understanding; (2) the mental strain, anxiety, depression, lack of confidence or fear; (2) the relationship between husband and wife not harmonious, lost love each other; (4), due to a physical fatigue caused debilitating advanced nerve activity dysfunction, which led to the impotent; (5) had frequency or long-term sex can kick, may also cause sexual central nervous system disorders, by too much excited turn to restrain, and appear impotent; 7 because of his drinking, smoking, medication caused by such factors as advanced nerve activity suppression, also can make men appear impotent; 7 at the spouses long illness, death, or after divorce long-term no sex, also can appear impotence.

The etiology of organic impotence: (1) the reproductive organs disease: the penis congenital malformation, small penis, hypospadias, tumor or tuberculosis, etc. (2) the systemic disease: cardiopulmonary function is not complete, diabetes, hyperthyroidism, serious neurasthenia, vascular diseases, etc. (3) drugs: a diuretic, hormonal, treating mental illnesses drugs.

Spiritual impotence performance: (1) by mental factors, more like feeling cold, fear, anxiety and fatigue. (2) the selective or intermittent, can be changed objects of different spouse or because of the environmental changes. (3) reaction ability with sexual desire. (4) blood testosterone normal or low.

Performance: (1) the organic impotence happens at suffering from heart, lungs, liver, kidney and other vital organs diseases or by endocrine diseases impact or for drug poisoning. (2) Yang is ongoing spasm aggravating, do not suffer a spouse or environmental changes. (3) the sexual appetite decrease or sexy disappear. (4) blood drop in testosterone leels.

 

Four big trouble cause ED!

Four big trouble cause ED!

The first failure occurs in erections 14 months before, then they faced a long-expected "oviposit period", the doctor wormed through club to woman's successful treatment on Finn to ovulation, was "almost ready, only owe dongfeng". The doctor specially ordered them to relax and positive as possible coherently these days of sex. In planning sexual intercourse before they drank half a bottle of wine, however, he failed to set successfully erections. The next day as a struggle to still occurs only partial erectile and was unable to complete sexual activity. Since then, he's even worse, erectile status to sufficient stimulation also can't get an erection. Morning erectile increasingly rare, but still has a certain degree of hardness, but his wife is hate in the early morning fuck.

In order to prove their sexual ability, he went to visit the past girlfriend, he started as still maintain good sexual state, unfortunately when formal sex, he also not line, result instead of by his girlfriend put-downs. After hormone levels, blood sugar, both inosine assay examination did not see such as abnormal. The first visual pornography stimulation test without erectile or swell, the second trial of normal and fully appear erections. In view of the results, explained that his erectile dysfunction is mainly heart rational. Because be in three generations of infertility problems request, he suffered too much on the pressure, especially in oviposit period from the doctor and his wife before the "mission" cause strong nerves, then cause erectile failure. Can put his heart rational to "sterile syndrome" vitalizing the category. Through a few weeks of psychological therapy, their problems are improved obviously. Another 54-year-old company manager complained of 2 years appear erectile difficulty. His marriage live a happy life and has been through 25th wedding anniversary. The past sex has been the rule, but happy. Problems occurred in a traveling, the wife worry was found, so has been avoided sexual intercourse. However, one husband drank not a few wine not importune sex not, because his wife is not willing, resulting in a long period of prevarication and disagreements in the process, his erectile disappeared. When they returned home ready when sexual intercourse was suddenly interrupted the visitors.

Because the two "unfortunate" encounter, he felt very nervous, total fear fail again, so start avoid sexual activity, erectile difficulty criterion gradually deteriorated. He is always in sexual activity at own reaction degree. At first he thought erectile problems is the influence of age, but unwilling recently had a ZhiTianMingZhiNian washed-up, finally decided to QiuZhi. After thorough check-up did not find any organic problems. Night erectile test completely normal. With the doctor's analysis and guidance, they began to understand they met was just a fairly common dilemma, many couples have experienced these problems. Just because the man to the two accidents caused by error generated for understanding the sexual difficulties, then erections bystanders evasive and sexual response is further increased the resistance of the normal exertion. After proper psychological and behavioral therapy, the patient's problems can be solved, achieved significant results. Treatment Introduced above is psychogenic impotence of two typical cases.

