Tag: Impotence

Post author By The Beauty Nation
Post date 03/02/2021

Definition of secondary impotence depends upon acceptance of the concept of primary impotence as expressed and discussed in primary impotence. Primary impotence arbitrarily has been defined as the inability to achieve and/or maintain an erection quality sufficient to accomplish coital connection.

If erection is established and then lost from real or imagined distractions related to the coital opportunity, the erection usually is dissipated without an accompanying ejaculatory response. If diagnosed as primarily impotent, a man not only evidences erective inadequacy during his initial coital encounter but the dysfunction also is present with every subsequent opportunity.

If a man is to be judged secondarily impotent, there must be the clinical landmark of at least one instance of successful intromission, either during the initial coital opportunity or in a later episode. The usual pattern of the secondarily impotent male is success with the initial coital opportunity and continued effective performance with the first fifty, hundred, or even thousand or more coital encounters.

Finally, an episode of failure at effective coital connection is recorded.

Tags Impotence, Secondary, Secondary Impotence

Impotence Influence

Post author By The Beauty Nation
Post date 03/02/2021

An illustration of the repressive influence of religious orthodoxy upon the potential effectiveness of sexual functioning can be provided by relating the history of one of the five couples with both husband and wife products of different religious orthodoxies.

Impotence and Religion

Mr. and Mrs. D were married in their early twenties. He was the product of a fundamentalist Protestant background, she of equally strict Roman Catholic orientation. The man had the additional disadvantage of being an only child, while the wife was one of three siblings. The marriage was established over the firm and often expressed objections of both families.

Impotence and Sex Information

Prior to marriage the wife had no previous heterosexual, masturbatory, or homosexual history, and knew nothing of male or female sexual expression. She had been taught that the only reason for sexual functioning was for conceptive purposes.

Similarly, the husband had no exposure to sex information other than the vague directions of the peer group.

He had never seen a woman undressed either in fact or in pictures.

Dressing and toilet privacy had been the ironclad rule of the home. He also had been taught that sexual functioning could be condoned only if conception was desired.

His sexual history consisted of masturbation during his teenage years with only occasional frequency, and two prostitute exposures. He was totally unsuccessful in each exposure because he was presumed a sexually experienced man by both women.

Sex with Prostitute

During the first episode the prostitute took the unsuspecting virginal male to a vacant field and suggested they have intercourse while she leaned against a stone fence. Since he had no concept of female anatomy, of where to insert the penis, he failed miserably in this sexually demanding opportunity.

His graphic memory of the incident is of running away from a laughing woman.

Condom

The second prostitute provided a condom and demanded its use. He had no concept of how to use the condom. While the prostitute was demonstrating the technique, he ejaculated. He dressed and again fled the scene in confusion.

These two sexual episodes provided only anxiety-filled examples of sexual failure. Since he had no background from which to develop objectivity when considering his “sexual disasters,” inevitably the cultural misconception of lack of masculinity was the unfortunate residual of his experiences.

There was failure to consummate the marriage on the wedding night and for nine months thereafter. After consummation sexual function continued on a sporadic basis with no continuity. The wife refused contraception until after advent of the third child.

Sexual success was never of quality or quantity sufficient to relieve the husband of his fears of performance or to free the wife from the belief that either there was something wrong with her physically or that she was totally inadequate as a woman in attracting any man.

Sexual Difficulty

They rarely discussed their sexual difficulties, as both husband and wife were afraid of hurting one another, and each was certain that their unsatisfactory pattern of sexual dysfunction was all that could be expected from indulgence in sexual expression at times when conception was not the prime motivation.

With no appreciation of the naturalness of sexual functioning and with no concept of an honorable role for sexual response, the psychosocial pressures engendered from their negatively oriented sexual value systems left them with no positive means of mutual communication.

The failure of this marriage started with the wedding ceremony. There was no means of communication available for these two young people. Trained by theological demand to uninformed immaturity in matters of sexual connotation, both marital partners had no concept of how to cope when their sexual dysfunction was manifest. Their first approach to professional support was to agree to seek pastoral counseling.

Here their individual counselors were as handicapped by orthodoxy as were their supplicants. There were no suggestions made that possibly could have alleviated the sexual dysfunction. When sexual matters were raised, either no discussion was allowed, or every effort was made to belittle the importance of the sexual problem.

Without professional support, the marital partners were again released to their own devices. Each partner was intimidated, frustrated, and embarrassed for lack of sexual knowledge. The sexual dysfunction dominated the entire marriage.

The husband was never as effective professionally as he might have been otherwise. He withdrew from social functioning as much as possible. The wife was in a constant state of emotional turmoil, which had the usual rebound effect upon the children. By the time this husband and wife arrived at the Foundation, she was well on the way to earning the title of “shrew.”

Psycho-Sexual Performance

The couple was first seen after a decade of marriage. As expected from individuals so handicapped in communication, each partner had established an extramarital coital connection while individually searching for some security of personal identity and effectiveness of sexual performance.

The wife had been successful in establishing her own security of psycho-sexual performance; the husband, as would be anticipated in this instance, had not. After ten years of traumatic marriage, both individuals gravely questioned their religious beliefs. Although no longer channel visioned, the wife continued church attendance, the husband rejected all church affiliations.

There can be no feeling for naturalness of sexual expression when there is no background of sexual comprehension. There can be no appreciation that sexual functioning is indeed a natural physical phenomenon, when material of sexual content is considered overwhelmingly embarrassing, personally degrading, and often is theologically prohibited.

In essence, when an individual’s sexual value system has no positive connotation, how little the chance for truly effective sexual expression.

The fact that most men and woman survive the handicap of strict religious’ orthodoxy to function with some semblance of sexual effectiveness does not mean that these men and women are truly equipped to enjoy the uninhibited freedom of sexual exchange.

Their physical response patterns, developing in spite of their orthodox religious negation of an honorable role for sexual function, are immature, constrained, and, at times, even furtive.

