Impotence is a common health problem among elderly men that adversely affects the quality of sex lives of both patients and their partners. Most of the causes of impotence are due to the aging process and common diseases in the elderly.
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25 October, 2022What is impotence?
Impotence is a severe erectile dysfunction in men. This is one of the common chronic diseases in the elderly. Manifestations of impotence are the inability of the penis to maintain an erection before ejaculation, premature ejaculation, or no ejaculation at all. The disease affects the physical and psychological health of the patient.
Causes of impotence in the elderly?
To maintain an erection in the penis, a well-functioning vascular endothelium is important. Therefore, any vascular alteration has the potential to cause endothelial damage and affect erectile function. Besides, as men age, the ratio of smooth muscle and corpus cavernosum (an interlaced system of blood vessels, divided into many small branches, running along the length of the penis, has a spiral shape) decreases, the structure becomes should be loose leading to fibrosis and failure to maintain an erection. At the same time, a lack of testosterone also reduces testicular function in elderly men.
In addition, the cause of impotence in the elderly can also be due to the following diseases:
Diabetes
Diabetes interferes with erectile function in the elderly. People with diabetes are more at risk of impotence than people without the disease. Increased blood sugar stimulates the production of reactive oxygen species that interfere with erectile physiology. Vascular and neurological complications in diabetics also contribute to the severity of impotence in elderly men.
Hypertension
Hypertension is directly related to decreased dilation of blood vessels and increased degree of vascular hardening. Besides, hypertension is also associated with endothelial dysfunction, atherosclerosis, thereby causing erectile dysfunction. In addition, medications prescribed for people with high blood pressure can also have an adverse effect on erectile function.
increase blood fat
Hyperlipidemia causes endothelial cell disorders and atherosclerosis, contributing to erectile dysfunction. In some cases, the treatment of blood lipids helps to increase the effectiveness of drugs to treat impotence.
Depression
Depression is also a risk factor for impotence. Therefore, this disease needs to be screened.
Smoke
Smoking is directly linked to many diseases, including impotence. The drug has the potential to damage the blood vessels and nerves of the penis. In one study, smokers had a higher risk of impotence than men who had never smoked .
In addition to the above causes, impotence is also caused by certain types of trauma that damage the nerves, especially those that affect the pelvis or spinal cord.
Diagnosis of impotence
In order to accurately diagnose the cause and conclude the impotence, doctors will often perform tests on the patient, including:
Blood and urine tests to find the cause of impotence
Test to measure testosterone and male hormone levels in the blood
– Blood sugar test
In addition, penile Doppler ultrasound, angiography, in some cases can be done MRI or CT scan of the penis to evaluate the activity of blood vessels.
Methods to cure impotence
Lifestyle change
The first step in improving impotence in the elderly is to change their lifestyle. Patients need to change their eating habits, quit smoking , exercise regularly, and reduce body weight if overweight or obese.
Psychotherapy
Partners should communicate openly with the patient, both need to understand the physiology of impotence. The choice of treatment method should be chosen by the patient and their partner. Specialized psychotherapy can help people reduce anxiety and stress and eliminate unrealistic expectations. Psychotherapy is necessary because the patient often has low self-esteem, not pleasing his partner, even depression. This can make impotence worse.
Using medication prescribed by a doctor
Doctors often prescribe drugs containing phosphodiesterase 5 inhibitors (PDE5Is) to patients.. If the patient has low testosterone, the doctor will prescribe testosterone replacement drugs.
In addition, drugs to treat impotence and male sexual problems are often used in the form of pills, injections, gels or sprays.
In addition, medical diseases also need to be treated and controlled well.
How to prevent impotence
– Eliminate psychological effects: when having sex , men should not panic, fear the failure of the relationship. Please keep the most comfortable mind, avoid stress
– Don’t have too much sex, too many times
– A nutritious diet, should eat foods that improve physiology, increase sex drive, increase sperm vitality and improve men’s health
– Improve physical health, have a reasonable work and rest regime
– Do not abuse masturbation because this will cause damage to the penis, the nerves in the penis are less responsive and no longer erect when stimulated.
– Periodic health check to detect disease early.
Impotence is a common condition in the elderly and can be resolved with a combination of lifestyle changes and medical treatment. Therefore, patients should see a doctor and share with their partner if they are experiencing symptoms of impotence to find ways to improve accordingly. An active, healthy sex life is perfectly suited to the health of the elderly and helps to increase longevity. On the other hand, maintaining good sex drive in both men and women is remarkable for improving the quality of life of the elderly.
