Overcome from psychological impotence and enjoy your sexual life

by Dr. Niranjan Mahadev
September 25, 2011

http://www.weeklyblitz.net/1838/overcome-from-psychological-impotence-and-enjoy

Most men fail to give his female partners, a good orgasm, even a poor level of orgasm, as in major cases, suffer from psychological impotence thinking they have sexual inabilities, though they do not. Many medical experts though claim that in most cases, men become impotent during "old ages", I would strongly argue to accept that point. I have patients, who already celebrated their 70^th birthday, and are still sexually very active. In medical terminology, erectile dysfunction is considered as "impotence".

First of all, let us try to understand the symptoms of impotence. If a man begins to feel sexually aroused, but is unable to have an erection, or he is able to get an erection, but cannot complete sexual intercourse, he is exhibiting one of the main symptoms of male impotence, or erectile dysfunction. When these symptoms only occur once in a while, there is no cause for alarm. However, if the symptoms persist, then a physician should be consulted.

Now let us try to understand, what is impotence. When a man cannot sustain an erection long enough to have sex, or cannot have an erection at all, he is suffering from male impotence. Also known as erectile dysfunction, it affects over 15 million men each year in the United States. Men in their 40s may suffer an occasional incident of impotence, and in most cases, it is only a temporary condition. Impotence is sometimes caused by emotional or relationship problems, but if symptoms continue, you should make an appointment with your physician. Impotence treatment options will be explained to you by your physician, who can determine if it is being caused by psychological or physiological conditions.

When a man is suffering from male impotence, it may cause emotional pain and issues between him and his sexual partner. If left untreated, not only can it cause physical complications, but self-esteem problems as well. It is only natural to not want to discuss sexual problems with your partner or your physician, but open communication is the key to finding an impotence cure that works for you.

Let me now brief you about the causes of impotence. When an erection begins, the man's penis becomes filled with blood as blood vessels are enlarged to allow for an increased flow. Impotence, or erectile dysfunction, can sometimes occur when the erection process is interrupted. For an erection to take place, a precise series of events occur, which begin with nerve impulses in the brain, spinal column and in the area surrounding the penis itself. As those nerve impulses begin to signal interest in sexual activity, the muscles, fibrous tissues, veins and articles respond and an erection takes place. However, if any of those signals are disrupted, it can result in erectile dysfunction instead of an erection.

In some cases, impotence may be caused by a disease, such as diabetes, kidney disease, multiple sclerosis, vascular disease, chronic alcoholism, or neurologic disease. Other possible causes of male impotence include recent surgery, especially radical prostate or bladder surgery for cancer. If any areas surrounding the penis were injured during surgery, problems with erectile dysfunction could result.

Injury to the penis, spinal cord, prostate, bladder and pelvis can lead to erectile dysfunction by harming nerves, smooth muscles, arteries and fibrous tissues of the area around the penis.

Another common cause of male impotence are problems associated with prescription drugs that affect nerve centers. Blood pressure medication, antidepressants, antihistamines, tranquilizers and other prescription drugs can produce erectile dysfunction in men. In still other cases, the cause may be attributed to psychological factors, including stress, anxiety, guilt, depression, low self-esteem, or even fear of sexual failure.

Male impotence can also be caused by problems with the prostate, including an enlarged prostate, a prostate infection or prostate cancer. Every year, more than 2 million American men are diagnosed with prostatitis, a term that means "inflammation of the prostate." A few men with prostatitis have clear signs of a bacterial infection of the prostate. Doctors call this condition bacterial prostatitis. In roughly 90 to 95 percent of cases of prostatitis, however, there's no clear sign of infection. Doctors call this chronic nonbacterial prostatitis or chronic pelvic pain syndrome. Sometimes men suffering from prostate problems will have difficulty getting and sustaining an erection.

It is not suggested to simply come to the conclusion that you are suffering from impotence, when on one or even several occasion, you fail to get erection. Such things can happen, even if you are in heavy mental stress or even could be resulted from extreme physical hard work. In any case, before you start taking erectile medicines, such as "Viagra", please make sure that you are suffering from impotence. If you suspect you may be suffering from impotence, or erectile dysfunction, your physician can conduct a series of exams and tests to determine if that is the cause of your erection difficulties. The physician will begin by reviewing both your medical and sexual history. It is important to be honest with your physician, no matter how embarrassed you feel talking about the subject. Your physician is there to help you, so make sure you give all of the facts. For example, you may have problems associated with your sexual desires, your ability to maintain an erection, ejaculation or orgasm. Your physician will also review any other medical conditions that you may have that might be the cause of your male impotence, or erectile dysfunction. Drug interference with a man's ability to have an erection accounts for one-fourth of all male impotence cases.