Sexual function is stylized, unimaginative, depersonalized, and indeed productive only of biological reproduction. A derogatory affect upon the total personality is the tragic residual of conditioned inability to accept or handle objectively meaningful material of sexual content.

Tags Impotence, Impotence Influence, Influence

Secondary Impotence

Impotence and Erection

Post author By The Beauty Nation
Post date 03/02/2021

It has such a varied etiology that a formalized frequency table for professional consideration is contraindicated at this time. Yet significant consideration must be devoted to dominant sources from which the fears of performance common to all forms of male sexual dysfunction can and do develop.

Every man is influenced to a major degree by his sexual value system, which reflects directly the input from his psychosocial background.

Over the centuries the single constant etiological source of all forms of male sexual dysfunction has been the level of cultural demand for effectiveness of male sexual performance. The cultural concept that the male partner must accept full responsibility for establishing successful coital connection has placed upon everyman the psychological burden for the coital process and has released every woman from any suggestion of similar responsibility for its success.

If anatomical anomalies such as vaginal agenesis or an imperforate hymen are exempted and the psychological dysfunction of vaginismus is discounted, it could be said provocatively that there has never been an impotent woman.

Woman need only make herself physically available to accomplish coital connection or even to propagate the race. Legions of women conceive and raise families without ever experiencing orgasm and carry coition to the point of male, ejaculation with little physical effort and no personal, reactive involvement.

During coition woman has only to lie still to be physically potent. While this role of total passivity is no longer an acceptable psychological approach to sexual encounter in view of current cultural demand for active female participation, it is still an irrevocable physiological fact that woman need only lie still to be potent.

Erection and masculinity

Any biophysical or psychosocial influence that can interfere with the male partner’s ability to achieve and to maintain an erection can cast a shadow of conscious doubt upon the effectiveness of his coital performance, and, in due course, upon his concept of the state of his masculinity.

Once a shadow of doubt has been cast, even though based only on a single unsatisfactory sexual performance after years of effective functioning, a man may become anxious about his theoretical potential for future coital connection. With the first doubt raised by any failed attempt at sexual connection in the past comes the first tinge of fear for the effectiveness of any sexual performance in the future.

There are a number of theoretical factors and a combination of psychological, circumstantial, environmental, physiological, or even iatrogenic factors that can raise the specter of the fear of performance in the always susceptible mind of the male in our culture, be he 14 or 84 years of age.

It should come as no surprise that in the referred population of sexually dysfunctional men, by far the most frequent potentiator of secondary impotence is the existence of a prior state of premature ejaculation, and that the second most frequent factor in onset of secondary impotence can be directly related to a specific incident of acute ingestion of alcohol or to a pattern of excessive alcohol intake per se.

Of course, both the factors of premature ejaculation and alcoholism accomplish their unfortunate purpose in the onset of impotence through engendering fears of performance.

In premature ejaculation
The fears of performance usually develop as the result of a slow but steady process of attrition spanning a period of years and are purely psychosocial in origin. In alcoholism the fears of performance usually develop rapidly, almost without warning, as the immediate result of untoward psychic trauma on circumstantial bases.

By reason of the diverse patterns of clinical onset as well as the marked variation in their rapidity of development, these two major etiological factors will be considered in some detail, with the discussion amplified by representative case histories.

Secondary Impotence With Premature Ejaculation

An established pattern of premature ejaculation prior to the onset of the symptoms of secondary impotence has been recorded in 63 of the total 213 men evaluated and treated for secondary impotence in the past 11 years. The premature ejaculation tendencies usually have been established for a significant period of time (generally a matter of years) before the symptoms of secondary impotence develop.

The fact that the prior existence of a pattern of premature ejaculation often leads to secondary impotence is yet another reason for clinical confusion in the textual listing of the premature ejaculator as an impotent male. There is no established percentage of premature ejaculators who progress to secondary impotence.

While the number is of considerable moment, this by no means suggests that a majority of premature ejaculators become secondarily impotent. A composite history typical of the sequential pattern of secondary impotence developing in a man distressed by prior symptoms of premature ejaculation is presented in detail.

Typically, the man is married, with some college education. Married in his mid-twenties, he usually is well into his thirties or even mid forties before onset of the symptoms of secondary impotence forces him to seek professional support.

Rapid ejaculations:

Sexual dysfunction (premature ejaculation) has existed throughout the marriage. This man has had a moderate degree of sexual experience before marriage with, perhaps, three to five other partners, and has the typical premature ejaculator’s history of having been conditioned in a rapid ejaculatory pattern during his first coital opportunities.

If authority has been approached in the interest of learning ejaculatory control, the results of such consultation have been essentially negligible in terms of improved sexual function. Professional relief of the psychosexual tensions created for the marital union by the continued existence of this form of sexual dysfunction rarely is sought until the youngest of any children of the marriage is at least of school age.

By this time the female partner has little tolerance for the situation. She no longer can contend with the frustrations inherent in a relatively constant state of sexual excitation, occasional, if ever, release of her sexual tensions, and rare, if ever, male consideration of her unresolved sexual demands.

Over the years of the marriage (ten to twenty), the issue of the husband’s rapid ejaculatory termination of their coital encounters has been raised repetitively.

The wife’s complaint was initially registered quietly, even questioningly; in time, complainingly or accusingly; and finally, demandingly, shrewishly, or contemptuously, as her personality and the immediate levels of her sexual frustration dictated.

The male partner, rarely made aware of the inadequacy of his sexual performances during premarital sexual experience, and frequently totally insensitive to his wife’s levels of sexual frustration during the early years of marriage, finally accepts the repetitively hammered concept that the dysfunctional state of their marital sexual status is “his fault” and, consequently, that he must “do something.”

And so he tries. As described in premature ejaculation, he bites his lips; thinks of work at the office; plans tomorrow’s activities; constricts the rectal sphincter; counts backwards from one hundred.

In short, does everything to distract himself from his partner’s obvious demands for sexual fulfillment during coital connection. Insofar as possible, he consciously turns off both the functional and the subjective projections of his wife’s sexual demands in order to reduce the input of his sexual stimuli.

