Psychological impotence homosexual

It may start abruptly, usually after a major psychological trauma. Or, it may install itself gradually as a result of depression, anxiety and chronic stress. In addition, in many mental disorders, sexual libido and potency may be affected. On the other hand, there is a very psychological impotence homosexual situation, which affects at least once all adult men, particularly those involved in casual sexual relationships, which is called performance anxiety, or fear of failure. Many societies expect from men an aggressive sexual role, and consider that the failure to perform is shameful. Thus, a man's selfesteem may be hurt by occasional impotence and this may lead to anxiety and inhibition of sexual reflexes. Occasional failure to perform is also found in many other situations. They may be, for instance, a simple lack of rapport with the sexual partner, marital discord (such as after a fight) the presence of disturbing elements in the environment, such as noise or light, a temporary decrease in sexual libido, due to fatigue or worries, or the fear of being caught in an illicit relationship. One important question made by physicians to determine the cause of impotence, is whether the patient often awakes with an erection. Psychological impotence homosexual erections are physiological, and are related to blood supply mechanisms during sleep, and not the sexual arousal.

Scientific studies have shown that heavy smokers have important damage to their genital blood supply. The tremendous increase in prostate cancer in the last decades is one of the major culprits. Prostate surgery damages the nerves in more than 80 % of the cases. Part of these patients recover sexual function, completely or partially, after a year or so, but the majority remains impotent for life. Radiation therapy of prostate cancer, although less damaging, has a effect on sexual potency too. Other pelvic surgeries may have a detrimental effect of erection. Another significant cause of impotence is trauma to the groin. This is more common than we suppose, particularly in some sports. Recently, a group of researchers unveiled the fact that biking may be a major cause of impotence, because strong blows of the perineum (the triangle between the anus and the base of the scrotum) against the front bar are very damaging. It remains to be proved whether the constant, low intensity trauma caused by forcing the perineum against the seat could also be held responsible for erectile dysfunction.

Sone nervous diseases affect strongly the ability to achieve erection, because they act on the brain structures which are responsible for the central control of sexual drive and performance (see the article in this issue). Injuries to the spinal cord or nerves leading or coming from the genital area, of course, are also very common, such as in vertebral disc compression, and in traumatic injuries, such as in paraplegy or psychological impotence homosexual, or in regional paralysis. The most common, which also correlates well with age, is a constant decrease in the levels of testosterone, the main sexual hormone of man. It is now well known why this decrease occurs, but it probably has something to do with a decrease in the capacity of the testicular cells to synthesize the hormone. This phenomenon has lead some specialists to pronounce that there is a kind of menopause for man, not so drastic as for women, which has been named andropause. The decrease in testosterone has been associated with a decrease in sexual libido and performance, because the brain circuits and the penis tissues are dependent on this hormone's levels (however, a significant percentage of men with low testosterone levels maintain unaltered sexual performance). Another condition which leads often to impotence is called hyperprolactinemia. This is an abnormal increase in the levels of a hormone produced also by the pituitary, called prolactin. In women, prolactine is responsible for stimulating the mammary glands to produce milk. Men usually have low levels of prolactine, but some conditions may increase it, such as a kind of benign brain tumor called prolactinoma.

Hyperprolactinemia many times is associated with this condition.

In fact, there are so many, and for so many conditions, that this should be one the leading causes of organic impotence. Some of these drugs promote impotence by acting on the central nervous system. Other affect the intensity of blood supply to the penis, or promote relaxation of the blood vessels. It is ironic that many of these substances of abuse are considered aphrodysiacs, when taken in small amounts. In fact, a glass of wine during a romantic encounter, may loose inhibitions a little bit and decrease the performance anxiety or other psychological inhibiting factors we explained above. A mild anxiolytic may cause the same effect. Some smokers are calmed down by slowly enjoying a cigarette or a pipe. For some persons, the powerful rush of well being which accompanies the intake of cocaine, metamphetamines and other drugs, may act as a sexual excitant. However, chronic abuse and high dosages have the opposite effect. More than 80 % or chronic alcoholics suffer from chronic impotence.

The presence of these erections usually mean that no organic disorder is the main cause. Using a ring of postage stamps glued around the flaccid penis during the night is also a simple device to ascertain whether erections occur in the sleep (a broken ring in the psychological impotence homosexual is the proof). However, psychological factors are also present when the cause of impotence is a purely organic one. The inability to achieve erection in these cases increase anxiety and the fear of not performing. Chronic diseases such as diabetes mellitus, high cholesterol, high blood pressure, renal failure, heart disease, and others, are very common and lead to the destruction of the contractile walls of the veins or provoke hardening, narrowing or blockages of the arteries leading to the penis. Any failure in this filling mechanism, such as the narrowing of arteries by atherosclerotic plaques, may lead to an erectile insufficiency. Erection is maintained by a physiological closure of the outflow of the blood accumulated in the penis, via the venous vessels. Any failure in this mechanism (relaxation of the vascular system of the penis) result in less rigid erections or the inability to maintain them long enough to complete coitus. Vascular insufficiency is perhaps the psychological impotence homosexual which correlates the best with age, explaining a lot of the increase in erectile dysfunction. Generally, impotence caused by vascular factors appear slowly over the months or years, first causing a decrease in the firmness of erections,and then becoming more intense.