The Causes of Erectile Dysfunction and Impotence

How to tell if your ED has a physical origin

As you may know, if your erectile dysfunction is more emotional and psychological in origin than physical, you are likely to be able to achieve a decent erection when you masturbate or during the night. But it is true that a few men will experience night-time erections even if they cannot get an erection when they masturbate. An effective test for the absence of night-time erections is to stick a string of postage stamps around your penis when you go to bed. If the perforations have torn next morning, it's a reasonable bet that you had an erection during the night. The presence of either night-time or morning erections tends to indicate that you have no physical problems with your erectile mechanism, so if you find that your erections are unreliable, that they either do not develop at all, or they come and go unpredictably, or that you do not get erect in response to oral sex, there is a significant chance that the problem is physical problem. You should consider getting the opinion of a good urologist , but do not agree to a penile implant unless you have also seen a sex therapist and had some analysis of the emotional and hidden psychological factors which may be causing your impotence.

Andropause - the loss of testosterone and the onset of erectile dysfunction in men's mid-life period

The andropause is a decline in testosterone between thirty and seventy years of age in men, marked by various symptoms including:

  • A smaller penis
  • Unreliable erections
  • A lowered sex drive
  • Muscular aches and pains
  • Exhaustion and depression
  • A dry skin
  • Emotional instability
  • Low self-esteem
  • A lack of energy and enthusiasm
  • A sense of a lack of purpose
  • A reduction in size of the testicles
  • Night sweats
  • Loss of control of the body's temperature regulation

If any resonates for you, read about the andropause, here.

Solutions to physically based erectile dysfunction

The best cure for erectile dysfunction is Viagra, as you can read here. Viagra has revolutionized the treatment of erectile dysfunction, and it works for the majority of men. It affects the enzymes which control the muscles responsible for regulating the blood flow in and out of the penis as an erection develops. There are several minor side effects, but these are not especially troublesome, and it seems to help most men who take it. It is dangerous with some heart conditions or medications.

Read more about how Viagra works to treat erectile dysfunction and the mechanism of erection in the members' area.

Second, you might find the Rejoyn sleeve useful. This aid fits over the semi-erect penis and provides a greater degree of firmness which should allow you to achieve penetration. You might also like to try a small vacuum pump device which creates a vacuum around the penis, causing more blood to enter the penis - with an elastic strap around the base of the penis, blood can be retained quite effectively, intercourse enjoyed. Although the idea of pumping up your penis to have intercourse might sound unromantic, the method does have a high success rate! You can read more about this here. And of course, not being able to get an erection is pretty unromantic in itself.


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