What Is Impotence; What Causes Impotence; How Can I Manage Impotence; Using Vacuum Devices To Treat Impotence - Owen Mumford Rapport Classic Mode D'emploi

What is Impotence?

Impotence (more accurately called erectile dysfunction) is the consistent
inability to gain and maintain an erection of sufficient firmness that will
allow penetration during sexual intercourse.
Erections happen when the brain transmits a sexual signal to the blood
vessels in the penis; the vessels then dilate, drawing blood into the penis
to create a firm erection.
Erectile dysfunction can occur if the nerves and blood vessels are not
functioning properly.

What causes Impotence?

Impotence can happen gradually over many months or it can suddenly
occur as a problem in certain sexual situations. The causes can be both
psychological and physical; but the physical causes often have
a psychological element as well.
One cause commonly blamed is age. The aging process may affect
the frequency and intensity of desire, but does not normally affect the
ability to produce an erection. As we grow older, however, we are more
likely to suffer from medical conditions that will affect the physical
erection process.
Diabetes affects both the nerve and blood supply to the penis. 50% of
diabetic men will experience erectile problems at some point in their life.
The most common blood supply problems are arteriosclerosis which
slows the blood supply to the penis, or a venous leakage problem
where blood drains away too quickly from the penis causing a loss
of erection.
Certain medications used to treat high blood pressure or depression
can lead to impotence, as can overindulgence in alcohol.
Nerve damage occurs with multiple sclerosis, spinal cord injuries
or after some types of prostate surgery.
The stress and strain of everyday life, severe marital problems or the
loss of employment can cause impotence and, since impotence itself
is a source of anxiety, the problem can be self-reinforcing.

How can I manage Impotence?

The first thing to do is admit to yourself that you have a problem and
perhaps discuss it with your partner.
Visiting your physician to have some simple test performed to determine
whether your impotence has a physical or psychological cause is a good
first step.
There are several treatment options to manage impotence:
•
Side effects of some common drugs used to treat other conditions can
cause impotence i.e. beta blockers, antidepressants. A simple change
in prescription is all that is required.
•
Oral medication is suitable for some patients who do not suffer from
heart disease.
•
Self-injection of a blood vessel dilator into the penis each time before
intercourse is a widely accepted treatment.
•
Implanted prostheses are highly successful but require an operation
under anesthetic.
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•
If surgery and injections or other medicinal therapies are not favorable,
the vacuum method offers a simple, reliable treatment for impotence.
–
It consists of a tube that is placed over the penis to create a vacuum.
This vacuum causes blood to be drawn into the penis and the blood
is then retained by a constriction ring which is rolled onto the base
of the penis and worn during intercourse.
–
The method is easy to learn in the privacy of your home and can
be a normal part of the lovemaking process.
–
Vacuum therapy has a very good success rate in the treatment
of impotence.
Conditions where the use of the Rapport™ Classic
Vacuum Therapy Device (V.T.D.) may need special
assistance:
•
Blindness
•
Peyronies disease
•
Spinal cord injuries
•
Multiple Sclerosis
•
Amputation
Conditions where the Rapport™ Classic V.T.D. should
NOT be used:
•
Men on anticoagulant therapy
•
After removal of a penile implant
•
Fibrosis caused by penile injections
•
History of sickle cell disease or any other bleeding disorder
•
Pelvic trauma
•
History of Priapism
•
Any problem where sexual activity may endanger health

Using Vacuum Devices to treat Impotence

Realistic expectations, high motivation (including that of your partner),
libido, manual dexterity, and a willingness to vary the couple's sexual
techniques to incorporate the device are all required to bring about
a welcome result. Although the male orgasm may not be affected,
ejaculation may be blocked or retrograde may occur as a result of
using vacuum devises.
You are encouraged at first to have practice sessions without use of the
constriction rings for about 15 minutes a day. This should be continued
once a day for at least a week or until a satisfactory erection is achieved
and any initial discomfort subsides.
Beginning with the loosest constriction ring and gradually increasing
to tighter ones, you should select one that maintains the erection, but
is not painful. The ring should not be kept on for any period longer than
30 minutes.
Liberal use of a water soluble lubricant is important to avoid penile tissue
adherence to the penile tube and to establish an airtight seal around the
penile tube. The lubricant should also be applied to the area where the
penile tube and body meet.
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