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+ Treating Impotence
Treatments for impotence vary a lot and depend on the cause.
Psychotherapy/counselling: this is mainly for use where the main cause is anxiety, guilt or a hang-up.
Lifestyle advice: this is mainly of help when the problem is related to tiredness, stress, alcohol, nicotine or other drugs.
Alteration of medication: this is useful when the impotence is due to pills that are being taken for high blood pressure or other disorders. A change of medication is often possible and may give fewer side effects.
Medicines for impotence have been developed very successfully in recent years. Many are highly effective, but they are not the sole answer to every man's erection difficulty.
There are also mechanical aids.
Pubic ring: a rubber or bakelite ring that is put around the base of the penis. It is claimed to be effective for men who can't maintain an erection for very long.
Vacuum pump: a tight-fitting cylinder, in which low pressure can be created, is placed over the penis. The resulting suction gives an erection. Unfortunately, the penis tends to look blue in colour, and feels cold to the touch.
Finally, there are surgical treatments.
Splinting: this treatment involves the insertion of a flexible synthetic or metal rod (prosthesis) into the penis to cause a mechanical erection. There are several different types of prosthesis. It is important to realise that this treatment cannot be reversed without more surgery, so it will not normally be used unless other methods have failed.
Sealing a vein leak: unfortunately, this is not always very effective.
It's also important to note that whatever form of treatment a man receives, sex counselling may be required. In cases that are entirely due to psychological causes, counselling alone can cure the problem. But even in the other methods, counselling is often necessary as a supplement to the main treatment.
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