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Diagnosis of Impotency

The diagnosis is divided into the following parts

  1. Case History
  2. Physical Examination
  3. Lab Examination
    • Blood tests
      • CBC
      • Fasting blood glucose test
      • Liver function test (LFT)
    • Hormone tests
    • Thyroid function tests
    • Urine analysis
  4. Other Tests

    • Imaging Studies
      • Angiography-
      • Dynamic Infusion Cavernosometry and Cavernosography:
      • Duplex ultrasound
      • Penile nerve function-
      • Ultrasonography-
      • Penile brachial index-
  5. Erectile Function Test

    • Vasoactive injections
    • Nocturnal penile tumescence
    • Penile tumescence monitor
    • Biothesiometry

Diagnosis of impotency

1.? Case History :
This involves taking an in-depth account of the background of the patient including his life style along with medical, personal and sexual history.

  • Medical History – Diseases like hypertension, diabetes, coronary disorders, scleroderma, and liver cirrhosis can constitute the etiology of erectile dysfunction. It’s important to know if the patient is suffering from any of these.
  • Surgeries – If the patient has undergone any surgeries in the past, it’s important to have a look into it as the surgery may have caused nerve damage.
  • Sexual History – It’s important to analyze the sexual history, right from the onset of erectile dysfunction to the severity of the situation. Questions will include the circumstances, frequency and durations of erections, if any. Strain in the current relationship and history of past sex partners should also be looked into.
  • Trauma or Injury – Any fall, injury or accident should be reported as it can lead the physician to any nerve damage or blood vessel damage due to external trauma.

2. Physical examination:
A thorough examination of the venereal can reveal some of the causes if erectile dysfunction. The physician can detect peyronie’s disease, hypospodiasis, and hypogonadism. Digital examination of the rectum (inserting lubricated, gloved fingers in the orifice of female sexual organ to check for abnormalities) can help detect prostrate abnormalities. Prostate can also cause nerve damage or block the arteries.  
3. Lab Examination:
Lab examinations are based on the case history. It is not necessary that every patient has to undergo these tests.

  • Blood tests
    • CBC – Complete blood test evaluates the level of lipids in the blood such as cholesterol, triglycerides which can lead to arteriosclerosis, which can lead to erectile dysfunction. Besides this it will also calculate red blood cells (RBC), white blood cells (WBC), total amount of hemoglobin in the blood, mean corpuscular volume (MCV), mean corpuscular volume (MCH), and mean corpuscular hemoglobin concentration (MCHC).
    • Fasting blood glucose test – This can help detect diabetes which can lead to erectile dysfunction.
    • Liver function test (LFT) – This involves examination of enzyme and serum creatinine levels. Live cirrhosis or impaired functioning can cause erectile dysfunction.
  • Hormone tests
    These tests are vital in cases where the patient is suffering from a diminished or absent libido, depression or signs of secondary sexual character (hypogonadism). In the morning, the hormone levels are the highest than any other time of the day. Hormone tests include measuring the morning serum testosterone levels which is a common endocrine cause.? A hormone test will give an estimate of

    • Sex hormone binding globulin (SHBG)
    • Estrogen-Etradiol (E2)
    • Total testosterone (T)-
    • Free Testosterone (T) or bioavailable testosterones are the ones that are getting used.
    • Dehydroepiandrosterone sulfate (DHEAS)
    • Dedydroepiandrosterone (DHEA)
    • Follicular stimulating (FSH)
    • Androstenedione
    • Luteinizing hormone (LH) – elevation of this hormone indicates that the pituitary gland is hyper functioning. The hypothalamus regulates the testosterone levels. High level of LH with low level of testosterones indicates primary testicular (Leydig cell) failure. Contrary to this, low testosterone level indicates a central defect.
  • Thyroid function tests
    Hyperthyroidism or hypothyroidism can cause erectile dysfunction. It’s important to determine that TSH is normal.
  • Urine analysis
    After collecting the urine, it is judged on the basis of its physical, microscopic and chemical appearance.

    • Physical appearance -This includes the color, clarity and its appearance to the naked eye.
    • Microscopic appearance – The urine is examined under a microscope to check the appearance of cells, foreign body, urine? crystals, mucus and presence of other microorganisms.
    • Chemical appearance – determined by a dipstick, this test determines the different substances present in the urine.

    This analysis helps to determine if there is kidney infection, diabetes mellitus and hypertension as presence of any of these diseases may lead to erectile dysfunction.? Post the completion if these lab tests, the physician should have a better picture about the status of the disorder, treatments and can suggest further tests, if required.

