Impotence is the inability of an individual to attain and maintain erection of the penis. The good news about impotence is that it’s possible to treat impotence. However, the treatment of impotence depends on its cause as there are a number of causes of impotence. Sometimes, slight changes in the lifestyle are sufficient for treating impotence and sometimes, surgery is performed for treating impotence.
Psychotherapy
Psychological impotence is treated with techniques that decrease the anxiety associated with the intercourse. Patient’s partner plays an important role in applying these techniques. Gradual development of intimacy and stimulation are common parts of the techniques used for treating psychological impotence. Techniques used for treating psychological impotence are generally useful for treating physical impotence as well.
Drug therapy
Apart from techniques for decreasing anxiety, drugs are also used for treating impotence. The drugs used for treating impotence can be injected directory into the penis or can be taken orally. Men with low levels of natural testosterone can use oral testosterone to reduce impotence. Sometimes, muscle relaxants are also used to enhance erection. Nitroglycerin is a muscle relaxant which enhances the erection when it is rubbed on the surface of the penis.
Many men inject drugs directly into the penis in order to treat impotence. When drugs are injected directly into the penis, the supply of blood to the penis increases and this reduces impotence. Insufficient supply of blood to the penis is one of the common causes of impotence, and injecting drugs directly into the penis is an effective way to reduce impotence. Phentolamine, papaverine hydrochloride and prostaglandin E1 are some of the drugs that affect the blood vessels so as to improve the blood supply to the penis. However, drugs can create unwanted side effects as well.
Vacuum devices
Sometimes, vacuum devices are also used for treating impotence. Mechanical vacuum devices help an individual to achieve and maintain erection. A plastic cylinder, a pump and an elastic band are three components of a vacuum device. The cylinder is used to place the penis and the pump is used to draw air out of the cylinder. Elastic band is used to maintain the erection after removing the cylinder.
Mechanical vacuum devices create a partial vacuum around the penis. The partial vacuum draws blood into the penis and once the sufficient amount of blood reaches penis, erection is attained. In order to maintain erection, an elastic band is placed around the base of the penis. The elastic band helps in maintaining the erection as it prevents blood from flowing back from the penis.
Surgery
Usually, surgery is performed to reconstruct the arteries so as to increase the flow of blood to the penis. Surgery is carried out to remove the obstructions that block the flow of blood to the penis. Sometimes, surgery is performed to block off the veins that allow blood to leak from the penis.
In this type of surgery, obstructions are created with-in the veins in order to prevent the leakage of blood from the penis. In some situations, surgery is performed to implant devices that restore the erection of the penis. Different types of implants are used to treat impotence. Malleable implants consist of paired rods, which are inserted surgically into the corpora cavernosa.
An end-user needs to adjust the position of the rods and the penis in order to attain erection. Inflatable implants consist of paired cylinders, which are surgically inserted inside the penis. Erection is attained by inflating the cylinders with the help of a small pump. So, it’s possible to treat impotence with surgery.
Posted in 
Tags: 
It's probably nothing to worry about – have you heard of the placebo effect ? Just don't bring it up
First of all let's get our definition straight. Impotence is a chronic problem. In other words a male with this problem often can't have an erection. The inability to achieve an erection on a single occassion isn't impotence, it's just embarrasing and annoying.
The inability to achieve an erection happens to everybody. If it hasn't happened to a guy yet it will happen to him sometimes in the future. It can be caused by any number of things; stress, fatigue and or a lack of interest in his partner at that moment.
Perhaps this fellow as a bit tired when the message started and he was just too relaxed and maybe a bit sleepy when it became time to have an erection.
Before trying any herbs consult a doctor. But yes herbs might help you.
There are a few supplements that CAN help …. they do not work for EVERYONE … BUT; for some of us they do ….
Ginko Biloba
Panax Ginsing
L-Arginine
Hope this might help …..
There are lots of factors. At a certain point, usually after 50, your serume testosterone level drops and you go through what is now called andropause (male menopause). With a reduced T level, your libido drops and so does the ability to have or sustain an erection.
Genes play a part in exactly when this happens and testoserone therapy (like gel patches) have certainly proved to help in that department.
Your level of sexual activity through your life also plays a part, and most people, men and women, who have been sexually active all their lives tend to stay that way.
Blood flow is important as well so anything that restricts this will restrict you. Among the factors are diabetes, coronary artery disease, the drugs you take daily (some reduce libido).
Your own self image is also involved. Sometimes as we age we don't really like what our bodies have done, and that can translate into not being able to perform.
And you are not 20 any more as previously said. Getting there will take a little longer and have patience. The best things in life are worth waiting for.
And stop watching the pharmaceutical ads because they only want to convince you that you have something wrong in order to sell you a product. ED happens in one way or other at some time to all guys…wrong time, wrong mood, stress, etc. It's not a unversal dysfunction. It's your body telling you something's gotta change.
Masturbation in men will not lead to impotence and in fact will cause an increase in the frequency of erections. Unfortunately there is an extremely negative side effect. Frequent male masturbation will cause the length of time between stimulation and ejaculation to steadily decrease. Thus frequent male masturbation will lead to premature ejaculation.
It is kind of funny that in females the effect although not exactly opposite tends to increase her ability to have satisfying sex. Since a woman does not have to obtain or sustain an erection to have satisfying sex duration depends entirely on the man. For most women the problem is the large amounts of time and stimulation required to achieve orgasm often exceeds her mans endurance.
For a woman, anything she can do to make her orgasm come faster the more satisfying sex will be. For a man anything he can do to increase the length of time required for orgasm will make him more satisfying as a lover.
I think it is b….t, what kind of a doctor is this who puts healthy people on meds. a drug dealer?:)) viagra cialis are good meds, but only in case you need it.
This is a very good article about this issue:
http://viagrafans.com/what_happens_if_you_take_viagra_and_you_don't_really_need_it.php
Q. What Happens if You Take Viagra and You Don't Really Need It?
A. Men who say they don't have any problems achieving or maintaining erections say that using Viagra dramatically changes the sexual experience, but not always in a good way.
They say taking Viagra gives them a far more rigid erection that is so intense that it's almost uncomfortable, causing them to lose some sensation and making it difficult to finally achieve orgasm. One person described the feeling like puffing your cheeks full of air and then pushing them out as hard as you can.
Others say the physical reaction happens so effortlessly that it becomes intense long before the man's own level of excitement can catch up, creating a feeling of detachment. "The disembodied feeling is a really profound feeling," says the ViagraStories.com editor, a 33-year-old San Francisco man who has used the drug three times.
Mr. Brykman, managing editor of National Lampoon, used only one of the six pills his doctor gave him, and also says he felt disassociated from the experience. He says that although physically it worked, "it didn't have anything to do with arousal. As far as excitement levels or arousal levels, it didn't live up to my expectations."
Those who have used Viagra "recreationally," however, say the drug, nonetheless, makes it much easier to sustain an erection and achieve a second erection relatively quickly after orgasm.
Pfizer balks at the notion of a recreational use for Viagra, contending that if someone can feel the effect of Viagra, then they, by definition, have lost some sexual function. And the reality is, sexual function starts to fade in the 20s.
"Viagra helps to improve erectile function which isn't optimal, " says Pfizer's Dr. Sweeney. "If you're a 20-year-old college guy with no diseases and you have great erectile function, it's not going to do anything for you. It can't make it go beyond normal."
Yes and that can become definite too.
Sky