There are many causes of ED or male impotence: certain cancer treatments, medical conditions like diabetes that stop the flow of blood to the penile area; libido-lowering medications such as the hormone Lupron; alcohol; and depression. In fact, certain medical procedures like prostate cancer surgery (a radical prostatectomy) to remove a cancerous prostate, leave 50% to 75% of men physically impotent.
Unfortunately, impotence can contribute to a man's loss of self-esteem and lead to further withdrawal from previously close relationships with his wife or partner.
When educated about medical means like Viagra, Caverject penile injections, or vacuum erection pumps (VED's) that can offset erectile dysfunction, three quarters of these men will be able to have erections again and re-engage in sexual relations.
It's also important for me men to learn what women often know already: that manhood is defined by who you are and how you act, not how your body functions.
Men may have to retrain themselves, on their own or with professional guidance, to recognize that the crux of a husband-wife or partnership relationship is not "having sex" but rather, "making love" in every mutually acceptable way imaginable. This will help them retain the self-esteem and sexual intimacy they crave.






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