4. Other Test:
These tests are performed if the physician feels the need to study penile or pelvic blood flow, nocturnal erections and other blood tests.

  • Imaging Studies– this test is preformed in the case of trauma, accident or surgery, where there can be potential nerve and blood vessel injuries.
    • Angiography – This is performed in patients who have undergone vascular surgeries that have caused injury to some arteries or veins. These patients may require vascular reconstruction.
    • Dynamic Infusion Cavernosometry and Cavernosography -? This test helps to determine the penile vascular status in impotent patients. This test ascertains the arterial and/or venous insufficiency in the male sexual organ.
    • Duplex ultrasound – This test is used to evaluate the circulation of blood in the male sexual organ, venous leak, artherosclerosis and scarring or calcification of erectile tissues. Patients are injected with prostaglandin E1 (PGE1) to induce erection. A measurement of caversonal arteries within the corpora is taken. Through ultrasound, the vascular dilation is observed and the penile blood pressure measured. This is compared to the measurement of the male sexual organ in the flaccid state.
    • Penile nerve function – The bubocavernosus reflex test is used to determine the nerve sensation in the male sexual organ. The head of the male sexual organ is squeezed which results in the orifice of female sexual organ contracting under normal conditions. The latency between the squeezes is measured by inserting a gloved, lubricated finger in the orifice of female sexual organ.
    • Ultrasonography – This test helps to find any abnormalities in the testes and epididymides. Abnormalities in the prostate and the pelvis can be determined by transrectal unltrasonography.
    • Penile brachial index -This process involves measuring the blood pressure in the male sexual organ and that of the arm and comparing the two. This can help to detect obstruction in the arterial blood flow.

5. Erectile function test:

  • Vasoactive injections – Injecting certain chemical in the male reproductive organ can cause erection by vasodilatation (dilating the blood vessels). These injections can produce an erection that can last for 20 minutes. A special dye is injected in the blood stream and penile pressure and x-ray is measured.
  • Nocturnal penile tumescence – This test involves covering a special elastic band around the male sexual organmale reproductive organ for two three consecutive nights. This is especially useful in finding out if the cause is psychogenic or organic. If the male reproductive organ gets erect during rapid eye movement, the force and duration are noted on a graph. If the erection is absent or inadequate, it indicates an underlying physiological cause while presence of an erection suggests psychogenic cause.
  • Penile tumescence monitor – This is a special monitor that is used to measure the size of the erection. This monitor is placed near the base and at the corona of the male reproductive organ. Another device is connected that monitors the graph recording the force and duration of erections occurring during the sleep. This monitor is trapped to the leg. The patient has to undergo this test for several nights to get an accurate reading of the erections.
  • Biothesiometry – The vibration sensitivity of the male reproductive organ is detected by the means of biothesiometry. A small electromagnetic test probe is placed on the right and left sides of the shaft and the glans. The amplitude of the vibration is adjusted until the subjective sensory threshold is reached, which is indicated by the patient. The vibrational sensory threshold is determined on each location. This test helps to detect sensory failures which can lead to erectile dysfunction.
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Impotence Causes in Details

Impotence is the disorder of the male reproductive system that disables the capability of the men to get is strong during the love-making activity. Nowadays, the impotence issue is being discussed a lot as people are getting more and more vocal about their health problems. Basically, impotence occurs due to the inconsistent flow of blood to the male reproductive system. The disturbance in the blood flow incapables men to attain the hard state for male reproductive organ. For this process to work properly, adequate blood flow in mandatory. It is only after the blood fills the veins and arteries in the male reproductive organ that man is able to attain the stiffness of male reproductive organ.   As per the recent survey carried out by the International Journal of Impotence Research and Studies, around 60% of the men are noted to be suffering with the impotence, either temporarily of permanently. Previously only old-aged or middle-aged men were observed to be suffering with the impotence, but nowadays even young men are noted to be facing the problem of the impotence. This is basically noted due to the unhealthy lifestyle pattern that we are following.   The issue of impotence puts an adverse impact on the overall health of the individual. As the man is not able to perform during the love-making activity he gets frustrated and loses his mental stability.   In many of the cases due to the negligence of the married men toward the impotence problem, it leads to the divorce. So, to stay away from all these problems it is necessary to overcome impotence or better is to prevent the occurrence of the impotence. But, it is very sad to know that men are very shy to discuss about this problem, which leads to the negligence and makes the situation more problematic. Thus, it is my advice to all the men to be open about their health problem and share it with your partner and discuss it with doctor to overcome it.  