Cause a common cause of heart rational impotence four reasons including the

1, the bad feelings of sex of successful first is due to fear, many are in the process of development of negativity and mental trauma. In their life experience accumulating socialization process often to accept many from family or social feudal traditional ideas, the sex a negative and negative attitude; Early experiences or incest experience; Gender identity confusion; Cold, lack of physical affection parents role model. Their parents were displayed in the period of sexual health interest punishment; Mother too autocratic, make self imagine hurt; The failure of first sexual intercourse try to bring heavy psychological pressure; All all these take their sex as dirty, evil or dangerous. So in sexual any success will happen with their sexual concept serious conflicts. Primary impotence to successful see more fear. Second is the fear of failure, secondary impotence many see the fear of failure, total worry can't make normal response as they used to produce, such as anxiety or depression. In fact, more than half of patients with impotence premature ejaculation history with.

2, to their own bad feelings they often lack of self-esteem, self-confidence, full of inferiority, depression or body like feeling is very poor.

3, with their partner's bad feelings between lack of communication; partner Ou gas; Couple of fear and fear; Couples with lack of trust and even a generalized resentment; With a partner libido synchronization; Sexual values and interest not harmonious; Less attractive partner flesh.

4, other bad feelings of ignorance or error of sexual knowledge; Operating expectations; Awful fascination meditation; The excessive attention to sexual behavior and take on the sidelines and aesthetic potential attitude, not commitment; Iatrogenic effects, such as in male vasal ligation doctors of inappropriate comment made the patient about her sexual ability; to have doubts Fatigue, overwork tension and pressure is too large; Widower syndrome, refers to the long-term sickness, death in a spouse or divorced appeared after the impotence. Essentially does not exist will inevitably lead to the psychological factors, erectile failure because there are in the same situation man not all appear sexual difficulties. People aren't successfully explain how these factors blocking or destroy a minority of the sexual response, also don't see anxiety has inhibitory reaction, so the direct approach in psychological problems and there may exist between erectile failure in some unknown connection, someone called the missing link, it is probably the limbic system and spinal cord directly between erectile central nervous inhibition, perhaps is a neurotransmitter in action.

In short, the above all sorts of factors all can cause anxiety, fear, anger, depressed, and other types of emotional response, also can appear cold, bored, disgust, etc performance. These reactions and performance in the role of senior and junior central, ultimately affect the penis physiological function. However, most psychogenic impotence to mental and behavioral therapy reaction was very good, if not sick on TouYi and confusion, the prognosis still quack when is very good.

 

Know about vein sexual ED

Know about vein sexual ED

People also invited psychiatrists consultation. Despite the debate, but bull always persist one's old ways, "sit bosom not disorderly", and finally tore myself put these few head expensive kind of cow slaughtering off. After anatomy examination people was surprised to find that the problem in the cavernous and venous drainage systems, covering the white membrane unexpectedly spongy there exist some cracks and veins are interlinked, so how much blood is always go to how many, of course, are difficult to maintain erection and due hardness. I didn't think of that few bull sacrifice for people to know that the important leap. Impotence

According to reports in the literature, vascular impotence is organic impotence in the highest incidence, vascular impotence can be further divided into artery sex, intravenous sex, arteriovenous mixed three types of sexual impotence, in which most people vein in vascular impotence attention, the vast majority. Intravenous leak majority is spontaneous, its incidence increased with age.

Vein causes of sexual impotence is not yet clear, supposedly can include the following:

(1), the penis sponge body exists or generated the diameter too bulky or excessive number of venous blood vessels, excessive vein is probably innate (patient will be primary impotence), may also acquired (secondary impotence). Congenital or Japanese b encephalitis intravenous valve relatively close not whole; Intravenous containing scar; Intravenous elastic along with the age and drops.

(2), white membrane happened degeneration and thinning and feeble, lead to guide veins and white film next venous oppressive power shortage, this may be aging, scleroma disease or many unknown reasons. White film can also exist congenital or acquired leak gap. For example, old man penis sponge body in white film neurotransmitter receptors anomalies of change, make elastic fiber function disorder, can cause erectile not Kennedy, become one of the reasons why leakage vein.

(3), cavernous direct damage such as smooth muscle atrophy or fibrosis can prevent blood sinus of sufficient expansion and the venules oppression. These compliance loss may be diabetes or atherosclerosis and other patients common injury, atrophy or degeneration causing. Cavernous group also can happen collagen fiber increased and make elastic abate.

(4), the neurotransmitter inadequate or inappropriate release, leading to blood sinus cannot very good relaxation, also make the vein blocking failure. It could be because psychogenic or neurological, also may be smoke inhalation too much nicotine, excessive adrenaline can activities to enhance the stimulus alpha receptors and make blood-vessel tension increased.

