Erectile dysfunction is more common in old age. A survey of 5,000 men from the Cologne area, for example, revealed the following age distribution: While 2.3% of 30- to 39-year-olds and 9.5% of 40- to 49-year-olds reported erectile dysfunction, between the ages of 50 and 59 it was already 15.7%, between 60 and 70 years already 34,4% and in the age between 70 to 80 years 53,3%.

This finding can be explained on the one hand by the fact that many causative underlying diseases such as arteriosclerosis, heart disease, high blood pressure, diabetes or prostate problems occur more frequently with increasing age. On the other hand, the muscles of the pelvic floor slacken with age, the oxygen supply and the maximum blood flow to the penis are reduced by the aging process.

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What are the causes of Impotence?

A complex interaction of hormones, nerves, blood vessels and psyche is necessary for an erection to develop. Accordingly, the causes of erectile dysfunction can be dysfunctions can be manifold. Too much alcohol, obesity or the consumption of cigarettes can adversely affect the penis’ ability to stand. With increasing production of the sex hormone testosterone decreases with age. As a result, there is slower arousal, poorer erections and a reduced sperm count.

The increasing years are also noticeable in the arterial blood supply. The vessels become narrower and consequently react more slowly. The most common cause of erectile dysfunction is Arteriosclerosis (hardening of the arteries). Thus, erectile dysfunction can also be an indication of serious diseases and should be clarified by a doctor.

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Therapy – How can impotence be treated?

In the vast majority of men (about 70%), impotence disorders are organically caused (10). What can be done? Overweight and lack of exercise can be combated by increasing physical activity. Even a 10% reduction in weight and an increase in physical activity can bring about a significant improvement in erectile function in overweight men.

Patients with high blood pressure should be switched from drugs known to be erection-damaging, such as most beta-blockers to erection-friendly medications.

Mechanical Aids

In this category can be listed the medical penis pump. This is a vacuum pump that can assist in increasing erection. It is especially popular among older men with erectile dysfunction. With the penis pump, the user is able, either motorized or manually, to create a negative pressure which which makes the penis stiff. Thus, the forces of physics are used to fill the member with blood to achieve sexual arousal.

In addition, the use of a so-called tourniquet is necessary. This is usually included with the penis pump in various sizes. By means of a penis ring, the blood in the penis is dammed up and thus provides enough time to have intercourse and maintain the erection.

When sex is over, the ring for the member is removed, the blood begins to flow normally and the penis becomes flaccid again. Even if a natural erection is not possible due to diseases such as diabetes or vascular disease, the penis pump can be a very good solution. Here, special attention should be paid to the good quality of the penis pump.

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