Reasons for Sexual Function Impairment. What examination should be performed with erection problems?

The male’s sexual function depends on many factors such as state of mentality, nervous system, work of vessels and hormonal balance. So the diagnostics of sexual dissatisfaction should be performed by the wide profile specialist and it, but the psychological difficulties and stresses quite often requires consultation with psychologist. Men are not willing to tell their problems to doctors building up in long dissatisfaction, which all the more affects the health state. Impotency can be caused by multiple factors: alcoholism, genital organs’ diseases and hormonal impairments, administration of some drugs, stresses and diffidence.For diagnosing and problem elimination, there is necessary to get the information of how long ago the sexual function was impaired and what factors were concomitant. Sometimes it is required to talk with sexual partner, because the compatibility is of great importance in potency. Usually examination as to impotency includes the urologist examination, then consultation with neurologist. Examination of vessel, talk with psychologist.What is psychogenic impotency?Erection depends on the work of vegetative nervous system, because the responses to impulses coming from external stimuli from genitals can be stopped psychogenically. It was considered in the past that emotional part was the central among the other reasons of impotency, and even with physiological reasons available it can substantially aggravate the state of affairs.The reasons of psychogenic impotency include depressions, anxiety, fears, and incompatibility with the sexual partner. The peculiarity of psychogenic impotency is availability of erection in men emerging in the phase of rapid eye movement.Impotency caused by emotional factors is treated by elimination of the main psychological reason – depression or some other emotional disorder.What diseases may cause impotency?As it is known, the sexual function is affected by the work of various organism systems, so some diseases can also become the reason of impotency:1. Neurological diseases impair the vegetative system functioning, which is the impulse conductor, They include the following conditions and illnesses: vegetative neuropathies in diabetes, primary amyloidosis, hereditary vegetative dysfunction, multiple sclerosis, Parkinson's disease, spinal cord traumas, temporal lobe of brain, brain tumors.2. Endocrine system failures (with hypothyroidism, hypopituitarism, Cushing’s syndrome, acromegaly, hypogonadism) may influence libido but rarely cause sexual function disorder.3. Vessel diseases affect erection, which depends on the blood supply to the penis. Some diseases (atherosclerosis of abdominal aorta and iliac artery) impair bloodstream. Also, symptoms of those illnesses are the low pulse rate, alternating limping.The sexual function disorder can be the consequence of some drugs: for treating hypertension (diuretics Midamor, Triamterene, Avalide, Lasix, Hydrochlorothiazide; Clonidine, Propranolol, Innopran XL, Inderal, Metoprolol, Lopressor, Toprol XL (beta-adrenoblockers); 2-blockers including Ranitidine and Zantac, which affect prolactin hormone decreasing libido; neuroleptics and antidepressants Amitriptyline, Endep, Elavil, Pamelor (Nortriptyline); medications affecting the central nervous system (painkillers, sedatives, narcotics). At the same time, the pharmaceutical market has a lot of drugs enhancing erectile function, such as Cialis, Kamagra, Tentex Royal, Levitra, Viagra, Apcalis SX, ViagRX, ED Strips.