(5), whether congenital or the Japanese b encephalitis penis sponge body and urethra between vein traffic a spongy can cause impotence. Japanese b encephalitis caused by the may be trauma, also may be treatment caused when priapism puncture.

No matter what the situation, the intravenous sexual impotence are the penis sponge body venous system anomalies, make the sponge body pressure da is less than 80 MMHG and erectile process cannot effectively reduce venous return and a large number of blood to go from vein, thus making the leakage of your penis not establish a short time or erection. The distribution of leakage from the penis vein degree and see, can be divided into the following kinds:

(1), penis deep vein leak: back) could be back around deep vein, penis vein plexus and bladder lateral vein plexus enhancement.

(2), glans penis sponge body glans penis leak: imaging visible and urethral cavernous enhancement.

(3), cavernous vein leak: imaging visible penis feet or deep vein and genitals penis inside vein enhancement.

(4), superficial vein leak: visible bulky superficial vein import saphenous vein, femoral vein or spermatic vein, spermatic vein plexus.

(5), complexity vein leak: two or more vein leak also present.

In 1-4 each type of deep vein leak back, the penis is the most popular, can be occupied 85%, but simple deep vein leak back accounts for only one of the 1/4, the remaining three/four for complexity vein leakage. This means that if not careful to points of venous sexual impotence according to different types of type and adopt different vein leak operation method cannot be achieved good curative effect, the past indiscriminate separate ligation deep vein failed to reach back at an ideal result is the inevitable result of the people to recognize the shallow. Ligation operations at best just take temporary solution method rather than the fundamental means, so thoroughly again ligation hard to ensure the long-term operation and effect. Preoperative patients should be carefully selected, sufficient preoperative evaluation of the venous anatomical have thoroughly understand, have adept surgery, the high success rate can ensure surgery. From the above pathogenetic mechanisms analysis to see, for the first one and the first five mechanism of sexual impotence, whether intravenous repair leaks gap or ligation overmuch vein are expected to get better operation effect. Unless the illness is very light, not recommended to these patients injections to chemical prosthesis method, otherwise the drug will soon enter body, cause systemic drug reaction. For the second and the third vein for sexual impotence, unless lesions are very limited, or unfavorable implementation vascular surgery. Fake implants are more appropriate. As for the first four vein sexual impotence patients to treatment should be highly individual: heart has serious patients must choose rational factors and arrange psychological treatment; Can be used for neural murky small doses of the penis sponge body vascular active drug injections.

In order to better illustrate the sexual impotence, vein, we can see it is a typical cases:

An unmarried man has repeatedly tried to sexual intercourse with his girlfriend and never fails to complete inserted. Physical examination, found that the man strong body, no noticeable past medical history and surgery history. He complain can normal reach sexual arousal, the penis respond to sexual stimulation reaction very rapidly, with morning erections. His main problem is erectile hardness is insufficient, erect only 40 ° Angle. In the penis sponge injected into the body also can achieve after poppy alkali 45 °. The penis sponge body imaging showed blood can be freely to the glans penis sponge body leak by, and can also in prostate vein plexus, pussy veins and double iliac within venous system within that contrast enhancement, see is serious, intravenous leakage belongs to complexity vein leakage. To execute surgery in each found near the penis sponge body cutting-edge parts have a nearly 5 mm long fissure and leads to sponge body organization, leakage is occurred here. The doctor stitched the fracture for several days after he can already normal erectile. Two years later when he has married follow-up, had a child, again not meet erectile difficulty. In other cases, the patient previously has a normal sexual function, until 45 erections occurred difficulties, interesting is his impotence occurred in six months ago after quarrelling between couples, this is they get married for 20 years noisy loudest time, afterwards, but both sides separation half month after two together that man's sexual anymore. Although still morning erectile, but hardness has very poor. Imaging found back the spongy deep vein leakage. Surgical ligation and resection and its major branch back after deep venous disease has greatly improved. Postoperatie histopathologic examination revealed vein contains scar tissue. So why fight, and former sexual is good after separating half sudden same success? The patient himself the reason is: "analysis of more than half a month to have no sex is like dry heating boiler is same, vascular probably to burn fry", but from the medicine to see this is almost impossible. We can only give such speculation, intravenous lesions, but can already exists original compensatory, when there are certain after quarrelling between couples from neurotransmitter inappropriate, the influence of the release of compensatory will disappear, the result of sexual impotence recessive vein publicity.

Note that this recessive vein leak case is not rare, because in some have normal erectile capability in the man can see becauce of the leakage. Their clinical significance is awaiting further in-depth study and research.

 

What is about the iatrogenic impotence?

