Impotencija

[Leonid Breznjev]

mogu ja biti jos iskreniji, ali strah me da opet ne fasujem ban u neznanju

ako je u okviru teme, raspali.. samo nemoj vulgarnosti!

[anais_nin]

mogu ja biti jos iskreniji, ali strah me da opet ne fasujem ban u neznanju

samo se "klinicki" odrazavaj i bice ok u svakom slucaju svaka cast, duboki naklon zbog radi iskrenosti

Ja bih samo dodala da razlog sto sebi uzimam za pravo kao jedan "bez-kitonja" da se oglasavam na ovu temu je cinjenica da je ovo nesto sto se ipak desava oboma....ipak je (uglavnom) za tango potrebno dvoje.....

Naravno i ko zena treba stisnut prdu (bez bRezobraznih misli molim) pa reci naglas, da i pored silne price i razgovora a i adekvatnih objasnjenja dolazi do pomisli da je problem u njoj opet ne trpam sve zene u isti kos, ali omakne se i onim najsigurnijim pomisao "je l do mene? mozda mu nisam vise privlacna.....sigurno je primjetio one strije sto mi s epojavise itd itd itd" blablabla stvari koje vecini muskaraca ne bi pale na pamet.....i onda ona hoda okolo i ta misao raste i stvara se razdor u oba pravca.....

Svasta covjek zna (a i zena) u teoriji, svakakvim se informacijama barata....ali opet kad dodje do toga, ipak (cesto) emocije prevagnu.....mozak se cesto iskljuci, pa bude povrijedjenih ponosa na obe strane

[callmethebreeeze]

mogu ja biti jos iskreniji, ali strah me da opet ne fasujem ban u neznanju

ako je u okviru teme, raspali.. samo nemoj vulgarnosti!

ma kakve vulgarnosti. ja sam sofisticiran, meni se ne dize na vulgarnosti

[Leonid Breznjev]

Pretrage

Povijest bolesti i osobni podaci
U utvrđivanju impotencije i njenih uzroka primjenjuje se nekoliko dijagnostičkih testova. Prije svega otvoreni razgovor u kome se od pacijenta traži iskrenost, čime se olakšava postavljanje dijagnoze. Osim podataka o prethodnim i postojećim zdravstvenim problemima, od pacijenta se traže informacije o prethodnom i postojećem liječenju i lijekovima te psihološkim problemima koje je imao i ima, uključujući stres, nemir ili depresiju. Traži se i povijest spolnog života koja uključuje prirodu početka disfunkcije, njenu učestalost, kvalitetu, trajanje erekcije i vrijeme njene pojave (jutro/noć). Ukoliko želi pomoć, pacijent ne smije smatrati ova pitanja nepotrebnim "kopkanjem" po njegovom intimnom životu ili ih uzimati suviše osobno. Ona su vrlo važna u odabiru ispravnog pristupa problemu.

Fizikalne pretrage
Nakon toga liječnik provodi detaljni fizikalni pregled genitalnog područja i digitorektalni pregled (pregled zadnjeg crijeva prstom) radi utvrđivanja mogućih promjena prostate. Obavljaju se i pretrage koje govore u prilog drugim medicinskim stanjima, posebno visoki tlak, dijabetes, ateroskleroza i živčana oštećenja.

Ispitivanje erektilne funkcije
Za ispitivanje erektilne reakcije liječnici obično preporučuju pokus sa sildenafilom koji je često zamjena za invazivnije i skuplje papaverin i prostaglandin E1 injekcije ili preparate za dilataciju krvnih žila penisa. Deset do petnaest minuta nakon injekcije, u pacijenta s normalnom cirkulacijom krvi u penisu dolazi do erekcije. Tada se ispituje erektilna reakcija, zakrivljenost penisa i odgovor nakon erekcije.

