| The evening went according to plan, with one exception: dinner was appetizing; the conversation was stimulating; dancing was intimate and encouraging; her perfume was inviting and teasing; her mouth was adventurous and desirous; and back at my place, the foreplay was sensuous and erotic.
But when it came to showing her what a BIG boy I was, my little pecker let me down - badly.
Well there comes a time in every man's life when he must come to accept that his pride and joy can no longer perform with the regularity it did when he was in his 20s. This is the time where a man's self-esteem and embarrassment is at its greatest.
Erection problems are common among adult men of all ages, but more common with increasing age. In truth, nearly all men experience occasional difficulty getting a solid erection or maintaining it.
In most cases, it's a temporary condition that will go away with little or no treatment at all. Fatigue, or too much alcohol may be a temporary cause.
Whilst with others, it may be an ongoing problem that may eventually damage a man's self esteem and harm his relationship with his partner. In which case immediate and urgent treatment is required.
So just how would you know if you have a problem? Well if you have difficulty either having or keeping an erection for over 25% of the time, then it is a problem. At one time, erection problems were thought to be "all in the man's mind."
Sometimes, men would receive unhelpful advice such as "don't worry" or "just relax and it will take care of itself.” Doctors nowadays tend to believe that when the problem is persistent, then physical factors are often the cause. Erection problems, medically known as erectile dysfunction or impotence, refers to a man's inability to achieve satisfactory erections suitable for sexual intercourse. This is common in about 25% of the male population.
Men who are experiencing repeated impotence patterns tend to be middle aged men, usually over 55. The problem may derive from a variety of causes, but aging is the most important factor in erectile dysfunction, associated with the decrease in male hormones.
For about 20% of sufferers the problem is psychological. While one third is due to physically related diseases and the remainder is the combination of both causes. In the past few years, the medical community has been committed to enhancing treatments for erectile dysfunction through a wide range of alternatives. But how should a man with erectile dysfunction be treated in this age of vacuum pumps, penile injection, medication and prostheses?
Just as with any other ailment, when a person begins having this problem continually, a physical examination is the first step in the treatment process.
This is done to rule out injury, side effects from medicine or diseases and disorders such as diabetes, high blood pressure, high cholesterol, kidney disease, alcoholism, or multiple sclerosis.
A considerable part of the evaluation includes a detailed patient history that can give the doctor virtual clues regarding the patient's condition and the severity of the condition. Treatments should be tailored to the individual, with the severity and cause taken into consideration. Common treatments include medications, vacuum devices and surgery.
Prescription medications such as Viagra, Levitra, and Cialis are commonly prescribed, as well as other options such as vacuum devices and surgery.
Vacuum devices are non-drug options. This is a device which creates a vacuum around the penis that draws blood into the penis and allows it to engorge, thus causing an erection.
Surgery can be performed in order to restore blood flow to the penile area if the vascular (blood vessels) to the area is compromised. However surgeries have fallen out of favor in recent years because of the possible risk of infection due to such invasive procedures.
There are also instances when patients are advised to receive some form of psychotherapy to help alleviate their condition. Psychological therapy and behavior alterations are other options to treat erectile dysfunction. This process attempts to alleviate the psychological factors that may have caused the disorder.
Perhaps the most successful means of helping with this problem is by using a penis traction device. This is a small device into which is fastened a penis experiencing erection difficulties. The device holds the penis in place and over a period of time helps in giving it a much stronger and harder condition. Three such devices are reviewed on this site. But all in all, prevention is easier to achieve than a cure. By following a healthy diet, and a life-style that includes a moderate amount of exercise, a younger man can do much to prevent the onset of this troublesome condition.
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