What is about the iatrogenic impotence?

In each case, a common reason is a doctor of patient erectile difficulty etiological role played. This may be due to ChuYanBuShen or advance no and patient explained, is also likely to be patient for the doctor's guidance, explain, or due to occur misunderstanding authority figure, or some of the language too detailed explanation. Sometimes impotence in the treatment of other diseases can appear, such as infertility, heart disease, need surgical treatment of diseases, etc.

Erectile difficulty can also be made by inappropriate sexual treatment, regardless of whether they ever caused a sexual dysfunction, or accept the retrograde ejaculation to not or treatment, patients were possible impotence. In addition, in such sexual knowledge education, patients because of the reasons or understand cultural level of sexual knowledge of deviation, and some problems of the understanding of errors, can also cause iatrogenic impotence.

So, as medical staff, for patients in doctor-patient process, must pay attention to language arts, especially to sexual relationship more should do well in the disease correct guiding and explanation, otherwise you will give patients cause unnecessary trouble and mental stress.

 

Talk about the pituitary sexual impotence

Talk about the pituitary sexual impotence

Man's large pituitary (by the pituitary gland) control, the hypothalamus through two different way to adjust pituitary medial and pituitary leaves activities. After In the hypothalamus synthetic nerve with pituitary hormones control 6 major mesophyll synthesis and secretion of peptide hormone, and pituitary hormone then regulation peripheral endocrine, such as thyroid, adrenal and glands. When pituitary medial function fully or partially reduced, the signs and symptoms of performance depends on its basic etiology and lacked some specificity pituitary hormone. Most patients are often can't feel anything unusual, but occasionally could suddenly attack or rather fierce.

The earliest missing is often gonadotropin, then appear promote growth hormone deficiencies. When the thalamus damaged the hormone secretion are all reduced, with low thyroid function, adrenal function of low performance, occur hypotension and lack of tolerance for stress and stimulation, so patients with pituitary sexual impotence for pituitary function, one of the low syndrome performance rather than separate disorder. So in treatment is comprehensive, and treatments such as the primary cause of tumor resection, and other key bystimulating treatment measures. Only remove the etiology, impotence can get treatment.

 

It's hard to believe that those things will also cause impotence!

It's hard to believe that those things will also cause impotence!

Although there are many factors lead to strong man sicken, experts say: sexual problems, largely because of spiritual, the psychological and caused by such factors as sex way.

As strong body strong impotence

Blind kidney not desirable 30-year-old stojakovic sir, well-built and faces with red light, your voice loud, like an "". Can he have already been married for half a year, although libido hyperfunction, but every time always happened premature ejaculation sex. For this young couple, he is always stroppy dust. The mental stress, his sexuality will slowly drop down. Mr For son Elijah the father will buy him worried, some "aphrodisiac" medicine. But take, not only the effect, after appeared instead canker sores, gums bleeding and other symptoms.

Doctor chan told him: doesn't exist "kidney" problem, so eating "aphrodisiac" medicine bring nothing but only a hundred profit. Although "aphrodisiac" can improve the quality of man sex, but it may affect sperm activity ability which affect. Therefore, take "aphrodisiac" from another point of view may affect a man's fertility.

Doctor chan analysis: the disease is because Mr Jia excess dampness heart-qi deficiency.it in ", premature ejaculation ". And many newly-weds like inadequate experience, sex is the main reason. Therefore, the article not only didn't take aphrodisiac on because of the heat efficacy, but appeared instead heated, oral ulcer, gums bleeding hot symptoms. The case illustrates Mr Jia two problems: one is the impotence premature ejaculation is not the same thing, but with the result of severe with impotence premature ejaculation nearly the same, so it needs to take seriously. 2 it is not only a "strong sun method" to treat impotence, "xie also holds the problem can be solved. Therefore, I knew only pure "strong sun" is not advisable.

Doctor chan for jia sir lasted 3 take "the treatmentresult purging fire", and he wrote a little note, let him not to see, to his wife: "your husband is in good health, sexual function also does not have a problem, soon will become good husband. Now you have to do is: he wants you to stem what you will do, I wish you happiness!" After three days, the "disease" Mr Jia.

Working strain cause premature ejaculation

Mr. Chen 45 years old, senior engineer. 1 years ago because of work needs to be superior departments entrusts with an important task, being a large-scale enterprise, the person in charge of the daily work of the total sunset night, often reach over 12 hours. Always feel that year, physical dropped significantly, especially in the couple already doing nothing, and their sex life every 1 ~ 2 months hardly have 1 times.

