The most frequent male sexual problem is erectile dysfunction (impotence), that is inability to have and mantain an erection necessary for intercourse.
One of the main impotences causes is decrease of testosterone production with the increase of years. According to some data, the amount of the hormones diminishes by circa 30-40 per cent in the period when a man is at the age between 48 and 70. Some scientists call the lowering of testosterone level male menopause or andropause.
Often (up to a quater of all cases) erectile dysfunction is caused by drugs that are taken for other diseases treatment and narcotics as well. The most harmful are anabolic steroids and antiandrogen medicines that contain estrogens. These drugs affect sexual health and weaken sexual desire and erection. Some other medicines also can affect erection, but their influence is not so strong. These are some diuretics, most antidepressants, some tranquilizers and other medicines. Men who take these drugs should be careful and inform their doctors about all abnormalities they observe.
Some men are very ashamed of discussing such problems with anyone and their unwillingness to visit a doctor prevents the latter from making the right diagnosis and prescribing possible successfull treatment.
Some men begin to take hormonal medications that are not only ineffective but moreover can provoke prostate cancer. Since only doctor can find out the cause of erectile dysfunction, you should apply only to him.
If the doctor does not reveal any organic defects in the patient (the main index for young men is morning erection, if penis is hard in the morning than this mans disorder is nonorhganic). The most important thing is to get rid of anxiety and fear that aggravate the problem. Remember that the more efforts a man makes the more often he fails.
That is why sexologists begin the treatment with a temporary ban on sex life and redirect the partners attention from erection to other ways to please to each other.
There is a special exercise that is called perceptible focus. Partners must learn to focus their erotic perception on different parts of the body and not only on genitals. A man and a woman learn to caress each other in such a way that they turn each other on without touching genitals and breast. The intercourse is forbidden, so the man does not worry about erection. After a few days of such exercises step by step involving breast and genitals, a man has erection without any additional efforts.
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