Sexual Encounter

For instance whenever his wife reaches that level of sexual tension that finds her responding to sexually oriented stimuli almost involuntarily (a high-plateau tension level), the physically obvious state of her sexual demand drives her husband rapidly toward ejaculation. The beleaguered premature ejaculator, trying for control, employs any or all of the subjectively distracting tactics described above.

Thus, as much as possible, he not only denies the objective demand for his ejaculatory response inherent in his wife’s pelvic thrusting, but also attempts to deny generally the subjective feeling of vaginal containment and specifically the constrictive containment of the penis by her engorged orgasmic platform.

Insofar as possible, he compulsively negates the obvious commitment of her entire body to the elevated levels of her sexual demand. Whether or not this man ever acquires nominal physiological control of his premature ejaculatory tendencies by employing his diversionary tactics, one half of the mutually stimulative cycle that exists between sexually responsive men and women certainly has been dulled or even totally obviated.

This conscious dulling or even negating of input from his wife’s physical expressions of sexual demand is his first unintentional step toward secondary impotence.

There is marked individual variation in the particular moment at which the wife’s repetitively verbalized complaints of inadequacy of ejaculatory control were extrapolated by the husband into a conscious concern for “inadequacy of sexual performance.” Once the premature ejaculator develops any in depth concept that he is sexually inadequate, he is ripe for psychosocial distraction during any sexual encounter.

While his wife continues to berate his premature ejaculatory tendencies as “his sexual failure,” as “not getting the job done,” as “being totally uninterested in her sexual release,” or as “evidence of his purely selfish interests,” the reasonably intelligent male frequently develops a protean concern for the total of his sexual prowess.

Once a premature ejaculator questions the adequacy of his sexual performance, not only does he worry about ejaculatory control, but he also moves toward over concentration on the problem of satisfying his wife. While over concentrating in an attempt to force effective sexual control, he subjectively blocks full sensate input of the stimulative effect of his wife’s sexual demand.

Frequently, the pressured male resorts to a time honored female dodge: that of developing excuses for avoiding sexual activity. He claims he is tired not feeling well or has important work to do the next day.

He displays little interest in sexual encounter simply because he knows the result of any attempted sexual connection will probably be traumatic at best physical release for him but not satisfaction for his wife, and at worst a disaster of argument Or vituperation.

In brief:
There is further blocking of the inherent biophysical stimulation derived from the consistent level of mutual sexual awareness that prevails between sexually adjusted marital partners and a depreciation of the importance of mutual communication within the security of the marital bed.

Finally, the turning point. The wife pushes for sexual encounter on an occasion when the husband is emotionally distracted, physically tired, and certainly frustrated with his sexual failures. In a naturally self-protective sequence, he is totally uninterested in sexual encounter. When the husband is approached sexually by his demanding partner, there is little in the way of an erective response.

For the first time the man fears that he is dealing with a sexual dysfunction of infinitely more gravity than the performance inadequacy of his premature ejaculatory pattern. Once this man, previously sensitized to fears of sexual performance by his wife’s repetitively verbalized rejection of his rapid ejaculatory tendencies, fails at erection, fears of performance multiply almost geometrically, and his effectiveness as a sexually functional male diminishes with parallel rapidity.

Tags Erection, Impotence

Secondary Impotence

Impotence Cause by Surgery

Post author By The Beauty Nation
Post date 03/02/2021

In the second case, a supra-pubic prostatectomy, there was sufficient post surgical symptomatology to stimulate onset of symptoms of secondary impotence. In this situation the untoward surgical result was unfortunate. The distress in both instances was that the men had not been forewarned of the possible side effects of the surgery.

The case of secondary impotence developing after the supra-pubic prostatectomy was brought under control during therapy.

Prostatic cancer patients:
Those facing surgery, should be made aware by the operating surgeon that the loss of erective function can and does accompany such surgery. The psychosexual trauma forced upon the postoperative patient and his wife because they were not informed before surgery of the resultant sexual dysfunction is unforgivable.

The physiological influence of diabetes on secondary impotence is in a special category. In 6 of the total of 9 cases the onset of secondary impotence had been associated with the diabetes by consultative authority prior to referral for therapy, while in the remaining 3 instances no correlation between the established clinical condition of diabetes and the onset of impotence had been suggested by referring professionals.

Additionally, in 11cases of referral for secondary impotence without concept of etiological influence clinical diabetes (3 cases) and preclinical diabetes (8 cases) were diagnosed during metabolic work-ups that are part of the routine physical and laboratory evaluations of the secondarily impotent male referred for diagnosis and treatment.

As described in therapy treatments, a routine five-hour glucose-tolerance test is conducted for men referred for secondary impotence. This evaluation technique has been in effect for five years but has not reached the stage of statistical significance.

This work will be reported as a separate entity in monograph form at a later date. The statistical evaluation suggests that there is a 200-300 percent higher incidence of a diabetic or prediabetic curve reported for men with the clinical symptoms of secondary impotence, when returns are compared to the incidence of diabetic or prediabetic curves in similar glucose-tolerance testing of a representative cross-section of the population.

There is no supportable concept at this time that diabetes is an associate of equality with other etiological influences on secondary impotence. Nor does this work imply that the diabetic male has an established predisposition toward impotence. The amount of information available currently does not allow a firm clinical position.

Of course, there frequently are other etiological foci to combine with a diabetic or prediabetic state to influence the onset of secondary impotence. However, if a man is referred for secondary impotence, evaluation of his diabetic status should be a routine part of the total physical and laboratory work up.

It should be emphasized in context that even if symptoms of secondary impotence represent an end-point of etiological influence from a diabetic or prediabetic state, adequate institution and careful maintenance of medical control of the diabetes will not reverse the symptoms of impotence, once developed.

Impotence Diabetic

Difficulty lies, of course, in the fact that regardless of etiology, once lack of erective security has been established, fears of performance unalterably become an integral part of the psychosocial influences of the man’s daily life. Adequate medical control of the diabetes will provide no relief for his fears for sexual performance.

