Saturday, January 12, 2008

Elderly people suffering from organic impotence how do

Impotence in the elderly were higher incidence, with the increase of age increased. According to the information reported, the elderly aged 70 or above prevalence rate of 30%. Impotence elderly organic factors are markedly increased. Apart from the sex lives of older persons is obvious, the decline in the quality of sexual life (sexual interest) is also significantly lower. Cause sexual dysfunction in both the rational and the reasons for the psychological, sexual impotence functional organic impotence and impotence. Organic impotence can be divided into direct and indirect causes two types. Organic impotence caused the direct reasons : ① genitals to reduce the level of sex hormone secretion : Sex Hormone Levels on human sexuality and sexual function have a direct impact on plasma testosterone hormone levels decrease with age and growth. ② vascular occlusive disease : aging population prone to atherosclerosis. If arteriosclerosis involving the main  iliac artery or perineal artery, the dorsal penile artery and deep penile artery will ischemia, hypoxia, cause endometrial hyperplasia, middle fibrosis or calcification, vascular lumen increased thrombotic lesions, Corporal will shrink. ③ venous drainage obstacles : Spongiform was often due to excessive drainage vein, If iatrogenic or congenital corpora cavernosa and the glans penis between the fistula, venous malformation tunica albuginea, unable to maintain a penile erection. ④ arteriovenous fistula : As the perineum vascular arteriovenous short circuit occurred, Corporal sinus not filling where organic impotence. Organic impotence caused the indirect causes are : ① diabetes : diabetic patients occurred in the incidence of impotence higher than normal 2 ~ 5 times. According to statistics diabetic patients occurred nearly 60% of impotence is clinical performance to varying degrees. Its exact cause is not yet very clear, it is generally thought that with the following reasons. After suffering from diabetes, autonomic nerve fibers rupture can occur swelling, vacuolization and axonal diameters change, neuropathological also found diabetic autonomic neuropathy patients supply of vascular lesions, which can affect the nervous nutritional supply. This reflex nerve function and decreased occurrence of impotence. ② cardio - cerebral vascular disease : In recent years, cardio - cerebral vascular diseases, the incidence rate increased significantly, cause cardiovascular and cerebrovascular diseases are the main risk factors for high cholesterol, diabetes and hypertension. These diseases and the people are closely related to unhealthy lifestyles, such as the intake of too much fat and does not like the campaign, heavy smoking, alcohol excessive and long-term mental stress. These factors of coronary heart disease that are currently considered to be the greatest risk factor. Patients suffering from coronary artery disease, first, the psychological factors that life is not political motive, and to talk about sexual life, the incidence of impotence long; two of these risk factors can damage and systemic vascular endothelial cell proliferation and lipid calm, plaque rupture, platelet aggregation, occurred atherosclerotic stenosis in turn, involving the genitals can lead to vascular insufficiency pudendal artery where impotence. Elderly people suffering from organic impotence should take combining traditional Chinese and western medicine treatment. Reduce the secretion of sex hormones, estrogen therapy trial. If younger, a strong sex life, conservative treatment of the poor, could take surgery, If penile prosthesis implantation, vascular surgery.

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