Causal Factors

Causal factors of impotence are many. Some factors contribute directly, whereas some other factors contribute indirectly toward the occurrence of impotence. Basically the cause of impotence is noted to be the insufficient blood supply to the penile region.  

Process of Impotence Occurrence

In the male reproductive system, the process of stiffness of male reproductive organ is being guided by the namely the two enzymes, cyclic guanoyl monophosphatase (cGMP) and phosphodiesterase 5 (PDE-5). The enzyme cGMP is coordinates the process of improving the blood supply to the male reproductive system. This signal is being given by brain to the male reproductive system. This way the man attains the stiffness of male reproductive organ.   Once man achieves the climax, the process of enzyme PDE-5 begins. It withdraws the blood from the penile region. So the stiffness subsides. The impotence occurs when the amount of the enzyme PDE-5 in the male reproductive system is more. This enzyme curtails the blood flow from the male reproductive organ even before the person attains climax. As a result the stiffness subsides very shortly and person faces the problem of impotence.  

Factors that cause impotence are as follows

Hormonal imbalance is being statistically observed to be one of the prominent causes of the impotence in men. Less amount of the testosterone in the man’s body, make the male reproductive organ gets flimsy. The muscles in the penile region don’t get the enough amounts of the blood flow and the required nitric oxide. As a result these muscles don’t get sturdy and the man fails to attain the stronger erections. So, to avoid such impotence you must pay a good attention toward the hormone levels in the body. If you are facing the hormonal imbalance then please try to treat it as it may later on lead to the impotence.  
Injury to Male Reproductive System
Physical injury to the male reproductive organ damages the penile muscles, nerves, or veins in the male reproductive system. Even the injury to the testis is noted to malfunction the normal functioning of the male reproductive organ. This impotence arises due to this. The person with any physical injury to the male reproductive system has 90% chances of suffering with the impotence. The worst thing of the impotence caused due to the physical injury is that it is incurable. This is permanent impotence and can be treated only through the vascular reconstructive surgery, but the success rate of this mode of treatment is only 20%. Thence it would be better if you take a good care of the male reproductive system and should stay away from any thing that would cause physical injury to the male reproductive system  
Psychological Conditions
Pressure to perform and anxiety occurring during the love-making sessions is the reason for the impotence in majority of the men. Thinking a lot about the performance during love-making is nevertheless going to work in your favor. Instead this will make your anxious about the performance and ultimately you will face the problem in getting the necessary erections. Sometimes, man thinks a lot about his image, he then get conscious about his male reproductive organ size which is okay, but he still feels it to be smaller. This way he feels ashamed of his insufficient male reproductive organ size and gets in tension about how will he be able to satisfy his ladylove? This is how he gets depressed, which ultimately disturbs his mental stability and reduces his stamina. Thus, he fails to hold on for sufficient time. Many times the impotence arising from the psychological imbalance can be cured easily by improving the methodology and practicing the technique.  
Heart Problems
Healthy heart is a key to satisfactory love making activity. Your heart health is important to enjoy the love making activity to its best. As per the research studies it has been concluded that more than 60% of the heart patients suffer with the impotence. The unhealthy heart doesn’t perform well. So, the blood supply to the different parts of the body gets very improper. This way the sufficient blood doesn’t reach the body organs. The insufficient blood flow to the male reproductive organs results in the impotence. Atherosclerosis is the heart disease that deposits the plaque in the arteries and disturbs the blood supply thus increasing the chances of suffering with the impotence.  
Diabete
Impotence is being closely linked with the diabetes. The abnormal sugar levels in the body keeps the density of the blood fluctuating. If the sugar amounts are more then it ultimately increases the density of the blood that makes it difficult to transfer to other body parts. As a result the blood doesn’t reach the male reproductive system. Nearly 40% of the diabetes patients are found to be suffering with the impotence. Whether you are suffering with type 1 or type 2 diabetes, the chances of suffering with malfunctioning of male reproductive system are doubled. It would be best for the diabetes patients to keep their sugar levels at constant level in order to stay away from the impotence.  