If diabetes or a prediabetic state can influence the onset of secondary impotence in other than advanced states of diabetic neuropathy, this fact is but another example of the multiple etiological aspects of secondary impotence.

Understandably, for many years the pattern of the human male has been to blame sexual dysfunction on specific physical distresses.

Every sexually inadequate male lunges toward any potential physical excuse for sexual malfunction. From point of ego support, would that it could be true.

A cast for a leg or a sling for an arm provides socially acceptable evidence of physical dysfunction of these extremities. Unfortunately the psychosocial causes of perpetual penile flaccidity cannot be explained or excused by devices for mechanical support.

Tags Impotence, surgery

Penis Health

8 ways of Preventing Impotence!

Post author By The Beauty Nation
Post date 02/02/2021

Don’t take your erections or your potency for granted! Is the message men need to hear around their fortieth or fiftieth birthday. Some change was inevitable, but some men were experiencing too much change especially if they had it earlier. Learn to accept the fact that age does changes a lot of things including sex. Learn to be a better lover. If you aren’t getting erections, open your heart and talk to your partner, doctor, or someone who has gone through it. But that’s not the kind of thing men do. If so, why not take preventive measures before it approaches you?

Healthier lifestyles will most likely lead to healthier erections but any man can expect to lose an erection during lovemaking on occasion. If he doesn’t let that bother him, he’ll likely get it back. The worst thing you can do about a subsiding erection is focused on it.

There are always ways to improve the quality of your erections, extend penis longevity and minimize the possibilities of losing an erection during lovemaking by adopting the following suggestions:

Healthy eating habits. Eat a low-fat diet and exercise regularly. Diet and exercise influence a man’s sexual desire and sexual performance.
Stop or quit smoking. Smoking causes much vascular damage In the penis that could result in impotent. Long-term and heavy smokers have a greater probability of becoming impotent than do non-smokers. One recent study found that men who smoked a pack a day for 20 years had a 60 percent greater chance of becoming impotent than nonsmokers.
Have frequent sex. The more you make love, the more you will be able to make love. Erectile tissue becomes less supple with age. Without frequent erections, there is no regular flow of blood into the penis. After several months or a year of not having an erection, a man may have difficulty in achieving one.
Don’t make ejaculation your goal of lovemaking. Once you take the pressure to ejaculate out of lovemaking, you will probably have more frequent erections, sustain them longer, and enjoy the experience much more.
Expand your ‘sex.’ There is more to making love than having intercourse, especially during midlife. A man is also more likely to have erection difficulties if his lovemaking style is intercourse-driven. The pressure to perform will be greater for him than for a man who enjoys satisfying his partner in a variety of ways. Don’t make love unless you want to.
Share information with your partner. Explain your changing sexual response pattern to your partner. If intercourse has always ended in ejaculation until recently, she may think she has failed to excite you sufficiently. Let her know that your sexual patterns now more closely resemble hers. She has been able to enjoy intercourse without needing to reach an orgasm every time.
Masturbation two or three times a week helps in achieving erections for older males. This method is in the combination of two techniques. By having a sustained erection, you can take your mind off your penis because you will know that you are capable of sustained erection even if you ejaculate. This will allow you to enjoy sex without worry.
Don’t take medications if you don’t need them. Prescription drugs may produce negative effects on erections. If you keep your weight down and exercise regularly, you’re less likely to develop high blood pressure, mild depression, or other conditions requiring continuing use of medications. When a doctor prescribes a drug, ask about its sexual side effects, if an alternative drug might not have the same side effects, and whether or not a lifestyle change would enable you to go off medication as soon as possible.

Tags Erectile Dysfunction, Impotence, Penis, Preventing

Penis Health

Causes of Erectile Dysfunction, ED or Impotence

Post author By The Beauty Nation
Post date 02/02/2021

What is Erectile Dysfunction?

Previously known as impotence, erectile dysfunction as define by The National Institutes of Health is the consistent inability to achieve and/or maintain an erection satisfactory for the completion of sexual performance. Heard fondly joke and called ED as ‘the pencil with no lead’, ‘the drop’ or ‘having the software but no hardware”.

Is ED inevitable in the aging male?

By the time a man is 40 years old, 90 percent of them have experienced at least one erectile failure. This is a normal occurrence, but many men get “panic” at the first sign of erectile problems. They are likely to run to an urologist and ask for the highly publicized impotence pill, which they may not need and may or may not find effective. His lack of knowledge about the sexual aging process to set him up for performance problems and that might have led his wife to blame herself for his lack of interest in making love and caused her to withdraw from attempts to initiate sex. If he hadn’t received good advice and reassurance from someone he trusted, one might have “worried himself into impotence.”

When it is Not Impotence?

Most men, however, know that the occasional erectile problem is typically linked to fatigue, over consumption of food or drink, or a relationship issue. At midlife, a man may read a lot about impotence. He may see his future in a failed erection. How he and his partner handle these occurrences helps determine how frequent they will be. These common changes in sexual response at midlife aren’t indicators of impotence:

A man probably needs direct penile stimulation to have an erection, and he may no longer be able to get an erection just from thinking about sex or seeing his partner in an alluring pose. It may take him longer to achieve erection.

He may require more time for ejaculation and may not need to ejaculate every time he has intercourse. After a period of intercourse, he may find his erection subsides. After ejaculation, he also may find his erection subsides more quickly than it did. His erection probably won’t be as hard as it was when he was a teenager.

The recovery time of older a male between ejaculations are usually longer. These changes are gradual, and you shouldn’t be frightened by them. Changing response patterns enable a man to be a better lover than he was because he is now responding at a pace more similar to his partner’s. Lack of knowledge and refusal to accept the aging process as an erotic opportunity can prevent him from seizing the sexual moment. Anxiety also plays a major role in creating impotence dynamic. If a man misinterprets his responses and becomes anxious about his potency, he will be tense and fearful about lovemaking and convey those negative attitudes to his partner.