Doctor chan asked him take any medicine? He said major of TCM is one. Prescription has velvet antler, medlar, actinolite, morinda officinalis how, seals, such as kidney. "You take these pills, nothing worked?" "It was not, after taking these drugs commonly, the night and morning erectile function improved, but some cannot reach had sex. And the strength, and later add some other symptoms: spermatorrhea, thirsty, poor sleep, a nervous perspire. Sometimes want to have sex, haven't played just '", I originally discharge." that's not "You have physical exercise time?" "I used to work more onefold, can insist on physical exercise. Since a year ago I served as director, the working busy not over, which also occasion. Besides, factory exercise over the loss is too big, to reverse losses not easy!" Mr. Chen added that his wife had been very understand him. At present, the work already regulate factory are more comfortable, but haven't seen any better but sexual function.

Doctor chan for him to check, "he said after the symptoms from you now see, should belong to functional erectile dysfunction, and work and mental tension has a direct relation. Besides drugs besides, still hope you can relax, from psychological adjust yourself. Or take time everyday persistence aerobic exercise half an hour above, if don't have the time, at least the next day will exercise 1 times, anyhow decompression still have to depend on you!" Doctor chan as he opened the medicine, and told him that his disease to need, rather than qi shu liver aphrodisiac.

Doctor chan analysis: overwork nervous, day long hurt liver, make the sun is difficult to access. This kind of patients more clinical, most people say because patients age on the high side, kidney deficiency, and large decline has chosen the kidney medicine, it served aphrodisiac is not scientific. Therefore, the patients ShuGan XieYu, help YangTong by pulse method alternatie fine effect.

Should become angry hurt liver cause impotence

Farmer brother less than, 34. 2 months ago and people underwent a ", morrow feel chest suffered ", and emotion stalking bilge full excitable doesn't like talking, change the habits, often with wife noisy. This thought for a few days, which would be better known flank pain symptoms unabated, and also appeared penile erectile dysfunction.

Doctor chan analysis: people tend to think of angry will hurt liver, sad, but not necessarily know anger can also cause erectile difficulty. But the fact is proof, furious angry often leads to the man's sexual drop, even impotence.

In order to match the medicine, doctor chan charged xiao li's wife and from now on, don't give him any pressure, he now body some discomfort, still need to his wife's care and the coordination. Advice to ease their attitude, to tourist attractions to play relaxed.

Dismal Yang don't lift

29 the bleak work in the long run, wang environment. At the beginning of the marriage, but sex will still not satisfied. To each QiuZhi, many are diagnosed "spiritual impotence".

His doctor chan said: "like no other what symptom, can eat can sleep, however, more than others fear of cold in winter." Doctor chan ask him: "usually have any other bad feeling?" He replied: "scrotal often feel cold, every event in room much cold pain, sometimes traction in the lower abdomen. Cold." even knee also pain

Doctor chan analysis says: long cold stimulation to sexual will have certain effect of traditional Chinese medicine thinks, this with the male sex activities are consistent kidney Yang careerism. In the summer libido and sexual behaved well, is this truth. And everyday life, try to make a comfortable, changes of resilience, sex, body before beneficial stanza. He thinks the constitution because of each different, eating habits are also different, accordingly, not everyone would because of life and working environment problems appeared sexual.

Doctor chan prescribe medicine for him and told him to end work properly do some sports, when sleeping, do local massage, scrotal, bubble bath at ordinary times attention again go, if there are conditions, regular dipping pretty good also.

Alcohol sex incompetence

37 ShengTing Mr Xu is a one of the administrative staff. Official business, drinking more dull. Not only the body suffer, and add a "sexual incompetence". Many see the doctor, the effect not beautiful, still serious impact on the couples.

"In that dinner tables where is eating, completely is a kind of pushed all the drudgery of pushing off. I had a teetotaler, now 1 bolton will infuse 1 catty! My body completely spirit erguotou finished, can't satisfy his wife's sexual demands." Mr. Xu painful talk. He said he always has the feeling of giddiness, ears are often like cicada sound the same, evening sleep, and much dream, often feel numbness, serious when joint stretching all don't agile.

 

Do not worry about the occasional sex "impotence"

Do not worry about the occasional sex "impotence"

This is a very natural and very prevalent phenomenon (in addition to the individual is by checking diagnose outside the person that a qualitative change. Most men can correctly, calm view and naturally to accept the fact that their psychological has not received any damage, and quickly returned to normal, continue to their sexual experience. However, there are a few men are mood this anxiety and worry, worry had one-time pay difficulties, his sexual gave an issue, later still occur or developing more and more heavy. They always paid attention to their sexual performance, penile erectile change is the important content of their own concerns. If the occasional penile erectile difficulty again, they just confirmed the diagnosis of "impotence". This part of people finally often become spiritual or psychogenic impotence patients.

