Physical causes of more common in older men, while psychological problems are more common in younger men. Progressively increase the age of a man, then the impotence becoming more frequent, although impotence is not part of the aging process but it is a result of diseases that are often found in elderly.
Approximately 50% of men aged 65 years and 75%, 80-year-old man experiencing impotence. In order to erect, the penis requires adequate blood flow. Because it is a disease of blood vessels (eg atherosclerosis) can cause impotence.
Impotence can also occur as a result of a blood clot due to surgery or blood vessels that cause the disruption of arterial blood flow to the penis.
Impotence is usually the result of:
- Abnormal blood vessels
- Abnormal neural
- Abnormalities of the penis
- Problems affecting mental sexual arousal.
Damage to the nerves leading to and leaving the penis can also cause impotence.
This nerve damage can occur due to:
- Diabetes mellitus
- Multiple sclerosis
- Diseases of the spine bottom
- Rectal or prostate surgery.
Approximately 25% of cases of impotence caused by medication (especially in older men who consume lots of drugs).
These drugs can cause impotence are:
Sometimes impotence due to low levels of testosterone.
But the decline in male hormone levels (which tend to occur due to aging process), usually more often cause a decrease in sexual desire (libido).
Some psychological factors that may cause impotence:
- Feelings of guilt
- Feelings of fear of intimacy
- Indecision about gender.
Patients are not able to initiate and maintain an erection.
Diagnosis based on symptoms. Physical examination conducted to seek a change in male sexual traits, such as breast, testicular and penile size, as well as changes in hair, skin and voice.
To find out the abnormalities in the arteries in the pelvis and groin (which supplies blood to the penis), measurement of blood pressure in the leg.
Other tests that may need to be done:
- Full blood examination
- Check your blood sugar for diabetes
- The measurement of TSH
- Ultrasound of the penis.
Category: Health Care