Some men do experience erection difficulties that are much more serious than the normal. Psychological factors ranging from performance and stress issues to intimacy conflicts can contribute to erection disorders. Physical problems can also cause impotence. Illnesses such as diabetes, vascular disease, urological or neurological conditions, and others, can lead to impotence. Heavy smokers and alcohol drinkers may suffer extensive damage to the small blood vessels in the penis, again leading to impotence. For some men, impotence stems from a combination of physical and psychological factors. They need to be treated from a multi disciplinary healthcare perspective, with a therapist and medical doctors involved. Injections or medication pill alone won’t solve their problem.

When ED is psychological

“I was terrified at the thought of having a penile implant,” says Sam. “but I’d been suffering bouts of impotence for almost a year and I thought it was probably time to do something about it, even if that turned out to be surgery.” Sam and his partner, Mary, 50s, were very discouraged about his erection problems by the time he sought help from his doctor. Though he sometimes had morning erections and sometimes was able to get an erection for masturbation, he was increasingly not able to become erect during lovemaking. Once he did get an erection, he would lose it quickly. And Mary was convinced she could ‘make’ him get up and keep a good erection. Both of them became worried and “obsessed” with the condition of his penis. They spent so much time watching his penis whenever they try to attempt to make love, so much so they’d turned sex into a spectator sport.

Sam’s “sometimes” experienced and his ability to get an erection “sometimes” during masturbation were indicators that his problem might not be entirely physical or, if it was largely physical, his condition probably wasn’t as far advanced as he feared. Routine medical tests showed that he had very high cholesterol levels, no surprise given his diet rich in saturated fats and diary cholesterol. The same substances that clog the arteries of the heart, his doctor explained; also clog the arteries of his penis. The damage done by a poor diet and high cholesterol levels had caused some problems with impotence for Sam. His doctor prescribed a diet and medication to bring down the cholesterol and recommended several sex-therapy sessions both alone and with his partner.

The above is rather common in elder health group. Both Sam and Mary are suffering from performance anxiety. Sam’s case of “sometime can” and “sometime can’t” may be referred as primarily impotent. The primarily impotent man arbitrarily has been defined as a male never able to achieve and/or maintain an erection quality sufficient to accomplish successful intravaginal connection. If erection is established and then lost under the influence of real or imagined distractions relating to intercourse opportunity, the erection usually is dissipated without accompanying ejaculatory response. No man is considered primarily impotent if he has been successful in any attempt at intromission in either heterosexual or homosexual opportunity. As Sam’s case illustrates, impotence has a psychological component even when the cause is physical.

Psychological impotent is usually found in the young adolescent male. It is erectile dysfunction in the mind. The young male usually try to make his ‘first attempt’ at his or her home, worried about his physics and performance, sometime religion background. Tried mounting into the vagina excitedly and clumsily. The fear of being caught by his parents and sometime rejection by his partner may cause him to lose his erection. The penis is weakening even before putting on the condom, thus, unable to penetrate the vagina successfully. This problem may happen again and again with the same or different partner. Technically, his unsuccessful attempts remain him as a virgin. This leave the poor young man feeling humiliated as resulted.

Fortunately, most young men whom failed to perform successfully during their initial coital exposure and for a considerable period of time remained sexually inadequate. But yet they have recovered from their experiences with sexual dysfunction without specific psychotherapeutic support and, as far as can be ascertained from corroborative histories of husband and wife, have led effectively functional heterosexual lives. Others manage to regain as time passes. They at least partially neutralize the negative influences that have accrued as a combination of their environmental backgrounds and the trauma of their initial failures.

If Sam and the young man, could learned how to make love without so much emphasis on an erection and intercourse. It’s really better and more sophisticated. However, if this psychological impotent is not treated soon, it may become physically permanent.

Psychological factors:

Depression
Sexual phobia
Religious beliefs
Performance anxiety
Attitude towards sex
Failure in relationship
Traumatic sexual experience

Physically ED

Mr. Z has a habit of cocktails before dinner frequently wine with his meals, and possibly a brandy afterward. At business point of view he has moved progressively up the ladder to the point at which alcohol intake at lunch is an integral part of the business culture. In short, consumption of alcohol has become a way of life.

On a Saturday evening, the man and his wife attended a party where alcohol is available in large quantity. Somewhere in the course of the late evening or the early morning hours, the party comes to an end. Mr. Z has had entirely too much to drink, so his wife drives them home for safety’s sake. His wife retires to the bedroom quickly, and with a sense of vague irritation, a combination of a sense of personal rejection and a residual of her social embarrassment, prepares for bed.

However, Mr. Z has some trouble with the stairs, manages to arrive at the bedroom door. Suddenly he decides that his wife is indeed fortunate tonight, for he is prepared to see that she is sexually satisfied. It never occurs to him that all she wants to do is go to bed, hoping to sleep and avoid a quarrel at all costs. He approaches the bed, moves to meet his imagined commitment and nothing happens. He has simply had too much to drink. Dismayed and confused both by the fact that no erection develops and that his wife obviously has little or no interest in his gratuitous sexual contribution, he pauses to resolve this complex problem and immediately falls into deep slumber.

The next day, he is further traumatized by the symptoms of an acute hangover. He surfaces later in the day with the concept that things are not as they should be. The climate seems rather cool around the house. He can remember little of the last evening’s festivities except his deeply imbedded conviction that things did not go well in the bedroom. He is not sure that all was bad but heal so is quite convinced that all was not good.

Obviously he cannot discuss his predicament with his wife. She probably would not speak to him at this time. So he kept mute throughout the evening and goes to bed early to escape. He sleeps restlessly only to face the new day with a vague sense of alarm, a passing sense of frustration, and a sure sense that all is not well in the household the Monday morning. He thinks about this over a drink or two at lunch and another one during the afternoon. On the way home from work, decides to check out this evening the little matter of sexual dysfunction, which he may or may not have imagined.

If the history of this reaction sequence is taken accurately, it will be established that Mr. Z does not check out the problem of sexual dysfunction within 2 days of onset, as he had decided to do on his way home from work. He arrives home, finds the atmosphere still markedly frigid, makes more than his usual show of affection to the children, retires to the security of the cocktail hour and goes to bed totally lacking in any communicative approach to his frustrated irritated marital partner.