Neurological Disorders
Neurological disorders disturb the functioning of the overall body. So, even the normal working of the male reproductive system is being perturbed. It is the brain that guards the functioning of the men during love making activity. The activity of the neurons gets improper due to the neurological disorders. The signals that are sent by the brain to the male reproductive system after the stimulation are not being delivered as the functioning of the brain is improper due to the neurological disorders. This is how the male reproductive system doesn’t get the required blood. As a result, the person starts facing the impotency problem. Working of the erection mechanism is being noted to be going wrong due to the neurological disorders like Alzheimer disease, multiple sclerosis, and Parkinson disease. If you suffer with any of these diseases then you need to get them treated at the initial stage because this will later on lead to the impotency in men.  
Alcohol Consumption
Alcohol consumption if not good for the overall health, additionally it has a severe adverse impact on the normal functioning of the erectile mechanism. Due to the excessive alcohol intake the kidney of the person malfunctions as it is not able to cope with so much of alcohol present in the body. It then throws out this excessive alcohol through the urinary tract. The person gets the urination feeling frequently when he drinks a lot. When the alcohol passes through the urination tract it damages the nerves in the penile region. Sometimes even these penile nerves get broken. This way the blood is unable to stay into the male reproductive organ for the sufficient time as a result men loses the erection quickly. Thus, alcoholic men suffer with impotence.  
Chewing or Smoking Tobacco
We all know smoking is injurious to health, but we all still smoke. Now, I want to make you aware of one more ill effects of smoking i.e. Smoking tobacco will make you impotent. Remember your love life would be completely devastated by the use of the tobacco. Either you chew or smoke, both contain high amount of the nicotine that influences the blood supply to the male reproductive organ and certainly reduces the amount of blood reaching to the penile region. As a result, men are not able to attain the erection or sometimes they lose the erection very quickly during the love-making session. This way the smokers get prone to the impotence.  
Peyronie’s Disease
Peyronie’s disease is the abnormal condition of the male reproductive organ. This disease is characterized by the slightly angular curvature of the male reproductive organ. The person is said to be suffering with Peyronie’s disease when his male reproductive organ is noted to be bending in between. The bend is not from the base, but it is from the central position. In this disease the veins and nerves in the male reproductive organ gets constricted due to the bend. This way the blood doesn’t reach to the all parts of the male reproductive organ. Due to the improper distribution of the blood in the penile region the men with Peyronie’s disease also gets prone to the impotence.  
Obesity
Obesity is the disease that is caused by the excessive weight gain. As per the research studies the person who is obese is double the times prone to the impotence. During the study from 100 men about 37 obese men were observed to facing some kind of erection problems. During the obesity the excessive amount of the fats and carbohydrates gets deposited in the body. Excessive amounts of fats put the stress on the subordinate veins and arteries that supply blood to all parts of the body. The nerves and veins get narrow and thus the blood supply gets disturbed. As a result male reproductive system doesn’t get the required blood flow to enact the erection process. This leads to the failure in the erection and finally it leads to the impotency in men.  
Drugs and Surgeries
Impotence is being observed prominently among the men who have undergone the surgeries. Specifically the men who have undergone heart surgeries, kidney replacement face the problem of impotence. Even the men who undergo major surgeries for bladder cancer (radical cystectomy) and for prostate cancer face the problem of impotence as they need to remove the nerves from the male reproductive organ. You may face the impotence problem due to the intake of drugs like tranquilizers, heart medications, and high blood pressure controlling medications, antidepressants, and sedatives. These drugs may cause either temporary or permanent impairment of the erection mechanism, so please avoid taking these drugs without any reason.

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What you should know about Directive and non Directive Drug?