Laboratorijski testovi
Krvni testovi služe za mjerenje razina testosterona i, prema potrebi, prolaktina. Time se utvrđuju mogući poremećaji endokrinog sustava. Ostali pregledi, prema potrebi: kontrola funkcije tiroidne i adrenalne žlijezde i specifični testovi erektilne disfunkcije.

ponekad i najodaniji prijatelj izda.. al' samo na trenutak!

[Sunii]

hej samo me nesto interesuje. negdje ovdje pise da "samo starenje ne utice na impotenciju", pa me zanima zasto onda vecina starijih muskaraca(naglasavam vecina , ne svi), imaju problema s tim, ne privremenih nego stalnih?

[Leonid Breznjev]

hej samo me nesto interesuje. negdje ovdje pise da "samo starenje ne utice na impotenciju", pa me zanima zasto onda vecina starijih muskaraca(naglasavam vecina , ne svi), imaju problema s tim, ne privremenih nego stalnih?

Ko obolijeva?
(neke bolesti koje mogu prouzrokovati impotenciju je anais_nin vec navela)

Muškarci s kroničnim bolestima - uključujući dijabetes, bubrežne bolesti, kronični alkoholizam, multiplu sklerozu, aterosklerozu i bolesti krvožilnog sustava (70% slučajeva). Između 35% i 50% muškaraca s dijabetesom pati od impotencije.
Muškarci koji su imali operativni zahvat (npr. prostate), a prilikom koje je došlo do ozljede živaca i arterija u blizini penisa, mogu oboljeti od impotencije.
Muškarci koji su imali ozljedu penisa, kralježnične moždine, prostate, mokraćnog mjehura i pelvisa mogu biti impotentni uslijed povrede živaca, glatkih mišića, arterija i fibroznog tkiva corpora cavernosa.
Muškarci koji uzimaju antihipertenzive, antihistaminike, antidepresive, trankvilizatore, preparate za smanjenje apetita i cimetidin, mogu kao neželjeni događaj lijeka imati impotenciju.

Učestalost impotencije povećava se sa životnom dobi: oko 5% muškaraca u dobi od 40 godina i između 15-25% u dobi od 65 godina suočava se s ovim problemom.
Starost sama po sebi nije primarno odgovorna za impotenciju, ali bolesti, te slabljenje organa koje dolaze sa godinama, mogu da, ili prouzrokuju istu.

nadam se da sam bar malo uspio odgovoriti na tvoje pitanje Sunii, ako imas jos pitanja ne ustrucavaj se pitati!

[Leonid Breznjev]

evo i jedne stranice (engleski) gdje se moze prikupiti pokoja dobra informacija o preranoj ejakulaciji, te kako istoj stati u kraj.


http://www.doctorg.com/Pleasure.htm

"Tools and Education for a Better Sex Life"

[Sunii]

ok.hvala

[anais_nin]

nije direktno o impotenciji, ali jeste clanak za zene "sve sto ste zeljele znati o chunama a niste smjele pitati" cisto onako u obrazovne svrhe

The Gal's Guide to Her Guy's Equipment
8 Things You Should Know About His Penis
By Norine Dworkin-McDaniel, Special to LifeScript
Thursday, January 24, 2008

What’s long and hard and carries seamen? A submarine! Grade school kids love that joke. But here’s a fact that’s not so funny: Most grown women have little more than a grade-school understanding of “submarines” even if they’ve berthed quite a few. Worried that you’re missing the hard facts about what’s going on below his belt? We asked prominent urologists – people who have penis knowledge well beyond the standard owner’s manual – to give us the lowdown on what a woman needs to know about her guy’s favorite submersible…

1. Five to six inches is average
Is my penis big enough? It’s such an age-old worry for guys that someone actually got out a tape measure and checked. In a laboratory.

And the news is that, despite the massive members showcased in X-rated flicks, studies published in medical journals indicate that the average guy measures 5.1-5.7 inches when erect and 3.4-3.7 inches when not.

Some penises can appear smaller than they actually are because fat around the lower abdomen masks their true size – guys can lose the appearance of a full inch for every additional 35 pounds they’re carrying. It can also be caused by skin on the penis that isn’t securely anchoring the shaft, which means his member retracts when soft.