On Tuesday morning, while brushing his teeth, Mr. Z has a flash of concern about what may have gone wrong with his sexual functioning on Saturday night. He decides unequivocally to check the situation out tonight. Instead of thinking of the problem occasionally as he did on Monday, his concern for “checking this out” becomes of paramount importance. On the way to work and during the day, he does not think about what really did go wrong sexually because he does not know either. Needless to say, there is resurgence f concern for sexual performance during the afternoon hours, regardless of how busy his schedule is

Mr. Z leaves the office in relatively good spirits, but thoroughly aware that “tonight’s the night.” He does have vague levels of concern which suggest that a little relaxation is in order; so he stops at his favorite tavern for a couple of drinks and arrives home with a rose only to find not only a forgiving, but an anticipatory, wife, ready for the reestablishment of both verbal and sexual communication that a drink or two together before dinner can bring.

Probably, for the first time in his life, he approaches his bedroom in a self conscious ‘Till I show her attitude. Again there has been a little too much to drink–not as much as on the party night, but still a little too much. And, of course, he does show her. With his conscious concern for effective sexual function and the onset of his fears of performance, that, aided by the depressant effect of alcoholic intake, he simply cannot “get the job done.” When there is little or no immediate erective reaction, he tries desperately to force the situation in turn, anticipating an erection, then wildly conscious of its absent, and finally demanding that it occur, of course, he got no erection.

While in an immediate state of panic, as lie sweats and strains for his weapon to function, he simultaneously must contend with the added distraction of a frightened wife trying to console him in his failure and to assure him that the next night will be better for both of them. Both approaches are equally traumatic. He hates both her sympathy and blind support which only serve to underscore his “failure,” and reads into his wife’s assurances that probably he can do better “tomorrow” a suggestion that no longer can he be counted on to get the job done sexually when it matters “today.” A horrible thought occurs to him. He may be developing some form of sexual incompetence. He has been faced with two examples of sexual dysfunction. He is not sure what happened the first time, but he is only too aware this night that nothing has happened. He has failed, miserably and completely, to conduct himself as a man. He cannot attain or maintain an erection.

Further, Mr. Z knows that his wife is equally distressed because she is frantically striving to gloss over this marital catastrophe. She has immediately cast herself in the role of the soothing, considerate partner who says, “Don’t worry dear, it could happen to anyone,” or “You’ve never done this before, so don’t worry about it, dear.” In the small hours of the morning, physically exhausted and emotionally spent from contending with the emotional bath her husband’s sexual failure has occasioned, she changes her tune to “You’ve certainly been working too hard, you need a vacation,” or “How long has it been since you have had a physical checkup?” Similarly heard wifely remarks which supposed to soothe, maintain, or support are interpreted by the panicked man as tacit admission of the tragedy they must face together: the progressive loss of his sexual functioning.

From the moment of second erective failure (72 hours after the first such episode), this man may be impotent. In no sense does this mean that in the future he will never achieve an erection quality sufficient for intromission. In brief, fears of sexual performance have assumed full control of his psychosocial system. Mr. Z thinks about the situation constantly. He occasionally asks friends of similar age group how things are going, because, of course, any male so beleaguered with fears of sexual failure is infinitely desirous of blaming his lack of effective function on anything other than himself, and the aging process is a constantly available cultural scapegoat.

He finds himself in the position of the woman with a lifetime history of non orgasmic return that contends openly with concerns for the effectiveness of her own sexual performance and secretly faces the fear that in truth she is not a woman. In proper sequence, he does as she has done so many times. He develops ways and means to avoid sexual encounter. He sits fascinated by an x-rate movie, in order to avoid going to bed at the usual time with a wife who might possibly be interested in sexual contact. He fends off her sexual approaches, real or not, with excuses; “I don’t feel well,” or “it’s been a terrible day at the office,” or “I’m so tired.” He jumps at anything that avoids confrontation.

His wife immediately notices his disinclination to meet the frequency of their routine sexual intercourse. In due course she begins to wonder whether he has lost interest in her, or if there is someone else, or whether there is truth in his most recent assertion that he couldn’t care less about sex. For reassurance that she is still physically attractive, the concerned wife begins to push for more frequent sexual encounters, the one approach that the self pressured male dreads above all else. Obviously, neither marital partner ever communicates his or her fears of performance or the depth of their concerns for the sexual dysfunction that has become of paramount importance in their lives. The subject either is not discussed, or, if mentioned even obliquely, is hastily buried in an avalanche of words or chilled by painfully obvious avoidance.

Within the next two or three months, Mr. Z failure to erect for a time or two begin to make both husband and wife panic. She decides independently to avoid any continuity of sexual functioning, eliminate any expression of her sexual needs, and be available only should he express demand. And because she also has also developed fears of performance, her fears are not for herself but for the effectiveness of her husband’s sexual functioning. She goes to great lengths to avoid anything that might be considered sexually stimulating, such as too-long kisses, handholding, body contact, caressing in any way. In so doing she makes such sexual encounter much more of a pressured performance and therefore, in much less of a continuation of living sexually, but the thought never occurs to her.

Over the centuries, the male sexual dysfunction has been the level of ‘cultural’ demand for effectiveness of male sexual performance. Most men feel that they must accept full responsibility for establishing successful intercourse connection, has placed upon every man the psychological burden for the lovemaking process and has released every woman from any suggestion of similar responsibility for its success. Well, there has never been an impotent woman anyway.

When a male loss the ability to achieve and to maintain an erection, it can cast a shadow of doubt upon the effectiveness of his sexual performance and this disturbed the state of his masculinity. Once a shadow of doubt has been cast, it will be registered at his mind for awhile or even longer. He may become more anxious about his next potential sexual encounter. Failure to attempt coital or intercourse connection continuously might lead to a subsequent pattern of erection failure to be established. Some men whom experience more serious than normal erection difficulties (example absence of nocturnal or nighttime erection, morning erections, no erection when stimulated,) associated with aging and chronic illness for instance:

Heart disease.

