Modern medical and clinical research across the world have decisively verified that psychological impotence impacts 10 to 20 percent of adult males. Because of the social perceptions associated to men’s sexuality, and the oft-related emotions of frustration, inadequacy, anxiety and depression triggered by male impotence, mental impotence can be an indirect result of impotence brought about by a physical problem.
Impotence, or erectile dysfunction, in medicine, is a state in which a male is not able of attaining an erect penis that is hard enough for sexual penetration or sexual fulfillment. Impotence, however, should not be wrongly identified as premature ejaculation, loss of sexual drive, or absence of orgasm; in all of these conditions, satisfactory erection can be achieved.
Impotence is a very common issue; in the states between 10 and 15 million men are afflicted by severe erectile dysfunction. The incidence of this problem increases with age. Less than 1 percent of the male population under thirty years of age is affected, 3 % under forty-five years, 7 percent between 45 and 55 years, 25 percent at age 65, and up to 75 percent of males 80 years old. Impotence looks to be increasing, but this may be due to increasing lifespan.
Erectile dysfunction is classified as either primary or secondary. Primary erectile dysfunction is expressed age of puberty as a basic inability to achieve erection; secondary impotence is more common and consists of an onset of erectile inability during their adult years, after a period of normal erectile ability.
There are numerous factors that cause erection problems. In primary anatomic impotence the genitals themselves might be faulty. In secondary erectile dysfunction, functional causes such as emotional difficulties and side effects of medication taken for other disorders are the reason for the highest number of cases.
The most common psychological reasons contributing to psychological impotence are worry in a man’s life or problems in his erotic romantic relationships. , in cases where a man has unexpectedly lost his job, his feeling of disappointment may cause temporary erectile dysfunction. It’s possible to tell if the cause of a man’s erection failure is primarily emotional; if he still experiences regular erections during rapid eye movement (REM) sleep, there is unlikely to be any actual physical reason for his erectile dysfunction when awake. However, in some cases a physical issue this is not severe enough to cause impotence on its own could make a man more likely to develop impotence problems if mild mental factors are also found.
Numerous drugs can contribute to erectile dysfunction. Diuretics, Tricyclic antidepressants, H2 blockers, beta-blockers, and hormones are some of the more common; after the drug treatment is halted, normal erections usually resume, unless emotional issues have developed meanwhile.
Other factors behind psychological impotence have to do with physical conditions, disease, or stress. Among these, diabetes mellitus makes up about 40 percent of the cases in the usa; vascular diseases, 30 %; medical procedures on the pelvis or penis, 13 percent; vertebrae damage, 8 percent; endocrine or glandular problems, 6 percent, and multiple sclerosis, 3 %.
Treatments of mental erectile dysfunction based upon many forms of psychiatric therapy are commonly used for cure. In 1970 the team of William Masters and Virginia Johnson proposed a program of behavioral treatment for an affected man and his partner. This technique has become highly accepted and consists of abstinence from intercourse for several weeks while the couple builds up other areas of their relationship. Only once the man is able to have an erection and preserve it on a number of periods should the couple test sexual intercourse.
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