Impotence or Erectile Dysfunction

FAQs

Impotence or Erectile Dysfunction

What is erectile dysfunction?

Erectile Dysfunction or Impotence as it is popularly called, is the commonest sexual problem a man can face. It is defined as the inability to achieve or to maintain the erection of the penis sufficient for sexual intercourse. There are either psychological or physical causes for this problem. The sexual desire is psychological but the process of getting and maintaining the erection is physiological involving many physical components.

What are the causes for Erectile Dysfunction?

Usually the man complaining of erectile dysfunction has the ability to get psychologically aroused. This means the sexual desire is most of the time present. Therefore the problem mostly is in the physical components of the man’s sexual response. These physical factors are related to the nerve-blood vessels complex, sex hormones and the sexual muscles (P.C. Muscles). Sex hormones are responsible for generating desire at the sex centre in hypothalamus of the the brain. Nerves conduct the signals from the sex centre to the blood vessels in the penis. Blood vessels dilate on getting the signals and the blood spreads into the cavities of the penile tissue (cavernous tissue).This blood flow causes elongation and the erection of the penis.

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The sexual muscles in the perineal region help maintain the erection and make it harder. All these factors must be at the optimum performance level, otherwise the problem of erection occurs.

What is the role of psychotherapy?

Psychotherapy was aimed at removing various guilt, complexes and anxiety. It includes sex education and counselling. It may improve the confidence level of the individual and by removing the inhibitions may stimulate the sexual desire. Psychotherapy has got limited success because it does not aim at improving and enhancing the physiological factors of the sexual response. Moreover it is a protracted course with unpredictable results.

What is Papaverine injection therapy?

Papaverine is a drug which dilates the blood vessels in the penis when locally injected (in the penis). It gives artificially induced erection, even without sexual desire. There are other drugs which can be injected in the penis for the similar results like prostaglandin E1. This therapy is known as Intra-cavernous vasodilator (I.C.V.D.) therapy.

How much useful is the Papaverine injection therapy?

Since it directly helps dilatation of the blood vessels inside the penis, it gives direct result of the penile erection. But it is painful. The patient must be properly trained. The blood trapped in the penis must go back in the main circulation within two hours. If erection persists after four hours it is an emergency for the urologist. It may cause scarring and permenant impotence.

Does the vacuum device help in erectile dysfunction?

A vacuum device is a device containing a glass-tube and a hand-pump which can creat vacuum inside the tube when it is fitted around the penis. Blood is pulled in the penile tubes because of the external vacuum. This results in the penile erection.

Are there any side effects of the vacuum device?

The vacuum device of good quality costs in thousands of rupees. It gives an awkward feeling while being used before sex by disrupting the foreplay. It causes the bluishness as well as coldness of the skin of the penis. This can be disturbing to both, the man and the woman.

What is the sex therapy?

Sex therapy is the concept first developed by the duo of Dr. Masters and Mrs. Johnson. This began as a problem-oriented therapy which includes learning the techniques of behaviour at the time of sex. Hence it is also known as a behavioural therapy. Dr. Helen Kaplan modified it and propagated it as her sex therapy in ’80s. I have evolved a different approach based on the Indian Kamashastra and labeled it as Dr.Samak’s Tantrik Sex Therapy.

What is Dr. Samak’s Tantric sex therapy?

It is a revolutionary sex therapy developed from the principles of ancient sexological sciences of India. These sexological sciences include Hatha-yoga of Tantra shastra, the physical yoga, that contains certain techniques which when used in the modified form can develop sexual fitness. Thus this sex therapy can be used not only for treatment but also for the prevention of the sexual problems. It is a special training program containing a schedule of basic and advanced individual techniques. It also teaches certain couple techniques.

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