When it comes to size, says Dr. Ciril Godec, chairman of urology at Long Island College Hospital in Brooklyn – the thing to remember is this: “The vagina always adjusts to the penis that’s in it.”

2. There’s no need to supersize.
Email boxes are flooded every day with offers to “enlarge your penis” – even if you don’t have one. “They’re garbage,” says Dr. Marc Greenstein, a urologist with the North Jersey Center for Urologic Care.

The same holds true for surgery to expand the penis. One such procedure involves injecting body fat into the penis to thicken it. Another severs the suspensory penile ligament, which attaches the penis to the pubic bone.

Reputable urologists won’t perform either procedure because they’re not effective and because there’s a risk of mutilation, infection and fracture.

Plus, once the ligament’s cut guys lose their ability to steer, which is not good for you. “The penis just kind of flops; you can’t really direct it,” says Dr. Sovrin Shah, a urologist with Beth Israel Medical Center in New York City.

Still, if you and your partner feel the need to upsize, pick up a penis pump or cock ring at an adult boutique. They can temporarily increase penis size by drawing more blood to the area.

3. If it’s morning, he’s erect.
Much as we’d like to think that guys wake up hard because they’re sleeping next to us, morning erections (called morning wood in the U.S., morning glory in the U.K. and nocturnal penile tumescence in the urology world) are really just a holdover from the dreaming or rapid eye movement (REM) phase of sleep. During the REM cycle, neurological activity and the release of hormones like testosterone produce erections. (See related article: The Hidden Roots and Risks of Erectile Dysfunction)

Some docs believe that the body’s natural way of keeping the penis healthy is to infuse it with fresh, nutrient-rich blood each night through erections. But regardless of why it happens, it’s fairly routine.

On average, healthy guys experience three to five erections during a normal night’s sleep. We’re just awake enough to appreciate it in the morning.

4. If you bend it, it can break.
While there are no bones in boners, the corpora cavernosa – the chambers of the penis that fill with blood during erection – are made of connective tissue, and if the penis bends suddenly and awkwardly, the tissue can actually crack.

The classic recipe for breakage: Gal on top, guy on bottom, and in the throes of passion, somebody... misses. Ouch! “It breaks right in half,” Greenstein says. Fractured penises require surgery to repair and take about six weeks to heal completely.

5. His testes won’t burst if he doesn’t ejaculate.
No doubt Greenstein will be drummed out of the guys’ club for divulging the truth about this popular ploy for talking us into sex, but arousal without release doesn’t damage the family jewels. While it’s true that men’s testicles can expand by 25%-50% during arousal, there’s yet to be a report in medical literature of testicles popping from lack of climax. The trapped blood can make the testicles feel achy without the big finish (they may even turn a bit blue as the blood loses oxygen), but the only damage done, says Greenstein, “is to men’s pride.”

6. Not hard? It’s (probably) not you.
Equipment malfunctions have a lot to do with how guys treat their own bodies. Smoking, for instance, narrows the blood vessels in the penis, which are already pretty narrow at 0.5-1 millimeter in diameter. Since erections depend on unimpeded blood flow to the penis, any kind of narrowing or impedance reduces rigidity. Indeed, smokers are twice as likely to become impotent as nonsmokers. In addition, having a few drinks to “get you in the mood” can backfire by basically paralyzing the nerves of the penis, according to Godec. “If there’s no stimulation leading to dilation of blood vessels, there’s no erection,” he says. (See related article: Dude! Where’s Your Sex Drive?)

The occasional flat tire isn’t cause for concern, but if your guy’s been more deflated than elated lately, get him to a doctor pronto – erectile woes are often the first indicator of serious health problems. Men with erectile dysfunction typically develop coronary artery disease within three years and diabetes within eight years. And if they also have hypertension, they’re more likely to have a heart attack or stroke. “The penis is the thermometer of men’s health,” says Dr. Ridwan Shabsigh, associate professor of urology at Columbia University in New York City.

