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Aging And Erectile Dysfunction
Aging And Erectile Dysfunction
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AGING AND ERECTILE DYSFUNCTION Despite the process growing old, people seem to want and need to be close to others. As we grow older, many of us also want to continue an active, satisfying sex life. But the process of growing older, and the health challenges that seem to accompany it, need to be addressed. Normal aging brings physical changes in both men and women. These changes sometimes affect one's ability to have and enjoy sex. As men get older, erectile dysfunction (impotence) becomes more common.
Erectile Dysfunction is the loss of ability to have and keep an erection hard enough for sexual intercourse. By age 65, about 15 to 25% of men have this problem at least one out of every four times they are having sex.
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This may happen in men with heart disease, high blood pressure, or diabetes - either because of the disease or the medicines used to treat it.
A man may find it takes longer to get an erection. His erection may not be as firm as it used to be. The amount of ejaculate may be smaller. The loss of erection after orgasm may happen more quickly, or it may take longer before an erection is again possible. As a result of aging, some men may find they need more foreplay.
AGING AND ERECTILE DYSFUNCTION - POSSIBLE PROBLEMS Illness, disability, or the drugs you take to treat a health problem can affect your ability to have and enjoy sex. But even the most serious health problems, or the process of aging, usually don't have to stop you from having a satisfying sex life.
Arthritis Joint pain due to arthritis can make sexual contact uncomfortable. Joint replacement surgery and drugs may relieve the pain. Exercise , rest, warm baths, and changing the position or timing of sexual activity can be helpful.
Chronic Pain In addition to arthritis, pain that continues for more than a month or comes back on and off over time can be caused by other bone and muscle conditions, shingles, poor blood circulation, or blood vessel problems.
This discomfort can in turn, lead to sleep problems, depression, isolation, and difficulty moving around. These can interfere with intimacy between older people. Chronic pain does not have to be part of growing older and can often be treated.
Diabetes Some men with diabetes do not have sexual problems, but this is one of the few illnesses that can cause impotence. In most cases medical treatment can help.
Heart Disease Narrowing and hardening of the arteries known as atherosclerosis can change blood vessels so that blood does not flow freely. This can lead to erectile dysfunction, as can high blood pressure (hypertension). Some people who have had a heart attack are afraid that having sex will cause another attack.
The chance of this is very low. Most people can start having sex again 3 to 6 weeks after their condition becomes stable following an attack, if their doctor agrees. Always follow your doctor's advice.
Incontinence Loss of bladder control or leaking of urine is more common as we grow older. Stress incontinence happens during exercise, coughing, sneezing, or lifting, for example. Because of the extra pressure on your abdomen during sex, incontinence might cause some people to avoid sex. The good news is that this can usually be treated.
Stroke The ability to have sex is rarely damaged by a stroke, but erectile dysfunction is possible. It is unlikely that having sex will cause another stroke. Someone with weakness or paralysis caused by a stroke might try using different positions or medical devices to help them continue having sex. WHAT ABOUT SURGERY AND DRUGS? Many of us worry about having any kind of surgery. It is especially troubling when the genital area is involved. Happily, most people do return to the kind of sex life they enjoyed before having surgery.
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Prostatectomy Prostatectomy is surgery that removes all or part of a man's prostate. Sometimes this procedure is done because of an enlarged prostate. It may cause urinary incontinence or erectile dysfunction. If removal of the prostate gland (radical prostatectomy) is needed, doctors can often save the nerves going to the penis. An erection may still be possible. talk to your doctor before surgery to make sure you will be able to lead a fully satisfying sex life.
Medications Some drugs can cause sexual problems. These include some blood pressure medicines, antihistamines, antidepressants, tranquilizers, appetite suppressants, diabetes drugs, and some ulcer drugs like ranitidine. Some can lead to erectile dysfunction and make it hard for men to ejaculate. Some drugs can reduce a woman's sexual desire. Check with your doctor. They may be able to prescribe a different drug without this effect.
Alcohol Too much alcohol can cause erectile dysfunction in men and delay orgasm in women. AM I TOO OLD TO WORRY ABOUT "SAFE SEX"?
Having safe sex is important for people at any age. Almost anyone who is active is also at risk for being infected with HIV, the virus that causes AIDS. The number of aging people with HIV/AIDS is growing. One out of every 10 people diagnosed with AIDS in the U.S. is over age 50.
You are at risk if you have more than one sexual partner or are recently divorced or widowed and have started dating and having unprotected sex again. Always use a latex condom during sex, and talk to your doctor about ways to protect yourself from all sexually transmitted diseases. You are never too old to be at risk.
CAN EMOTIONS PLAY A PART? Sexuality is often a delicate balance of emotional and physical issues. How you feel may affect what you are able to do. For example, men may fear that ED will become a more common problem with aging. But if you are preoccupied and over concerned with the issue of erectile dysfunction and aging, you can cause yourself enough stress to trigger impotence. Older couples face the same daily stresses that affect people of any age. But they may also have the added concerns of age, illness, and retirement and other lifestyle changes. These worries can cause sexual difficulties.
Talk openly with your doctor, or see a counselor. These health professionals can often help. Don't blame yourself for any sexual difficulties you and your partner are having. You might want to talk with a therapist about them. If your partner seems less interested in sex, don't assume they don't find you attractive anymore. There can be many physical causes for their problems.
WHAT CAN I DO ABOUT AGING AND ERECTILE DYSFUNCTION ?
There are several things you can do on your own to keep an active sex life. Remember that sex does not have to include intercourse. Make your partner a high priority. Pay attention to her needs and wants. Take time to understand the changes you are both facing. Try different positions and new times, like having sex in the morning when you both may have more energy. Don't hurry - you or your partner may need to spend more time touching to become fully aroused. If you do seem to have a problem that affects your sex life, talk to your doctor. The doctor can suggest a treatment depending on the type of problem and its cause. If erectile dysfunction is the problem, it can often be managed and perhaps even reversed. There is a pill that can help. It is called sildenafil and should not be taken by men taking medicines containing nitrates, such as nitroglycerin. This pill does have possible side effects. Other available treatments include vacuum devices, self injection of a drug, or penile implants.
There is a lot you can do to continue an active sex life. Follow a healthy lifestyle - exercise, eat good food, drink plenty of fluids like water or juices, don't smoke and avoid alcohol. Try to reduce the stress in your life. Visit your doctor regularly. And keep a positive outlook on life. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
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