Thus, only have enhancement to sexual knowledge and correctly treat their sexual ability, strengthens the self-confidence, never-failed position. Some people appear incidental penile erectile difficulty, not entirely sexual factors of the cause, it is in close relation with environment. Some people go on vacation sex ability, in the home is not normal. Some people find use of contraceptive tool sexual excitement is restrained.

 

Is male sterilization operation the hidden danger of ED?

Is male sterilization operation the hidden danger of ED?

Generally speaking, be in namely male sterilization operation cut two small incision scrotal skin from conveying the sperm, find vasectomy cut, ligation will do. The intention is to prevent sperm injection, achieve the purpose of infertility. This operation does not affect sexual desire, erection, more do not cause organic. But many men from the companion or inclined heard some fallacy, who's what operation injury vigour, just not a man the ligation, surgery sexual ability no longer than before, and so on. Some people lack of male anatomy knowledge, basic mixed sterilization art is what happened, mistook and yan pigs like to surgery, panicked.

Some male, trombone form, 36 years old, have a son, a female. Wife caesarean section when massive haemorrhage, ailing times obstetrics and gynecology doctor said unfavorable take nine and an intrauterine device. Advice tubal ligation. Husband love wife, cannot bear the pain of wife any surgery, decided to make the sterilization. Neighbor heard and said after the deceitfulness of it the sexual capacity of postoperative anymore, "isn't as good as before. Person in urology outpatient service successfully performed the operation. Home for the day after surgery after sexually worry, also ate a lot of so-called aphrodisiac such as deer whips, bullwhip category. Two weeks after the first sexual life was all cannot erect. When it was introduced to find a psychiatry, the wife cooperation, cured this problem.

Male sterilization of intraoperative if is forced to spiritual, occurring more of impotence. Still others surprised to find in a period of time after the sterilization, their sexual interest enhancement, intercourse longer duration. For example, a 40-year-old chief accountant said: "I have two daughters and a son, in the factory the infirmary work, love, younger than me, two years old. Last year I made men after the sterilization, discover the libido obvious enhancement, duration also by the previous seven, eight minutes, this is increased to a quarter of sick?" After questioning that they married contraceptive methods are not safe, wife once did five times artificially. Therefore, both sides during sex ZhongZhong for pregnant and worried. Consequently, the accountant surgery mental pressure has no any accidental pregnancy and never worried for, so he completely not sick.

Beijing (jinsong section male LiShangPin doctor, in 1964 to statistics 1966 124 of vasal ligation of men, they are all 28 a 54-year-old non-infected persons have workers, farmers, intellectuals and government cadres, these people in to do the surgery after 18 years, healthy body, the sexual normal, no case occurred impotence. Few postoperative local produced scleroma, but three months later was completely faltered. One other person with mild postoperative wound infection, but a week after treated with antibiotics. LiShangPin doctor summarizes the successful operation of this group after surgical ligation, said whether vasectomy affect sexual function, is people the most concern. Anatomical and learn from view, the surgery only block the vasectomy, does not affect men, do not affect endocrine function of feeling, so no impact on sexual function, is a safe and effective ways and measures.

Dr. Li said that 124 cases surgery is in the 1960s medium-term do. At that time, the operation of bad conditions, most operations at health clinics office of the inside of the house or farmer. Surgery less high success rate and postoperative infection, and explains the medical personnel with strong sense of responsibility and superb technology. 20 years later, know how much medical conditions improve, do this kind of operation is a safer place.

Vasal ligation is a long history of the male sterilization operation. Since the 19th century Swedish and German doctors performed an first ligation later, in a hundred years, a large number of male world to voluntarily accept the surgery. According to the world health organization 1982 statistics, in 1960 to 1980 in the 20 years, the world has more than 4000 people to accept the surgery. India in 1972 a 1976 11 years there are 11 million men do this kind of operation. People, it seems, for the vasectomy ligation postoperative without health and sexual function worry! This is a safe and reliable operation.

 

Is ED relevant to age?

Is ED relevant to age?

One group of survey data say: incidence age 20 to 0. 1 percent, to age 60 to 18. 4%. This kind of situation and other organs, belong to the same functions declining normal process. But another group of material says: 70 percent of men at age 60 still regularly sex; Even in 78 years age groups and 25% of the people still within proponent of life.

