IMPOTENCE – MANAGEMENT
Is it treatable?
- Impotence is a treatable condition.
- Majority of the persons with impotence due to psychological problem can have normal life without any recurrence.
- The persons who have impotence due to some medical or surgical illness can also be treated by various medical and surgical means.
What is the remedy ?
- First of all look out for any medical or surgical illness. Consult your family physician and feel free to discuss your sexual problems.
- Medical treatment depends on the underlying physical cause of the impotence.
- Androgen (sex hormone) replacement is done for men who has deficiency of the same.
- In specific cases certain surgeries can help the patient. Surgical options available are :
- Intracavernosal injections: The most effective and well-studied agents are papaverine, phentolamine, and prostaglandin E.
- Vascular surgery like arterial revascularization is commonly used.
- Penile Prostheses: Three types of penile prostheses are available for patients who fail with or refuse other forms of therapy : semirigid, malleable, and inflatable. Each of them has its own advantages and disadvantages.
- Vacuum and constrictive: Vacuum constriction devices helpful in achieving and maintaining erections with minimal side effects.
- There are certain drugs which are used for this condition however the use of such drugs are guided by the cause of the impotence. Such drugs should be taken only on prescription by a qualified specialist.
- Once the medical condition is excluded, it is always advisable to look back to the spouse and family, spend some more time with the spouse and learn to express your sexual and non sexual problems.
- Psychotherapy (counseling) is helpful for those who have no obvious physical cause of impotence.
- Dual sex therapy is most widely practiced and requires the cooperation of both the partners.
- Therapy can be individualized to the patient’s needs and expectations.
Whom to consult ?
- If the person with impotence is also suffering from any other medical illness (for example hypertension, liver disease, etc.) it is always best to consult a physician.
- In case the person has no medical illness, a qualified psychiatrist is the right person for the purpose.
- He also should explore various other factors contributing to the problem.
- Depending on the individual case he can prescribe a psychotherapy that can help him the most. Dual sex therapy devised by Masters and Johnsons (two most famous experts in this field).
- It is always advisable that both the partners should visit the therapist because it is considered that impotence is the problem of the couple and it is not the man who needs treatment.