7. Hair triggers can be handled.
It’s thought that about 30% of guys are, shall we say, quick on the draw. But that doesn’t mean you can’t enjoy marathon sex with your guy, provided you approach the situation with patience, honesty and a diplomat’s tact.

First, you’ve got to strategically raise the issue. Yes, this will be awkward, but couching it as a conversation about how you can please each other takes the edge off, says sexpert Pepper Schwartz, Ph.D., author of Prime: Adventures and Advice on Sex, Love and the Sensual Years (Collins, 2007). She suggests this opener: “Is there something we can do that can help us last a little longer? I enjoy having you so much, I don’t want it to stop that quickly.”

“This way it’s not all about him; it’s about you as a couple,” Schwartz says.

Once you’re both on board with the slow-down program, there are many ways to apply the brakes. SSRI antidepressants are often prescribed to help with premature ejaculation. But according to Shah, this buys guys only a couple minutes of extra time.

A better approach may be the “start-stop” method: Your partner gets aroused, backs off before the point of no return, lets things cool down, and then starts again. The idea, explains Shah, is to gradually build tolerance so that with practice he can last longer.

Schwartz also recommends having a throwaway round. “Having a quick session will reduce the sense of urgency,” she explains. “Then plan on having a longer session together. He simply won’t be as quick the second time.”

Another exercise is to play around without having intercourse. “This way he learns how to hold an erection for a while without feeling that he has to do something with it right away,” Schwartz says.

8. The flipside: Erections can last too long.
There’s admirable staying power... and then there’s the erection that overstays its welcome. Erections that stick around for two to three hours after ejaculation are a sign of plumbing problems. You’ll remember from sex ed classes that erections occur when blood rushes into the penis and the veins snap shut to keep it there, making the penis stay hard. After ejaculation, those blood vessels are meant to relax so the blood can drain out.

If blood gets trapped erection becomes painful and, if untreated, this congestion may lead to impotence. Known as priapism (after the Greek fertility/virility god Priapus), this condition mainly affects men with sickle cell anemia, diabetes or leukemia. However, it has been known to happen when guys double up on their erection medications in an effort to put on a good show in bed. So if your guy’s woody shows no signs of wilting, swallow your embarrassment and go to the emergency room. In the early stages, docs can use drugs to lower the boom. But the longer you wait, the more likely he’ll need surgery.

[encian]

a ovako izgleda pocetak dijagnoze:

http://www.medalreg.com/qhc/medal/ch16/ ... -ver9.php3


pola onih koji se izrugivaju na racun impotencije i drugih "sramnih" bolesti je glupo i neobrazovano. druga polovica ih ima.

[anais_nin]

daleko od bezazlenog i neceg s cim i o cemu se zeza

Beyond Viagra: The Hidden Roots and Risks of Erectile Dysfunction
By Norine Dworkin-McDaniel, Special to LifeScript
Tuesday, July 31, 2007

It’s estimated that about 50% of men over 40 have some form of erectile dysfunction (ED). And while the knee-jerk reaction is to pop Viagra or one of its cousins for a hydraulic lift, the reality is that erection medications don’t work for all men. Surprisingly, some experts say that’s a good thing. Why? ED is often an early warning sign of serious health problems ahead…

A malfunctioning member shouldn’t be treated by casually popping a pill, says Dr. Ridwan Shabsigh, FACS, director of urology at Maimonides Medical Center in Brooklyn and co-author of the new book Sensational Sex in 7 Easy Steps: The Proven Plan for Enhancing Your Sexual Function and Achieving Optimum Health (Rodale Books, 2007). Shabsigh is one of a growing number of health professionals spreading the word that when a man starts to go soft it’s a red flag that other parts of his body need medical attention, too.