This shows, not older will be suffering from impotence. Old people should realize with age, sexual, increase from exuberant to recession is normal and inevitable, don't demanding sex must reach the. Actually, love, romance, and even through the contact can be reached so organ in some degree of excitement and satisfied.

 

How to distinguish the real thing impotence or fate

How to distinguish the real thing impotence or fate

Months ago had a newly-married husband and wife LaoCha not because when QiuZhi with impotence, after its erectile normal, again check his wife found that is hampering the septum penis insertion vagina after surgery cured her success. This example common occurance. For ordinary people, it seems, is not very clear the concept of impotence. International impotence to learn to impotence definition is: "when sexual intercourse penis cannot effectively, cannot satisfy the sex Ed." Americans will be more impotence explained to because the penis cannot erect, or erectile not Kennedy, unable to insert the vagina, or inserted in process of soft, make intercourse withering cannot carry out. Accord with this situation can be called impotence.

According to the domestic and international survey material, impotence patients accounted for about 10% of adulthood, and along with the age and increased, in other words, one in 10 couples for impotence and not having sex with satisfaction, this is a lot of proportion. Cause impotence reason is more complex, six, the 1970's that psychological factors more predominant in recent years, with the application of advanced testing equipment, found that more than 80% is qualitative, part of a psychological factors, and merge medical general will impotence into modernity heart rational (also called spiritual or functional), vascular, neuropathic, sexual impotence secretory and drug within. From another Angle can divide again for primary, secondary and circumstances sex. Here or aggravated impotence caused mainly about the mental factors. Some people in work tension, overworked, drunk, illness or because of certain things form a larger psychological pressure will temporarily appear or erection cannot erect penis is not strong, and with the above factors, the phenomenon of the disappeared, and restore normal erectile, this is no real impotence. But after the temporary "impotence" continued existence and the above factors for "impotence" and increased anxiety, depression, shame, inferiority and so on the new bad psychological, if plus wife not understand, blame, even laugh at sarcasm, could make this temporary phenomenon into appeared again and again even long-standing sickness, also became really impotence. But the most trauma patients has impotency self-esteem, patients will therefore and guilt, and during sex, but trying to erect again ambition. For erection is not mainly by voluntary control, the more you want to erectile it but more not obedient, aggravate the anxiety, lost confidence, and psychological unbalance and adverse psychological factors and promote impotence the aggravation of the illness.

Thus, impotence and bad psychological will form vicious cycle and gradually aggravating, whatever impotence, if not overcome the psychological treatment effect, it often does not very ideal. So, for various impotency treatment must first psychological persuation and remove the psychological burden of patients. Some impotence is by psychological barriers of early even period caused by be aware of not easily, or the unconscious caused adverse factors, it is more should undertake psychological treatment.

In addition, the western at present relatively and effectiveness of good sexy intensive training method is introduced to all, also might as well. This is a kind of by couples with the behavior therapy, it mainly aimed at the heart of the error behavior patterns rational impotency ─ ─ (penile erectile ─ ─ worry about failure ─ ─ contact her genital weakness ─ ─ sexual failure penis ─ ─ anxiety) which was founded. By expert guidance to learn the right patient couples sexual behavior patterns, namely from touching each other, touch, hug, step-by-step, began the stipulated time operation. In this process, not asking the sexual intercourse, i.e. don't self-inflicted must successfully inserted psychological pressure, but concentrate to feel mutual give pleasure, and understand what the intercourse and skilled movements can make the other side be a pleasure, and gradually increase your confidence and fun, eliminate anxiety, after four to 12 weeks of training, the original sexual dysfunction will naturally be overcome. This kind of training to specialist consultation details can be.

Domestic head-on rational impotence used more noninvasive male genital instrument for treatment. This instrument simulation and passive erect penis vagina, make patients observing your penis eyes in the whole process of expansive straight to establish yourself can also erectile confidence. Because of its aim is not to immediately from the sexual intercourse, therefore can psychological anxiety and other obstacles for natural erection. This instrument can improve the penis blood circulation, stimulate and promote sexual nerve centre, the reconstruction of benign erectile reflected in more than 80% of success.

The use of imported from abroad, and made the E1 ding, poppy alkali etc vascular activator injected can make those except vascular impotence outside of your penis an hour above, enough to meet demand, the wife of sex is a kind of impotence differential diagnosis method.

