Every man is led in his life to go through periods of sexual breakdown. According to scientific sources, 40% of men between 40 and 70 years of age experience erectile dysfunction at some point in their lives. It is only when the lack of erection is permanent that we speak of impotence.
What are the causes of impotence?
There are many causes that can cause this problem, but the psychological cause is by far the most common.
– psychological causes: this is the most frequent cause. The reasons can be: anxiety, stress, fear of failure, marital conflict, disappearance of desire for wear and tear of the couple.
– Toxic and metabolic causes: alcohol, drugs are factors in reducing sensitivity, consciousness smoking, diabetes have negative effects on vascular action.
– drug causes: impotence may be related to the side effects of drugs prescribed for the treatment of hypertension, angina pectoris, or antidepressants, anxiolytics.
What are the treatments for impotence?
Preventive actions: avoid alcohol, drugs and tobacco
Curative actions :
– in case of psychological problems, it is recommended to consider psychotherapy
– Viagra: this treatment is very effective, and is particularly recommended in impotence of diabetic origin. It is administered orally. The dose is 25 to 100 mg, to be taken one hour before the desired erection. The dose works for 4 to 6 hours. Warning: this drug is contraindicated for patients with heart disease or angina pectoris.
– apomorphine hydrochloride marketed under the names Ixense and Uprima. It comes in sucking tablets (if! if! if!) dosed at 2 mg and 3 mg, in boxes of 2, 4 and 8 tablets. It is not reimbursed by the French SS.
This sublingual administration mode allows an erection to be obtained in less than 20 minutes, resulting in more natural sexual intercourse because it is not scheduled in advance as with Viagra (one hour delay). Its rapid elimination allows a second possible intake 8 hours after the first. Like Viagra, its effectiveness requires sexual stimulation. Well tolerated, especially in the cardiovascular field, it is nevertheless contraindicated in patients with unstable angina pectoris, heart attack, severe heart failure, hypotension and in all diseases for which physical activity is at risk… Its side effects are uncommon (2 to 7%) and mild (nausea, headache, dizziness, rhinitis or pharyngitis, etc.).
– intracavernous injection: this treatment is recommended in the case of impotence associated with a physical cause. It consists of injecting a product that dilates the blood vessels into the penis 5 to 10 minutes before the desired erection.
– the installation of a penile prosthesis: as a last resort, this surgical intervention consists of the implantation of a prosthesis. Attention, this intervention is final.