Drugs or medicines are essential part of every individual’s life today, as almost all of us consume drug to get cured of some or the other heath related disorder. Medicinal drugs can be categorized into two categorize Directive Drugs and Non-Directive Drugs which bear some difference in term of law and miniscule dissimilarity in terms of functions. It is always better to have information about the relevant subjects; hence, here is some information on both the categories   Directive Drugs: Directive drugs are nothing but medicines which are licensed by the legislation. These medicines mandate the requirement of a directive, by a health care specialist or other medical experts in order to be obtained from chemist or druggist. It should be understood that various jurisdiction inflict dissimilar regulation in regards with the definition of directive drugs. Directive drugs usually are distributed with required monograph which significantly provides detailed information on the particular medicine. This monograph can either be in the form of small descriptive literature on the side of the package or in form of leaflet usually found inside the package. The reason why this monograph is considered essential is that it carries vital information about the drug such as doses, adverse reactions etc.   Directive drugs are usually suggested by certified medical practitioners, dental practitioners, vet or veterinaries, ophthalmologist etc. A directive should be generally authorized by Doctor of Medicine, Doctor of Osteopathic Medicine, Physician Assistant, Doctor of Optometry, Doctor of Podiatric Medicine, Doctor of Veterinary Medicine, Doctor of Dental Surgery or Doctor of Dental Medicine. In the United States, Food and Drug Administration is the body that looks after the definition of laws passed in respect with Directive Drugs. Directive drugs were also commonly referred to as Legend or Rx Only drugs. However, you may find that most packaging of legend drugs usually has the Rx Only indication.   Nondirective Drugs: Nondirective Drugs are also prominent by the name OTC or Over-The-Counter. These medicines are drugs which can be directly vended to the consumer without any requirement of any directive by health care experts such as aforementioned doctors. OTC drugs are also usually examined and authorized by some regulatory body. These agencies ensure that nondirective drugs are manufactured with safe and efficient ingredients which will be useful to the consumer and does not cause any harm when consumed without doctor’s directive. These nondirective drugs are generally manufactured using API or active pharmaceutical ingredients which are biologically active. By eradicating the need of drug formulation, the government permits the drugs producing companies to devise sole ingredients or mixture of ingredients into patented formulas. Nondirective drugs are usually placed on shelves, like any other conventional packet product, in stores. In some cases, few medicines may be classified as Over The Counter drugs, but may require a chemist employee to evaluate the patient’s requirement before providing the drug. You may also find some OTC drugs being sold in stores other than pharmacy, for example supermarkets, conventional stores etc. These nondirective drugs are usually of low power and are examined of any side effects or harm to the consumer before they are introduced. One of the suitable examples of nondirective drugs would be general low power anodyne often sold at pharmacies.   Similar to directive drugs, even nondirective drugs are practical and effective in curing relevant physical conditions. The only difference would be the requirement of evidencing directive of doctors to obtain directive drugs. Directive drugs may be high power drugs which are prescribed by doctors in severe medical cases; hence, both the category of drugs stands fair at their respective levels.
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Complete Information on Antibiotics

What are Antibiotics? Antibiotics are medications that are derived from the microorganisms; specifically they are the microorganisms with the antibacterial property. They are the best medicines to cure the bacterial infections. All thanks to Mr. Alexander Fleming who invented this superb antibacterial drug. Today, antibiotics are the only drugs that cure the bacterial infections with such an efficacy and without any harmful side effects on the health of the individual taking it. Mr. Selman Waksman in 1942 gave the antibiotics to the microbial culture that has shown antibacterial property. For that day till today lot of advances have taken place in the world of medicines. Previously antibiotics were utilized in its natural form, but today due to the advances in the technological means we are using semisynthetic compound originated from the original microorganism as an antibiotic. Antibiotics are basically of two types one which eradicate the bacterial infections completely by killing them and other ones are those that curtails the multiplication of the bacteria. The antibiotics that kill bacteria are called bacteriostatic and antibiotics that eradicate bacteria are bacteriostatic. As per the historical reviews, the first discovered antibiotic was penicillin, and today there are more than 100 antibiotics present.   When and how to Use Them?Antibiotics treat bacterial infections. They are given to the patients when no other medication is showing any effect against the infecting bacteria. Depending upon type of infection, severity of infection, and overall health status of the individual doctor prescribes the antibiotic. Remember that specific antibiotic is effective against the particular bacterial infection. The dosage of antibiotic is given generally as twice or thrice in a day. Antibiotics are generally taken oral with a full glass of water. It is best to take this medication as prescribed by the doctor.   Is it necessary to consult doctor before using antibiotics?
Yes, it is compulsory to consult the doctor before using antibiotics. They are the medications that can result into serious consequences if taken without proper diagnosis. Remember that doctor understands properly that which type of infection you are suffering from and then only prescribe you the antibiotic. Never take antibiotic on your own. We generally have a tendency to use the same antibiotic when we face the bacterial infections again, but please understand that this may not be the same bacterial infection or it may not be the bacterial infection at all. In this case you put an adverse impact on your health by taking antibiotic. So, we strongly recommend here to consult the doctor before taking antibiotic.   What are the side effects of Antibiotics? The most common side effect of antibiotics is the diarrhea. This side effect is being noted in majority of the patients whose body doesn’t accept the antibiotic dose. This is a preliminary side effect, but if you still face the diarrhea problem then stop taking the antibiotic and consult the doctor for the medical advice. Other side effects noted by the intake of the antibiotics are vomiting, nausea, headache, swelling of the face, itching, rashes on skin, and stomach upset. In some cases the side effects like fungal infections of digestive tract, female reproductive organ, and mouth are noted due to the intake of the antibiotics.   What to do in case I suffer with side effects of antibiotics?
In case you face the side effects due to the intake of the antibiotics then please stop taking the dose of the medication. Consult the doctor immediately for the medical advice. We recommend never to neglect these side effects as they may turn into the severe one. Taking an antibiotic for more duration or in excess is generally noted to be the reason for the occurrence of the side effect. So, please take this antibacterial drug as prescribed.   Can I take antibiotics to treat Viral or Fungal infections?
No. Antibiotics are noted to be ineffective against the viral or fungal infections. The studies have been carried out to note their effect against viral and fungal infections, but none has given the positive results. Sometimes taking the antibiotics unknowingly for the viral or fungal infections can results into the adverse impact on the health or they may sometime make the infection to grow more severe. Thence, before taking the antibiotic please consult the doctor.   Is it safe for pregnant women or nursing mothers to take antibiotics?
It is mandatory to consult the doctor if you want to take antibiotic during pregnancy. There are some antibiotics that are safe during pregnancy and there are some that are very harmful if taken during pregnancy. It is only your doctor who can verify which antibiotic is safe during the pregnancy. Also, the same is applicable for the nursing mothers. Whether you are pregnant or breast feeding the baby, we strongly recommend you to go to the doctor discuss with him about your infection and then only take the antibiotic if doctor prescribed it to you.
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Effective Impotency Drug for Young and Old

