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Start > Doctors > Resource centre > Articles > Impotence Part 1

When lads get problems with their sexual performance it is usually temporary and due to the stress of the moment or excessive alcohol. Alcohol breaks down the barriers of sexual taboos and reticence, thereby increasing desire. But there is another side to the increase in desire - namely a decrease in performance, which is sometimes referred to as "brewer's droop".

In all cases of impotence, the main difficulty is failure to sustain an erection. Premature ejaculation is another complication of the problem. The reasons for this are mixed - about 40 per cent of cases have physical causes, such as diseases, drugs and injury, and 30 per cent have psychological causes. Another 30 per cent have a mixture of both physical and psychological precipitating factors. It is also more common among men over the age of 45.

I find that fear is a potent cause of impotence, such as the fear of doing damage to oneself after an operation or heart attack. Your sex life can continue - after a coronary thrombosis - get advice from your doctor. Drugs causing impotence include anti-depressant chemicals and those used to lower blood pressure - as an erection is due to the amount and pressure of blood diverted into the penis.

Diseases affecting impotence include diabetes, high blood pressure, depression and anxiety. Recurrent failure brings its own spiral of lack of confidence and increasing tension, leading to more disastrous consequences when making love. Nervous system diseases, such as multiple sclerosis, affect performance in the male.

Those who have suffered nerve damage in accidents where, for example, the pelvis has been crushed in a road traffic accident are liable to sustain sexual difficulties. Any disturbances of the circulation below the waist can contribute to impotence. Fortunately, these are unusual situations and the majority of blame lies in the psyche - fear, anxiety and tension, with a degree of depression thrown in for good measure.

Teacher: Michael
Many articles taken from 'A word with the doctor', by Dr. John Windsor.

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