Around 20% of all German men between the ages of 30 and 80 suffer from impotence. But the number of unreported cases is probably much higher: Because the term "impotence" is extremely negatively charged, many men are shy away from addressing the problem in their partnership or even with the doctor.
New drugs and exact terms
Although Viagra and Co. make it into the negative headlines again and again, but the so-called potency drugs, which are expected to marvel at sex, have actually allowed a more open discussion about potency disorders. In the meantime, the term "impotence" has increasingly been replaced by the medically correct term "erectile dysfunction".
In addition, the topic is addressed across all age groups in all media, because the proportion of Germans over 50 years strongly increases and many men in this age group are affected by potency problems.
Basically, two different forms of erectile dysfunction are distinguished
Erectile Dysfunction (Impotentia coeundi): This is what doctors call the inability to achieve an erection that is sufficient for intercourse. In addition, some men may not control the timing of ejaculation either prematurely or delayed. In very rare cases no ejaculation takes place (anejaculation).
Infertility (impotentia generandi): If no child can be conceived in a normal erection, the diingnosis is "infertile". Although there is an ejaculation, but the quality of sperm prevents procreation. There are a number of causes for this: number and motility of the sperm are as crucial for successful procreation as the shape of the sperm.
Symptom of more severe disorders
For an erection to happen, a complex set of nerves, blood vessels, hormones, and psyche must work together. Accordingly diverse are the possibilities when it comes to potency disorders. In the vast majority of cases, these are organic causes that cause erectile dysfunction, especially in men over 50 years of age. These include, first and foremost
- Cardiovascular disease
- high blood pressure
- elevated cholesterol levels
- kidney damage
- Surgery on the prostate or injuries
- Spinal injuries based on signs of wear and tear
- Hormonal disorders
- Diseases of the nervous system, such as multiple sclerosis
- Medication, alcohol abuse, smoking
- personality conflicts
Thus, potency disorders are also always serious warning signs of a possibly more serious illness, which must be treated in any case. Therefore erectile dysfunction should always be taken seriously and looked after by a doctor, usually a urologist.
Danger due to bicycle saddle
In about percent of disorders in men up to 35 years, the potency disorder is psychologically conditioned. According to the latest findings, there is at least one much more trivial reason for potency disorders: Bad bicycle saddles. After a series of studies published in the September issue of the American Journal of Sexual Medicine, researchers worldwide have come to the conclusion that bicycle saddles contribute significantly to potency disorders.
Due to the teardrop-shaped design of the saddle, about one third of the total body weight is placed on the perineum, ie the area between the anus and the outer genitals. Therefore, prolonged and frequent sitting on bicycle saddles causes blood supply and conduction via arteries and nerves to the penis is restricted and not enough pressure can be built to achieve a complete erection.
Examinations and diagnosis
In order to find out the causes of erectile dysfunction, extensive investigations are necessary. Not only does the patient have to overcome the shyness of having to go to the doctor for the first time, but he also has to be prepared for the doctor to ask a series of very personal questions that relate to sex life, partnership, professional life and the leisure sector. An experienced doctor will also involve the respective partner in counseling and treatment.
In practice, penis and testicles are scanned, blood pressure is measured and blood and urine tests are performed. With a determination of the hormone status can be clarified whether hormonal changes are the cause of the potency disorder. Because in a healthy man in deep sleep involuntary erections occur, which can be obtained with the help of the respective partner or can be detected with measuring devices ( tumescence measurement), one can assume in these cases that a physical disorder is not present.
If you are still looking for organic causes, then you can
Ultrasound examinations of the blood vessels of the penis at rest and after injection of an erection-promoting drug (cavernous injection test SKIT) are performed. However, this test may also be false negative due to nicotine consumption or stress on examination. In diabetics, electrical stimuli are used to determine whether nerve damage is the cause of the disorder.