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Impotence Part 1 (Teacher: Michael)

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

In all cases of impotence, main difficulty is failure to sustain erection. Premature ejaculation is another complication of problem. reasons for 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 mixture of both physical and psychological precipitating factors. It is also more common among men over age of 45.

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

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

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