The interest in the subject of sexuality is huge, but as for potency disorders, there is great speechlessness. Despite all enlightenment, the term "impotence" is extremely negative. And so many men shy away from addressing the problem in their partnership or even the doctor. In Germany, an estimated 4 to 6 million men suffer from erectile dysfunction, with incidence increasing with age.
Exact numbers are not there - no wonder in a taboo topic. In the past, when one put the lack of improvement of the psyche in the shoes, one assumes today that in half of the affected persons organic disorders and in about 20% a combination of physical and mental cause exist.
Forms of potency disorder
As so often, the verbal usage of the popular mouth does not quite agree with that of the physicians. In jargon, impotence is a generic term for both the inability of the male to coitus and the inability to reproduce:
- Erectile Dysfunction (Impotentia coeundi), also referred to as erectile dysfunction (ED): Here, the penis is not at all, not enough or not long enough stiff so that the sexual act can not be completed.
- Infertility (impotentia generandi), also referred to as sterility or infertility: Although this erection and orgasmic ability are present and it comes to ejaculation. However, there is an inability to reproduce (infertility).
In common usage, impotence means only the first form. Since causes, diagnostics and treatment options are very different, only the erectile dysfunction is discussed below.
Causes of erectile dysfunction
For an erection to happen, a complex set of nerves, blood vessels, hormones, and psyche must work together. The causes of erectile dysfunction are correspondingly diverse.
On the one hand, the fact that these increase with age is due to the fact that in principle the arterial blood supply also "gets on in the tooth" - the blood vessels become stiffer and narrower and thus can no longer adequately react. In addition, the production of the male sex hormone testosterone decreases: Sexual stimulation is no longer so fast to excitation and erection, it takes longer to reach orgasm and the sperm count decreases.
Erectile dysfunction can be a sign of serious illnesses such as diabetes, atherosclerosis, high blood pressure or liver and kidney dysfunction (which also increase with age) - not infrequently the problems with the "little friend" are the first indication of these diseases. Too much alcohol and cigarettes affect the staying power.
Impotence: Role of the psyche
Since sex starts in the head, psychological factors such as stress, anxiety or pressure to perform may be the reason that the strong sex is weakening.
Conversely, erectile dysfunction affects masculine well-being and often leads to frustration and anxiety about not being "able" again next time - a vicious cycle of failure anxiety and renewed failure, the harder the men dare to talk about it.
Potency disorders as warning signs
Erectile dysfunction is a serious warning sign of a potentially treatment-requiring illness. Therefore, always consult a doctor. In the majority of cases, one (or more) of the following causes:
- Effects of cardiovascular disease
- kidney damage
- Damage to the spine, which is based on signs of wear
- Hormonal problems
- Disease of the nervous system, for example MS (multiple sclerosis)
- Prescription drug abuse
- high blood pressure
- alcohol abuse
- personality conflicts
- Surgery or injury to the prostate
Bicycle saddles can cause impotence
Several studies have shown that bicycle saddles can seriously lead to potency disorders. Due to the teardrop-shaped design of the bicycle saddle, about one third of the total body weight weighs on the perineum, ie the area between the anus and the outer genitals.
Therefore, frequent and prolonged sitting on a bicycle saddle causes blood supply and conduction via arteries and nerve tracts to be restricted to the penis and insufficient pressure can be created to maintain a full erection.