A healthy penis starts with a healthy body, according to Shabsigh. But because most guys would rather swallow broken glass than admit they have a problem in any part of their bodies (let alone that part), it’s up to you, ladies. Read on to learn:

1. Why an Internet prescription for Viagra isn’t the best remedy for bedroom breakdowns.
2. How getting your guy to lay off the burgers and trade the couch for some cross-trainers might beat a prescription for a little blue pill.
3. A trick to get him to the doctor that doesn’t require hog-tying or chloroform.
4. Why pinpointing the cause of his ED could save your man’s life.

LifeScript: You’ve said that every man can improve his sexual health and most can do it without medication. What’s the first step?

Dr. Ridwan Shabsigh: The first step is to overcome the barriers. We surveyed 32,000 men in waiting rooms of primary care physicians in America and five other countries. We asked those who had ED if they brought it up with their doctor. And we found that more than half of patients with ED did not bring it up with their doctors despite already being in the doctor’s office. When we asked them why, the reasons included denial, thinking that ED is a normal part of aging, not knowing that there’s help, and embarrassment. Embarrassment is a big issue. And we found that embarrassment was more common among younger men with ED. The younger the men, the more embarrassed they were.

In my book I talk about a number of techniques to overcome the barriers. Take someone with you to the doctor, such as your wife, who can help explain. Or write a letter to the doctor. Remember that there is nothing to be ashamed or embarrassed about. The penis is an organ like the spleen, the kidney or the liver. It can malfunction. It’s important to remember that ED is not a normal consequence of aging. It’s a progressive condition. And it should be treated.

LS: You’ve called the penis the “thermometer” of a man’s health, and when that’s not working well it usually means there are more serious health problems brewing. What can the penis tell us about the state of a man’s health?

Shabsigh: A number of systems are required for the penis to function. These include the vascular system, which includes the blood vessels in the penis. Consequently, anything that damages the vascular system will result in erectile dysfunction. The nervous system is also required to send signals to the blood vessels in the penis telling them to open up and bring blood to the penis to make an erection. And both the nerves and blood vessels need testosterone to function.

So, think about diseases that interfere with any of these body systems. Diabetes causes nerve damage, which affects the nerves of the penis along with other nerves. It also affects the blood vessels and hormones. Testosterone is low in patients with type 2 diabetes. Low testosterone is associated with low desire, erectile dysfunction and weak ejaculation. So testosterone deficiency can warn us of future diabetes (about eight years in advance).

That is very exciting to know because diabetes in its early stages is a silent disease. Many patients’ diabetes gets discovered years after subtle symptoms like frequent urination first appear. So sexual dysfunctions aren’t just sexual dysfunctions by themselves. We realize now that they’re early warning symptoms of major medical problems.

LS: Can ED signal other problems besides diabetes?

Shabsigh: Erectile dysfunction can be an early warning symptom of heart disease, high blood pressure and high cholesterol. What are the symptoms of high cholesterol? It’s a number on paper for the patient. But erectile dysfunction is a real tangible symptom.

ED is a warning symptom of future coronary artery disease with a lag time of about three years. If you have high blood pressure and erectile dysfunction, you’re more likely to have a heart attack or stroke than if you had high blood pressure and no erectile dysfunction – it’s an indicator of how dangerous your hypertension is. This is important because hypertension is one of those silent diseases.

LS: Does obesity play a role, too?

Shabsigh: Obesity is related to vascular disease. The more obese a person is, the more hardening of the arteries – or atherosclerosis – there is, which affects blood flow in the penis and causes difficulty in obtaining and maintaining erections. There’s another and probably more profound effect of abdominal obesity: Fat in the abdomen is especially harmful because fat cells in the abdomen have an enzyme called aromatase, which converts testosterone into estrogen. Estrogen lowers testosterone. And if you have testosterone deficiency, then you have sexual dysfunction, erectile dysfunction, low sexual desire, poor orgasm, low-volume ejaculation, and lack of pleasure and satisfaction.

LS: So how does losing weight help?