Your physician will also conduct a physical exam. It is possible that your penis is not responding to touching, which could indicate a problem in the nervous system. In other cases, abnormal secondary sex characteristics, such as hair pattern or breast enlargement, can point to hormonal problems. If this is the case, your physician may suspect that your endocrine system is involved.

If your penis has a slight curve or bends to one side, your erection dysfunction could be the result of Peyronie's disease.

If your physician suspects other causes, lab tests will be ordered to help confirm the diagnosis of erectile dysfunction, or male impotence. Tests for systemic diseases include blood counts, urinalysis, lipid profile, and measurements of creatinine and liver enzymes. If your physician suspects there may be a problem with your prostate, he may collect a sample after massaging the prostate, in addition to a routine urine sample. This special sample will contain secretions from the prostate -- and, perhaps, a few clues to the condition. Among patients with chronic bacterial prostatitis, cultures from the post-massage urine sample may be positive for bacteria. If a patient has chronic nonbacterial prostatitis, the sample will usually have high levels of white blood cells, which are a sign of inflammation.

And finally, if your physician suspects that your erectile dysfunction problem may be psychological, a test, which includes an interview and a questionnaire, will reveal certain psychological factors to help uncover the reason for the problem. In addition, the man's sexual partner may also be interviewed, to help determine sexual expectations and perceptions during intercourse.

Now let me discuss how to treat impotence. In many cases of impotence, it is a matter of changing blood pressure medication to fix the problem. If other treatments are needed, most physicians will seek treatment ranging from the least invasive to the most invasive. Psychotherapy and behavior modifications may also be considered as a treatment, or, if the case warrants, prescription drugs may be prescribed.

The Food and Drug Administration recently approved several drugs that can assist in most cases of erectile dysfunction. Viagra was approved in 1998, and in 2003, Levitra was allowed on the market, followed by a third medication for erectile dysfunction, Cialis. These drugs work by enhancing the effects of nitric oxide, a chemical that relaxes smooth muscles in the penis during sexual stimulation and allows increased blood flow.

As a medical practitioner, dealing with at least a few thousand patients, coming to me with the conclusions of suffering from impotence, are returning home with a vigorous mind and joy of actually being a very normal person. Most of them suffer from lack of sexual knowledge, which not only makes them unhappy in conjugal life, but equally makes their female partners uncomfortable.

The next problem, men also come with is pre-mature ejaculation, which is no less painful than impotence to many. Let us first try to understand, exactly what pre-mature ejaculation is. But before discussing this issue further, let me tell all of you that, pre-mature ejaculation is not at all any serious issue of fear. It is all a mere psychological problem.

Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration, with minimal sexual stimulation and before the person wishes. It may result in an unsatisfactory sexual experience for both partners. This can increase the anxiety that may contribute to the problem. Premature ejaculation is one of the most common forms of male sexual dysfunction and has probably affected every man at some point in his life.

What causes premature ejaculation?

Most cases of premature ejaculation do not have a clear cause. With sexual experience and age, men often learn to delay orgasm. Premature ejaculation may occur with a new partner, only in certain sexual situations, or if it has been a long time since the last ejaculation. Psychological factors such as anxiety, guilt, or depression can cause premature ejaculation. In some cases, premature ejaculation may be related to an underlying medical cause such as hormonal problems, injury, or a side effect of certain medicines.

What are the symptoms?

The main symptom of premature ejaculation is an uncontrolled ejaculation either before or shortly after intercourse begins. Ejaculation occurs before the person wishes it, with minimal sexual stimulation.

How is premature ejaculation diagnosed?

Your doctor will discuss your medical and sexual history with you and conduct a thorough physical examination. Your doctor may want to talk to your partner also. Because premature ejaculation can have many causes, your doctor may order laboratory tests to rule out any other medical problem.

How is it treated?

In many cases premature ejaculation resolves on its own over time without the need for medical treatment. Practicing relaxation techniques or using distraction methods may help you delay ejaculation. For some men, stopping or cutting down on the use of alcohol, tobacco, or illegal drugs may improve their ability to control ejaculation. I always suggest my patients, who complain of pre-mature ejaculation, to quit smoking. In my opinion, smoking is the worst cause of pre-mature ejaculation as well as sexual disorders, alongside series of other physical complications.

Your doctor may recommend that you and your partner practice specific techniques to help delay ejaculation. These techniques may involve identifying and controlling the sensations that lead up to ejaculation and communicating to slow or stop stimulation. Other options include using a condom to reduce sensation to the penis or trying a different position (such as lying on your back) during intercourse. Counseling or behavioral therapy may help reduce anxiety related to premature ejaculation.

