Impotence from temperament

 

This is also called erectile dysfunction (ED) and it is caused by two main factors

  • Psychological factors

  • Physical factors

  • Temperamental causes

Impotence can be treated as follows

 Psychological factors tend to arise as a result of what we may call the sexual anxiety syndrome. This syndrome, which is caused by a an intense fear of impotence and its consequences on the female partner (e.g. she may feel her male partner is not really a man) may lead to one of the following during sexual interaction

  • Failure of erection

  • Premature ejaculation

  • Failure of ejaculation

  • Retrograde ejaculation (into urinary bladder)

The anxiety syndrome is not common in normal marital relationship because that kind of relationship rarely brings anxiety .It is commoner with extramarital affairs and sometimes with women who may be thought of as being higher than the individual and hence an intense feeling of inferiority may precipitate the anxiety. This is particularly common amongst adolescents and young adults, espeailly at their sexual debut (first time).

Temperamental causes

The sexual anxiety syndrome is common amongst melancholic individuals for the same reasons. They are prone to anxiety for they are usually perfectionists and so unsure of themselves even though they may be greatly talented. It affects both male and female melancholic. It is estimated that all melancholic have the condition at least once in their life time. If they refuse to share it with anyone, it may be difficult to treat. But once they are open especially to their spouses, the problem disappears gradually and will rarely come back. Sanguine rarely have this problem

Treatment is usually by vocalisation. Discuss the problem openly with your spouse. That does not make you less a man. It is when you keep quiet that you show a deep seated inferiority complex which is unmanly! If your spouse is the one with the problem, be patient, gentle and not quarrel. When he/she is in an obvious state of anxiety, which is easily discernable by recognising a very fast heart beat, with increasing respiratory rates, tell him to cool off and relax. Pretend you are no longer interested in the sexual activity and would just wish to sleep. Tell him/her to do the same. Within minutes of saying this, the erection is likely to come real hard and may stay hard for a long time after because you have released the tension and removed the anxiety.

Physical causes

These may be due due to nerve damage, loss of blood supply or muscle damage. They are treated in many ways as follows

Paraplegics. These are those who have spinal cord injuries. For such, the desire for sexual intercourse is still intact but the performance is gone and may only respond to reflexes. Ask the wife to lovingly caress her husbands penis and patiently wait for him to become erect which may occur most times without warning. An electroejaculation kit is available for paraplegics, which assist them in ejaculating and therefore procreation.

Pharmacotherapy of anxiety

Anti-anxiety drugs like valium may be useful, although they may depress the central nervous system. Propanolol is a useful centrally acting anti-anxiety agent. See your doctor for proper prescription.


Have you ever heard of chaste beauty?

 

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