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As humans we have 3 basic desires:
1) Eating
2) Sleep
3) Close physical intimate relations (Sexual intercourse)
This physical intimacy can be exciting and fun. However there can be sexual problems with both men and women. The commonest in men are:
Erectile Dysfunction (also known as impotence) has been around for as long as humans have been in existence. Techniques have varied through the years from steel mechanical external attachments, to static electricity attached to the penis and testicles, to simple aphrodisiacs like oysters, red wine, and even peanut better. In the 1970’s when Professor Yoland Lim first commenced acupuncture in Australia, erectile dysfunction was understood to be due to psychological causes and was treated almost exclusively with psychotherapy. However he started using integrative phytomolecular medicine to enhance the effect on the male organs. Now Professor Yoland Lim Health Care has developed MSX, a treatment program incorporating an Australian designed and developed machine.
CAUSES OF PHYSICAL IMPOTENCE
Arterial Insufficiency
Most commonly due to diabetes, cardiovascular disease, high blood pressure, high cholesterol, smoking, drinking, aging, in addition to a large group of unknown aetiology (causes). With progressive hardening and blocking of the penile arteries, this reduces the arterial diameter available for blood flow.
Venous Leaking
Erections become firm and stiff by having good flow to the penis, with valves holding in the majority of blood flow to ensure it stays hard. When these outflow valves are ‘leaking’, and not functioning properly, this can lead to the blood not being able to stay within the penis, and hence ‘escaping’, and the erection to drop.
This can be due to anatomical abnormality, penile injury, scarring of the intricate valvular network in the penis or generalized loss of elasticity of erectile tissue.
Others
Other causes of physical impotence such as pelvic surgery or neurological disorders can also affect one’s erection.
CAUSES OF PSYCHOLOGICAL IMPOTENCE
Psychological causes include:
A combination of physical and psychological causes is not uncommon.
An initial failure to ‘perform’ can potentially set off a vicious cycle of repeated failure and loss of confidence. This may continue to reinforce and may cause a devastating experience to both you and your partner(s). This viscous cycle needs to be broken, so that you have belief that you know you will be able to perform, then a positive reinforcement will occur in time as your level of confidence and self esteem improves.
Depending on the physical aggravating conditions and due to individual variation, some patients respond promptly, while others may take several treatments. We are here to help improve your confidence, both physically and emotionally.
Sexual intercourse is a time of intimate sharing that can be fun and exciting. It is an important part of a relationship. When this becomes less frequent than at least one party desires, or there is a reduction in the quality of the time spent together, this can lead to issues in the relationship.
When there is a sexual problem it can be frustrating. The most common sexual problems in men are:
Libido loss or loss of interest in sex is a common occurrence in both males and females[1]. Reduction in libido may be due to a range of factors both physiological and physical.
1. Physiological factors include:
2. Physical causes may be due to:
As the desire for sex dramatically varies between individuals, there are multiple strategies to treat reduced libido. These can include professional counselling, hormone therapy, learning different sexual techniques, treatment for underlying illness (such as antipsychotics or antidepressants) and stress management[3].
References
[1] Health Direct (2017, October) Loss of male libido. racgp.org.au/ajgp/2019/april/insomnia-management
[2] Better Health Channel (2018, July) Libido. betterhealth.vic.gov.au/health/healthyliving/libido
[3] Royal Australian College of General Practitioners (2017, February) Let’s talk about sex. The joy of life Vol 46 (1) 14-18.. racgp.org.au/afp/2017/januaryfebruary/lets-talk-about-sex/
Close physical intimacy is an important part of a relationship. However for some people the ability to perform at their desired level is less than what they envisage it should be at, and anxiety with regard to this can be detrimental to a couple.
This is may result in a decrease in confidence in a man’s ability to satisfy their partner/lover. This can further cause even more anxiety as the situation self perpetuates negatively. It is important to break the cycle and to ensure close physical intimacy improves.
1. Physiological factors[1]include:
2. Physical causes may be due to:
As the desire for sex dramatically varies between individuals, there are multiple strategies to treat performance anxiety. This may include professional counselling, hormone therapy, learning different sexual techniques, treatment for underlying illness (such as with antipsychotics or antidepressants) and stress management[4].
References
[1] Health Direct (2017, October) Loss of male libido. racgp.org.au/ajgp/2019/april/insomnia-management
[2] Compr Psychiatry. 2015 Jul;60:114-8. doi: 10.1016/j.comppsych.2015.03.001. Epub 2015 Mar 19.
Depression and anxiety in men with sexual dysfunction: a retrospective study.
Rajkumar RP1, Kumaran AK2.
[3] Better Health Channel (2018, July) Libido. betterhealth.vic.gov.au/health/healthyliving/libido
[4] Royal Australian College of General Practitioners (2017, February) Let’s talk about sex. The joy of life Vol 46 (1) 14-18. racgp.org.au/afp/2017/januaryfebruary/lets-talk-about-sex/
It is now understood that if the erectile mechanism is normal, then PE has organic basis of oversensitivity, with subsequent habitual response.
How does it work in PE?
The biggest concern amongst men with PE is whether or not they are going to orgasm early, leaving their partner unsatisfied. It gets to a point where men actually avoid sex because of these fears, especially in a new or demanding relationship. For others, sex is no longer a ‘shared experience’ and avoidance sets in. Hence, PE becomes perpetual.
Anxiety is the final common pathway via which a variety of cultural, psychological and relationship stresses converge to produce erectile failure in men with normal genitalia. The psychological consequence of anxiety is a ‘neuronal sympathetic surge’ that releases adrenaline from the adrenal gland into the circulation, reaching the penis almost instantly, causing the penile artery to constrict and the smooth muscles to relax. This results in the rapid collapse of the erection, and a flaccid penis.
Work as well as the environment at work can have a significant impact on mental health in both a positive and negative light. A large body of work investigating the relationship between men’s mental health with employment and its stresses has highlighted the extreme complexity in how to best support men’s mental health. Studies have found that even when men retire from employment voluntarily, mental health problems present through deteriorations in personal meaning and social support[1]. Furthermore, studies have highlighted the greater susceptibility for depression in men than women in work conditions of high strain[2].
In light of these growing concerns and the effect work stress can have on overall well-being, it is important to practice and have coping strategies such as[3]:
References
[1] Gill et al (2006) Mental health and the timing of men’s retirement ncbi.nlm.nih.gov/pubmed/16614785/
[2] Woo and Postolache (2008) The impact of work environment on mood disorders and suicide: Evidence and implications ncbi.nlm.nih.gov/pubmed/18836547/
[3] Harvard Medical School (2019, April) How to handle stress of work health.harvard.edu/blog/how-to-handle-stress-at-work-2019041716436