Erectile Dysfunction, No Longer Impotence
Technically, there's little difference between impotence and
erectile dysfunction. The former word has largely been
abandoned, more as a result of the belief that changing a word
can change attitudes than because of any medical difference.
Still, 'impotence' may refer, in some contexts, to a more
short-lived inability to achieve or sustain erection.
But whatever phrase is used, erectile dysfunction is real
and today almost always treatable with few side effects. It may
result from underlying physical conditions, such as diabetes or
urological surgery. It may stem from deep-seated psychological
problems, such as clinical depression.
Fortunately, diagnosis of ED is fairly straightforward in
the majority of cases. As a symptom that presents itself with
tragic obviousness, it can hardly be missed. The underlying
cause can be more difficult to ferret out, since so many
conditions can cause it. But even so, a physician may move
rapidly to treating it, once a safe method has been
established.
Viagra, Cialis and Levitra are the three popular drug
treatments and they all work in similar ways. There are certain
possible drug interactions so physicians will be careful to
prescribe one of these PDE-5 inhibitors only when they're
confident it will do no harm.
In other cases, when blood flow isn't the problem, a
prosthetic implant may be a more appropriate approach. These,
too, have possible side effects and doctors will only use this
method after careful consideration of the risks.
When psychological issues are at the bottom of ED in a
particular case, the approach will typically involve a regimen
of psychological treatments. That may involve rooting out
underlying depression or it may simply be developing strategies
for coping with the condition.
Part of the process of treatment will, ideally, in almost
all cases involve the sexual partner. In rare cases, a man will
want ED treatments even when he has no prospect of sexual
encounters. His self-esteem may be impacted by the condition,
or he may have plans for a renewed sex life and want to get
ahead of the problem. But in the usual case, a partner is
already present. He or she needs to be part of the program.
Honest communication, with oneself, one's physician and
one's sexual partner will create the smoothest possible path to
recovery. It will help achieve the best outcome with the least
difficulty.
But whatever the cause and whichever treatment is selected,
the results today can be satisfactory in 90% or more of cases.
Erectile dysfunction need no longer be impotence. Or, more
accurately, if impotence is taken to mean just a short-lived
interruption of the ability to achieve erection, then ED is
nothing but impotence. Every post-pubescent male will have
experienced that at some point and it can be treated as the
minor annoyance it is, nothing more.
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