Shabsigh: If you lose weight, a number of things improve: The arteries become more flexible. Blood pressure improves. If you’re borderline diabetic, or even diabetic, that will improve. In addition, your testosterone goes up. It’s been shown that if you have abdominal obesity and you lose inches and pounds, your testosterone will go up, your sexual desire will go up, your erections will improve, and your orgasm and ejaculation will become more pleasurable. To see a difference in sexual function, you need to lose ten percent of your weight, which can improve things significantly.

LS: Is smoking also an issue?

Shabsigh: Smoking damages blood vessels and reduces blood circulation in the penis. So the same way that it affects the heart and coronary arteries, it also affects the penile arteries, keeping in mind that the penile arteries are smaller than the coronary arteries. If you’re taking Viagra, Levitra or Cialis and you stop smoking, your response to the medications will improve.

LS: According to the Health Professionals Follow-Up Study (an ongoing survey of men’s health administered by the Harvard School of Public Health), watching more than 20 hours of TV a week, along with excessive consumption of alcohol, smoking and being overweight, was associated with higher levels of ED.

Shabsigh: Watching football, drinking beer and smoking cigars are typical guy things. If you have a sedentary lifestyle and you start exercising, you improve your sexual function. But it has to be aerobic exercise. That improves the function of the arteries and the veins in the body. Remember, the penis is a complex vascular organ, and you need healthy blood vessels for it to function.

LS: Any other lifestyle factors that affect sexual function?

Shabsigh: Acute stress releases adrenalin, which restricts blood vessels and makes erections less effective. In addition, when people are under chronic stress, they frequently cope poorly. They overeat. Some people also resort to alcohol, which has two effects: If you drink enough, you go to sleep, and some parts of you go to sleep before other parts. If you abuse alcohol for years, you will damage the nerves in the body. That’s why many men with a history of alcohol abuse report not only erectile dysfunction but also sensory numbness in the penis.

LS: So your prescription for sexual health is to quit smoking, exercise, lose some weight, manage your stress, and drink less. How do we start?

Shabsigh: The first step is to know where you are. Calculate your BMI [Body Mass Index] to know whether you’re normal, overweight, obese, or extremely obese. If you want to reduce your [weight], you have to … eat less and exercise more. How you do that? The general rule is that any diet that is healthy for the vascular system and the prostate is healthy for sex. As for exercise, I recommend thirty minutes a day, four to six days a week. Choose the activity most suitable to you, individually. Exercise also reduces anxiety and improves the ability to deal with stress. So do meditation and yoga.

LS: Perhaps many men would disagree, but you’ve said that the day a man is diagnosed with ED can actually be a good day for him. What do you mean by that?

Shabsigh: It could be a good day because it’s a day to review a man’s health. Many men haven’t been to a doctor in years. Women are used to going to the doctor. Once a year you get your Pap smear, your mammogram. Men aren’t like that. They go ten years without going to the doctor.

Taking a pill is the easy part of this. That’s why I tell my patients that asking for samples of Viagra or Cialis or Levitra is not helpful because what they really need is a review of their health. I ask my patients, Do you know your blood pressure? Do you know your cholesterol? Do you smoke? Do you know your weight? Do you know your BMI? Do you know your waist circumference? Do you know your testosterone level? Do you have any prostate or urinary problems? Are you depressed? How is your relationship? Are you under stress? Do you have too much anxiety? Are you overcommitted in life? Do you exercise regularly? Do you overeat? Do you over-drink?

This review makes coming to the doctor about erectile dysfunction more valuable than just taking a pill. Sure, there is value in pills for ED. There’s also value in using penile injection therapy for those who don’t respond to the pills. There’s great value in having a penile implant if medications don’t work. There’s value in taking testosterone if your testosterone is low. There is value in all these things. But alone they’re not enough. Just taking Viagra and maintaining bad lifestyle habits is not good.

[mamica papucarka]

ne prepadajte covjeka
Arsla, jesil dobar

[Neelix]

imal kakav savjet za ono suprotno, protiv potencije? ofirno mi na moru

[shin]

imal kakav savjet za ono suprotno, protiv potencije? ofirno mi na moru

Peškir