Any disease process that can affect arteries may likely affect the arteries that supply the penis. Men contracted with coronary artery disease or pain in the chest, cerebro vascular disease, peripheral vascular disease, high blood pressure, and high cholesterol. Accidents that cause severe pelvic fracture or direct injury to the penis are at risk for erectile dysfunction.

Diabetes.

A major physical cause of impotence, diabetes can also accelerate other causes like penile artery damage from cholesterol may become significant in a shorter period of time than it would if not complicated by diabetes.

High cholesterol.

Impotence research in the past several years has led a few authorities such as the New England Male Reproductive Center at Boston University Medical Center to conclude that high cholesterol is “probably one of the leading causes of impotence in America. The penis is a vascular organ, made up of layers of venous tissue and blood vessels. High cholesterol adversely affects erectile tissues.

Prostate problems.

Chronic pain and swelling in the prostate area can affect sexual functioning in an indirect manner if a man finds erection or ejaculation painful or uncomfortable. Although studies show 80 per cent of men can return to sexual functioning after prostate surgery, many don’t, indicating a possible psychological barrier.

Radiation therapy.

The administration of radiation to kill cancer cells for colon cancer or prostate cancer can cause damages to the blood vessels supplying to the penis.

Neurology Conditions.

The most common are spinal cord injury, stroke, multiple sclerosis, lumbar disk disease, pituitary disease, Parkinson’s and Alzheimer’s disease.

Medication.

This is another major cause of impotence. A study reported by the Journal of the American Medical Association showed that 25 per cent of all sex problems in men were caused or complicated by medications and other drugs. Tranquilizers, antidepressants, some high-blood-pressure drugs, corticosteroids (taken for arthritis), analgesics (for pain), alcohol, tobacco, and illegal drugs such as cocaine and marijuana affect libido and performance in men.

Others.

Surgery or other factors unrelated to disease can also cause erectile dysfunction. Take for example; long distance biking with small hard seats has been implicated as a cause of impotency, possibly by nerve compression. Habitual lifestyle like alcoholism, tobacco, eating habit and diet that causes malnutrition and lead to obesity.

Sam’s case may seems psychological but as his doctor go in depth, it got more than it meets. Consider his age, at 50 plus, the onset and period of his problem, his medical background, the severity of the problem and other factors which may involve.

Tags Erectile Dysfunction, Impotence, Penis

Male Sex & Vaginismus

Impotence Trauma

Post author By The Beauty Nation
Post date 02/02/2021

Here is illustrative of an etiological factor frequently encountered in vaginismus, that of the influence of channel visioned religious orthodoxy upon the immature and adolescent girl. When the couple was first seen in consultation, couple A’s marriage had existed unconsummated for 4 1/2 years.

The wife, from a sibling group of four females and one male, was the only one not to take the vows of a religious order. Her environmental and educational backgrounds were of strictest parental, physical, and mental control enforced in a stringent disciplinary format and founded in religious orthodoxy.

She was taught that almost any form of physical expression might be suspect of objectionable sexual connotation.

For example:
She was prohibited when bathing from looking at her own breasts either directly or from reflection in the mirror for fear that unhealthy sexual thoughts might be stimulated by visual examination of her own body. Discussions with a sibling of such subjects as menstruation, conception, contraception, or sexual functioning were taboo.

Pronouncements on the subject were made by the father with the mother’s full agreement. Her engagement period was restricted to a few chaste, well-chaperoned kisses, for at any sign of sexual interest from her fiance, the girl withdrew in confusion.

Couple A
Mrs. A entered marriage without a single word of advice, warning, or even good cheer from her family relative to marital sexual expression. The only direction offered by her religious adviser relative to sexual behavior was that coital connection was only to be endured if conception was desired.

Mrs. A’s only concept of woman’s role in sexual functioning was that it was dirty and depraved without marriage and that the sanctity of marriage really only provided the male partner with an opportunity for sexual expression. For the woman, the only salvation to be gained from sexual congress was pregnancy.

With the emotional trauma associated with wedding activities, and an injudicious, blundering, sexual approach from the uninformed but eager husband, the wedding night was a fiasco quite sufficient to develop or to enhance any preexisting involuntary obstruction of the vaginal outlet to a degree sufficient to deny penetration.

The husband, of the same orthodox background, had survived these traumatic years without developing secondary impotence. His premarital experience had been two occasions of prostitute exposure, and there was no reported extramarital experience.

He masturbated occasionally and was relieved manually by his wife once or twice a week. His wife had no such outlet. Her only source of effective relief was well-controlled psychotherapy.

With an incredible number of thou-shalt-nots dominating Mrs. A’s environmental background, it is little wonder that she was never able to develop a healthy frame of reference for the human male in general and her husband in particular as a sexual entity. Her sexual value system reflected severe negative conditioning.

Couple B
The presenting complaint for couple B upon referral to the Foundation was that of secondary impotence. The husband’s history was one of successful response to coital opportunities with three women over a period of 18 months before meeting his wife.

An eight-month courtship followed without attempted coital connection or, for that matter, any physical approach, as the man was overwhelmed by the multitude of restrictions placed upon courtship procedure by the girl’s religious control. The husband-to-be was of the same faith, but his background was not orthodox.

Following a chaste engagement period, failure to consummate the marriage occurred on the wedding night. Religious orthodoxy, although of major import, was not the only factor involved in this traumatized marriage.

With both husband and wife tired and tense, he unfortunately hurried the procedure. All too cognizant of prior coital success and totally frustrated by lack of sexual exposure to his wife, he attempted penetration as soon as erection developed.

While attempting rapid consummation, his wife, unprepared for the physical onslaught, was hurt. She screamed; he lost his erection and could not regain function. By mutual agreement, further attempts at consummation were reserved for the seclusion of the wedding trip.

Attempts at coition were repeated during the honeymoon and thereafter almost daily for the first five to six months of the marriage and two to three times per week for the next year, but there was no success in vaginal penetration. Eighteen months after the wedding the husband developed marked loss of erective security.

