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Impotence: FAQs | Moorgate Andrology

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Impotence: FAQs


Erectile dysfunction can affect a man’s confidence when they’re intimate with their partners. Today’s blog should answer all your frequently asked questions.

Does Masturbation Cause Impotence?

Frequent masturbation does not cause impotence. In fact, the old adage “if you don’t use it, you lose it” is true to a large degree, especially as you get older. So, don’t feel remorse or guilt, but approach your doctor for assessment and treatment of your problems.

Are Erection Problems Temporary?

Temporary episodes of impotence are common in all men and usually resolve on their own. They are usually due to the effects of recent stress or anxiety. Anxiety over your ability to sustain an erection is itself a powerful cause of impotence, so it’s easy for a vicious circle to develop.

In addition to this so-called “performance anxiety”, other sources of psychological impotence can include loss of interest in sex either as a result of a relationship problem, boredom, disinterest or just being out of love.

Talk to your partner about any inner feelings you have, and recruit your partner’s help in overcoming the problem. Take things one at a time, and practice the sexual activities and positions that help you keep the erection for as long as possible.

If necessary, refrain from penetrative sex completely for two two-three weeks and concentrate only on foreplay with the aim of maintaining the erection. This kind of DIY “sensate focus therapy” usually results in the gradual restoration of confidence leading too completely satisfactory intercourse thereafter. Once you have discovered how to overcome performance anxiety, it rapidly disappears.

It’s important to note that physical causes of ED, such as those from hardening of the arteries or diabetes can lead to other serious health consequences as well as causing long term erectile dysfunction unless adequately investigated and treated.

I Have No Sex Drive

It is not uncommon for some men to experience a gradual decline in their sex drive or libido over time. This comes in part through growing older and often happens as a result of being comfortably settled in a long-term relationship.

However, when a 50-year-old man notices a very marked reduction in sexual drive and desire, such as you describe, further investigation may be required. A fasting blood sample taken at around 9 am can be performed to check the male sex hormone profile.

This test tells if there has been a reduction in testosterone level owing to a decline in testicular function or a problem relating to pituitary gland function that could reduce libido. A thyroid function check may also be helpful, as sometimes the thyroid gland can become underactive and this may affect sex drive.

You also mention “a slight sugar intolerance”, which means you may be at an increased risk of developing diabetes in the future. Diabetes is commonly associated with erectile dysfunction and, if it is some years since the initial diagnosis of sugar intolerance, it may be that your ability to manage sugar has deteriorated further. Your doctor can determine this from a fasting glucose sample.

Finally, irrespective of what these checks may discover, there is always going to be a degree of anxiety associated with a return to full sexual activity – and particularly when your partner has the more pronounced sex drive.

If you’re suffering from erectile dysfunction, then get in touch with us today to book a consultation.

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