Find a specialist asked disease, do some necessary body can be differential diagnosis of detection of all above impotence. For vascular impotence, there have been several effective surgery for the endocrine disorder, cause impotence can also be targeted therapy, caused by long-term medication may be through impotence stop taking the drug or regularly replace other drug and improved with effect, even trauma loss and result of impotence can also neural implants to complete sexual intercourse. Traditional Chinese medicine treats for the impotence dialectical every obtain fine effect, also itcwm is curative effect is better.

 

Spinal cord injury will cause impotence

Spinal cord injury will cause impotence

Damage is located in or higher than the cervical C4 to C5, can cause completeness limbs. If be located in C6 and C � cervical between July, can make the legs, wrists, hands attack. Damage such as located between with thoracic T11 T12 can affect laptop and knees leg muscles. Above injuries, which are can appear different degree of sexual obstacles such as erectile abnormal, impotence, etc. When damage is located in thoracic T12 to lumbar L3, can appear more serious sexual dysfunction, because the sympathetic thus dominated forth. When damage to the first 2, 3, 4, 5 sacral nerve or spinal cord cone, not only appeared to restore impotence, also can appear, the urine incontinence.

When the spine trauma occurred spinal cord injury, especially damage lumbosacral region nervous when can appear permanent impotence, the serious injury by nerve tissue or neurodegenerative process is not restored, is permanent. But oppressed nerve tissue often can resume its function. One week after an injury, if restore some action or feeling, then predictor of the future a good recovery. The penis neural control is a two-edged by sympathetic nerve fibers, both the domination, again by parasympathetic nerve (S2 ~ 4) command. Any function obstacle for six months and no progress, often will is permanent, so patients with spinal cord injury such as impotence, happened in half a year, which is unable to restore normal for a permanent impotence, with medication and general any other treatment effects are not very ideal.

 

Elder friend: be careful about impotence!

Elder friend: be careful about impotence!

As people living conditions and health, medical conditions, improve the survival of age have extended, quality of life, the requirement also enhances unceasingly. China also is entering into aging society, the division of age in the age, at present our country back into the five years, think back 65 to 75 into old age. From speaking, the body from the change, the male sex hormone testosterone after 55 years in the blood already reduced to normal level, but fall under very slowly, to 90 degree are still some around the age of testosterone secretion. In addition, the sex organs of shrinking, performance for testicular volume narrowed, sperm production, fibrous tissue, reduce the spongy increased flexibility is abate, the penis degenerative change intravenous happen.

As people life style changes, the improvement of living standards, old people suffering from high blood pressure, diabetes and coronary heart disease of disease severity, these few endangering the elderly to the elderly health and also has direct influence sex. Impotence is most common in older men, this is one of the sexual dysfunction as a result of the patient in a tense psychology, worry about sex process will suddenly increased blood pressure, afraid of sudden onset of coronary heart disease, angina, sex happen fear. The probability of diabetes occurred impotence is very high, some material reports for about 60. Diabetes patients occurring impotence have pathological factors have psychological factors. In addition, some old people because of illness, need to long-term use of some drugs, some drugs can cause impotence, such as beta blockers, certain blood pressure drugs and some diuretics, etc, but these drugs in treatment must be used again. And some senile disease such as hyperplasia hypertrophy, tremor palsy, urinary diseases such as cancer, stones, which can reduce sexual and happen impotence.

The healthy elderly happen impotence great majority is psychological factors. In China, they are elderly mouth past the bondage of culture and ideology and influence, sexual behavior as young people, and they gave to the disease, organ in didn't want to medical treatment, especially in children grow up, think of husbands and wives sex after already doesn't matter, others believe that should interrupt, some think of the old again to healthy adverse had sex. These ideas is not correct, there is no scientific basis. In fact moderate sex is very helpful for the elderly. Moderate sex can make energetic, spirit is happy, can make the metabolic ability strengthens, hormone level increases, delay senescence.

Another kind of spiritual impotence called "widower syndrome". Due to his wife, or loss in elderly before long illness, wife of his wife's love for her husband, avoid sexual contact, ex-wife after death, husband happened after the remarriage of impotence larger proportion, its reason is long-term stop sex that have sexual organs with waste phenomenon.

Old people have "spiritual impotence self-doubt, these people put type impotence normal recession phenomenon may see overweight. Old people in energy physically inevitable, sexual response into recession will necessarily reduce sensitivity also in sex neutral impulse comes slowly, someone put this physiology phenomenon mistaken for impotence, thought pressure is bigger, feel sorry for his wife, each had sex is afraid to fail, resulting in impotence. But others wife because into old age, sex hormone level is low, to produce be disgusted, unhappy, sex anger, even the sexual response affect her husband, thus happen impotence.