Impotence and erectile dysfunction is the same thing. Impotence is the inability of maintaining an erection long enough to complete a sexual intercourse. In order for to have normal intercourse, the man must provide: sexual attraction (libido), erection and ejaculation. There are 3 types of erectile dysfunction mild, moderate or severe and about 60% of men over 40 years experience some type of impotence.
The most important causes of erectile dysfunction are: spinal cord injuries (where are the nervous centers of erection and ejaculation), some endocrine disorders, modifications in the shape of the penis, fatigue, neurosis, no confidence in his sexual possibilities, abuse, fear, disgust, too much alcohol, prolonged abstinence.
When there is an organic cause (disease that damages the endocrine glands, bone marrow, central nervous system), the treatment seeks to cure or to improve erectile dysfunction by hormones, anti-inflammatory treatments. When impotence is due to fatigue or lack of confidence in his sexual possibilities it is psychological impotence. Rest, sleep, psychotherapy, experience and patience can lead to healing.
It is important to note that in the last few years there have been major advances in the treatment of erectile dysfunction and most sufferers can now be treated effectively. Some lifestyle changes are worth considering before you call the doctor. These include quitting smoking, reducing alcohol intake and trying to reduce stress and anxiety. If such changes do not solve the problem, then men should seek medical help.
In the first instance, men with erectile dysfunction should consult their GP. General practitioners differ depending on the services they can provide to men with erectile dysfunction. On the one hand, there are physicians who have established their own clinics and are able to offer a full range of treatments. Others can not treat erectile dysfunction alone and will recommend a specialist. If the problem does not improve, it is reasonable to ask his advice.
Premature ejaculation is very often confused with impotence. It is the most common sexual dysfunction in men, and occurs mainly in men under 40 years. It is defines as a condition in which erection, ejaculation, and climax happens too earlier than two sexual partners want. Even thought premature ejaculation sometimes accompanies erectile dysfunction, it is treated differently.
Occasional premature ejaculation should not cause concern, but if it happens in more than 50% of initiated sexual intercourses, then it is best to see a doctor for and appropriate treatment. Causes are not very clear, as man get older and gain experience they learn to delay orgasm. The most common reasons are psychological factors like a new partner, anxiety, guilt, depression or a long abstinence. Biological causes include: injury, medication, hormonal problems.