Impotence is a term that has been used for many centuries
and it is mentioned in the context of sexual powerlessness in men.
From a clinical standpoint, this term is defined for the
first time in the Dictionary of Practical Medicine published in 1883 in London.
From back then until today, the meaning of this term has not changed and when
we talk about impotence we talk about the inability of a man to have sexual
intercourse in certain situations. This inability can occur in all periods of
sexual maturity and it can be divided into two categories – primary (in which a
man has never been able to have sexual intercourse) and secondary (which lasts
for a certain period of time and prior to that the man was able to have a
normal sex life). Of course, the latter is much more common and much easier to
eliminate and the success rate is more than 90%.
What can cause impotence?
There are various causes of impotence. In a number of cases
the cause has organic nature like undeveloped or anomalous sex organs, diseases
or injuries related to the spinal cord etc. Impotence is often a side effect of
some severe chronic diseases (like diabetes for example) which deplete the body
in such a way in which the sufferer doesn’t feel a need for sexual
intercourses.
However, when the man is normally developed and physically
healthy, the impotence is a reflection of his emotional state or negative
feelings towards their partner, burdened with various fears and anxiety.
Therapy
The causes of impotence should be found in the way certain
man experiences his own sexuality as well as his attitude towards his partner.
In case we are not talking about serious psychological deviations or organic
nature of the disorders which require to treat impotent,
impotence can be treated with behavioral therapy. The methodology in this
treatment is based on the principle that the cause of impotence is always the
same – negative emotions in the form of anxiety and negative emotions which
result in the inability of men to relax and despite their desire to have sex
they cannot maintain a hard erection or even achieve erection at all.
Therefore, this therapy, assuming that the patient is
motivated and wants to keep his relationship with his partner, is focused on
elimination of anxiety and fear whereby, instead of these negative emotions the
participants are forcing a desire for relaxation and achieving sexual pleasure, but
without the pressure for complete success. This strategy represents the basis
for most treatments used in cases of sexual disorders.
In the case of impotent, therapy includes certain specifics
and it is implemented in several phases: caressing, genital stimulation without
an orgasm, genital stimulation to orgasm, partial sexual intercourse and
complete sexual intercourse. It further boost testosterone level and increase sex drives.
With the final phase, the therapy is finished. The entire
therapy lasts for about three months and it is worth mentioning that in case
this problem reoccurs, both partners can ask their therapist for advice and
help.
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