Impotency is a known physical disorder which is also highly feared by men. Ranging from young male (adolescent) to elder individuals, all are concerned about this physical malady, as this disease influences the life of its victim drastically. This does not only fester the physical condition further but also imparts mental distress due to elevating impotency. The disorder also serves as a menace to relationship between a man and woman. Since, the malfunction undermines the ability of a man to attain complete erection or maintain for sufficient time throughout the sexual intercourse a victim may not be able to satisfy his female partner. This displeases the female partner and may cause hindrance in the smooth flowing kinship and may also result in break- off.   What causes impotency?This is a common question faced by psychologist and the answer is not only sought by victims but also by common man who is at risk of becoming a victim to the disease. To answer this question, it can be said that there are numerous factors that stimulates impotency in a man; these reasons can be better understood when classified in two distinct classes namely Psychological causes and Physiological causes.   Physiological causes: Here are some physiological causes of erectile dysfunction or impotency mentioned below.

  • Cardiovascular diseases
  • Diabetes mellitus issues
  • Nervous System related disorder
  • Ageing
  • Surgical treatment for Cancer
  • Side effects of certain Medications
  • Kidney ailments
  • Penile injury
  • Prostrate Surgery

Lifestyle Habits: Smoking and alcoholism are other two primary and highly identified reasons that can stimulate erectile dysfunction or impotency in male individuals ranging from adolescent to elderly men. These are two adverse lifestyle habits which are also considered as physical reasons for impotency.   Psychological Causes: There are several mental conditions which also contribute as a reason for invigorating impotency in the case of young as well as old individuals.

  • Depressions
  • Stress
  • Marital tension
  • Performance anxiety (related to sexual act)
  • Fatigues
  • Job related worries

Relief for young and old: Since there are so many reasons the causes impotency in men, there are also ways to cure this disorder effectively. There are ayurvedic or herbal therapies which claim to be efficient in truncating or eradicating the influence of the disease from the victim’s body. However, these medicines may not show effect sooner hence these techniques are not adopted by many. You may also find surgical treatments which include incision of affected area and installation of small machine that by following intricate mechanism helps you attain erection.   Best Treatment for guaranteed satisfaction: The best known curatives for impotency are aphrodisiacal drugs which are proven competent in casting away the disorder. There are medicines such as Kamagra etc which are known for their properties to influence the erectile functioning positively and allow lasting session of copulation with complete erection. These drugs get dissolved in the body and reaches to the effective region where they start functioning. These drugs relax the muscles around the penile region and allow increased blood flow to enter in the male organ of reproduction. This helps victim to attain significant rigidity of his organ. The substances in such drugs also help in maintain the stiffness for prolonged time until both the partners are satisfied. These drugs are suitable for male within the range of adolescent to elderly.