Well, my friends, many of you should already be feeling free from anxiety of being thinking of suffering from impotence or pre-mature ejaculation. Now, let me try to give you a number of good tips on how to give better orgasms to your female partners. During my 47-years as medical practitioner, dealing with thousands of patients, I have witnessed almost 97 percent of my patients, who followed my suggestions, came back to tell me that, they were enjoying "excellent" sexual life. It seems to me that most of the sexually active men worry about giving best orgasms, or even multiple orgasms. What's more is that it's almost assumed that men have the necessary skills and abilities to give a woman an "O" face and make her come again and again. There's a lot of pressure today for men to perform well and to know how to give a girl what she wants.

For some women multiple orgasms are like candy: they're addictive, sweet and very satisfying. Orgasms that occur in succession, a steady stream of one after the other, are called the "serial multiple." The "sequential orgasm" can be like a roller coaster ride interspersed with peaks and lulls with a few minutes between each incredible burst of ecstasy. Female orgasms can also be like scaling Mount Everest, a continuous build-up to one incredible peak.

All forms of orgasms are attainable, but it is up to the woman's biology and preference to do so. It is folly to assume that she wants to ride that roller coaster or just scale Everest once in an evening. It is very important to communicate with her about what she wants and desires. Talk to her, listen to her and let her know that you want to pleasure her in the ways she wants. If she wants you to give her multiple orgasms, keep reading and put yourself in the know.

Proper atmosphere is an important issue:

Her comfort is paramount. In order to give her multiple orgasms, she'll need to surrender herself to the experience, and she'll need to be at ease to do so. You can help calm her mind and quell her inhibitions with a little environmental preparation that's sure to put her on the road to sexual bliss. Clean sheets, downy pillows, tissues by the bed, soft lighting, and subtle scents in the air will aid in creating that easy atmosphere. Take a few minutes to clean your pad, take a shower and shave before she arrives. Also, set your cell phone to silent or turn it off. Finally, if she is a new or newer lover; cut the cord and remove any pictures that remain of your ex.

She will explode:

While her body rests from its latest mind-blowing peak, keep the momentum and energy going with your mouth, mind, lips, and tongue. OK, you could go down on her, but I'm talking about keeping her mind sexually engaged and her body humming with sweet words. You will be able to maintain her physical desire if you describe and tell her how amazing she feels, how incredible she looks as she explodes, and how she's driving you insane with her beautiful body. Be creative and inventive with your words. Women enjoy feeling a strong and firm grip on their body, so take hold of her as you ready her body for yet another orgasm. She'll appreciate your pillow talk and physical desire. The sexier and more comfortable she feels, the more she'll let go.

Different variations:

If you know the kind of stimulation she likes, such as clitoral, vaginal or G-spot, it may be wise to keep it that way and just change the position or technique. This will help you give her multiple orgasms. For example, if your girl achieved her last orgasm quickly and easily through clitoral stimulation, hit the same trigger, but try a different angle or speed. This will effectively aid her in reaching another intense orgasm. Conversely, if she has received a lot of clitoral stimulation she may want a break from her little bud being constantly massaged or manipulated. In this case, a vaginal or G-spot rub may hit the spot. Understand that after orgasm some women may experience an almost uncomfortably or unbearably sensitive clitoris. She may not want continued touching in that area. When and if this occurs, attend to another sweet spot while her bundle of nerves recovers. Here, communication continues to be a key point.

Devote to her:

Help her to understand that the night is all about her pleasure. Make her feel that you have the entire night to devote to her satisfaction. Pay no attention to the time it takes. Your patience will have multiple payoffs (i.e. give her multiple orgasms), but if she feels rushed, she will be less inclined to relax and feel comfortable -- feelings that are not conducive to achieving multiples orgasms. An excellent way to emphasize how much you enjoy making her feel good and to show her that it really is "all about her" is to bring her to orgasm before penetration. She will feel that you really do want her to reach great heights throughout the night, and that you consider your satisfaction secondary -- don't worry, when's she has had enough you'll get yours.

Let her decide:

Remember: Orgasms are for her all night. If she wants a lot of little explosions or one huge inferno, it is for her to decide. This isn't the time to flex your sexual prowess and try to make your woman come over and over if she doesn't want to -- she might prefer the one peak. Remember that the goal is her satisfaction, not your ego's inflation by hearing her scream out repeatedly. Just listen to her or ask. Don't assume that you know what she wants and how she wants it. Take your time and you'll give her multiple orgasms.

Friends, hope these tips will be useful to you. Keep reading my future write ups here on these issues. Enjoy a healthy and vigorous sexual life.

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