He rarely could achieve or maintain an erection quality sufficient for intromission.

When there was erective success, frantic attempts at vaginal penetration stimulated pain, fear, and physical withdrawal from his female partner.

During the remaining two years before consultation, attempts at coition gradually became less frequent. The husband’s history included a report of eight months of psychotherapeutic support without relief of the symptoms of secondary impotence. No consideration had been given to the possibility of coexistent female pathology.

The involuntary vaginal spasm certainly could have been present before marriage, invalidating the initial attempt at intromission. Also, it is possible that over a few year period, the severe degrees of frustration resultant from multiple unsuccessful attempts to penetrate could initiate involuntary vaginal spasm.

If a moderate degree of spasm were present at marriage, the sexual ineptitude of the husband and the episodes of pain with attempted penetration would tend to magnify the severity of the syndrome well beyond any initially existent level. Secondary impotence resulting from long-denied intromission is not at all uncommon.

Tags Impotence, Impotence Trauma, Trauma

Male Sex & Vaginismus

Impotence and Vaginismus

Post author By The Beauty Nation
Post date 02/02/2021

The presence of involuntary muscular spasm in the outer third of the vaginal barrel, with the resultant severe constriction of the vaginal orifice, is obvious. The literature has remarked on an unusual physical response pattern of a woman afflicted with vaginismus.

She reacts in an established pattern to psychological stress during a routine pelvic examination that includes observation of the external genitalia and manual vaginal exploration.

The patient usually attempts to escape the examiner’s approach by withdrawing toward the head of the table, even raising her legs from the stirrups or constricting her thighs in the midline to avoid the implied threat of the impending vaginal examination.

Frequently this reaction pattern can be elicited by the woman’s mere anticipation of the examiner’s physical approach to pelvic examination rather than the actual act of manual pelvic investigation.

When vaginismus is a fully developed clinical entity, constriction of the vaginal outlet is so severe that penile penetration is impossible.

Frequently, manual examination can be accomplished only by employing severe force, an approach to be decried, for little is accomplished from such a forced pelvic investigation, and the resultant psychosexual trauma can make the therapeutic reversal of the syndrome more difficult.

The Diagnosis:
vaginismus can easily be established by a one-finger pelvic examination. If a non traumatic pelvic exploration is conducted, and a markedly apprehensive woman somewhat reassured in the process, the first step has been taken in therapeutic reversal of the involuntary spasm of the vaginal outlet.

Vaginismus may be of such severity that a marriage cannot be consummated. Medical consultants frequently have mistaken unrecognized involuntary vaginal spasm for the presence of a pressure resistant hymen.

As the result of this clinical confusion, surgical excision of the presumed resistant hymen has been recommended and conducted on many occasions without providing the patient and her husband with the expected relief from physical obstruction to effective coital connection.

The possibility of coexistent vaginismus should be explored in depth by means of an accurate psychosexual-social history as well as a definitive, but not forced, pelvic examination before surgical excision of a presumed all-resistant hymen is conducted.

Vaginismus has been encountered frequently in marriages with rarely occurring coitus as well as in non consummated marriages. Interestingly, the syndrome has a high percentage of association with primary impotence in the male partner, providing still further clinical evidence to support procedural demand for simultaneous evaluation and treatment of both marital partners when sexual dysfunction within a marital unit is the presenting complaint.

Impotence and Vaginismus

In retrospect, when primary impotence and vaginismus exist in a marriage, it is difficult to be sure whether there was involuntary spasm of the vaginal outlet prior to the unsuccessful attempts at coital connection or whether the vaginismus emerged from the wife’s high levels of sexual frustration developing secondary to the male partner’s lack of erective security.

Primary impotence and vaginismus probably antedate one another with equal frequency, but when either exists a marriage cannot be consummated, and sexual dysfunction is likely to appear in the other partner.

If severe vaginismus exists prior to attempted consummation of a marriage, primary or secondary impotence can result from repetitive failures at intromission. Of course, within many marital units involuntary vaginal spasm has existed for years without resulting in any symptoms of male sexual dysfunction.

In such cases either the husband is satisfied with ejaculatory release with minimal or partial penetration or the degree of involuntary spasm is sufficient only to delay and not to deny vaginal penetration.

Past Cases
29 cases of vaginismus have been diagnosed and treated over 11 years. While etiological factors are multiple, the syndrome is frequently identified in association with male sexual dysfunction.

Equaling male dysfunction as an etiological agent is the psychosexually inhibiting influence of excessively severe control of social conduct inherent in religious orthodoxy. Third in etiological frequency are the symptoms of involuntary vaginal spasm which have been identified as related to specific episodes of prior sexual trauma. Fourth in order of occurrence is the stimulus toward vaginismus derived from attempted heterosexual function by a woman with prior homosexual identification.

There are in the clinical files 12 examples of religious orthodoxy as a major etiological factor in the onset of vaginismus. The presence of this syndrome contributed to 9 non consummated marriages and 3 in which coitus was infrequent.

Of the female partners with vaginismus 4 were oriented to a restrictive orthodox Jewish background, 6 were products of a psychosexually repressive Catholic background, and 2 had the religious orientation of stringent Protestant fundamentalism.

In these 12 cases in which religious orthodoxy was a factor in vaginismus, 5 male partners were primarily impotent and also had similar orthodox religious backgrounds; 2 husbands who had been successful in coital connection with other women before meeting their wives-to-be became secondarily impotent after repetitively unsuccessful attempts at vaginal penetration.

Another 2 husbands had not been able to penetrate their wives more than three times during marriages of five and eight years although they were potent prior to and after marriage and additionally potent during marriage with other partners; in the two years before referral to the Foundation.

These husbands reported increasing frequency of erective failure and, although not completely impotent, were well on their way toward that status when seen in therapy. There were 2 husbands who continued potent despite marriages of fourteen and two years without successful vaginal penetration. Neither described sexual activity outside of the marriage.

Male partner tension relief usually was obtained from manipulation by the wife. The wives were not responsive to similar approaches.

In one marriage, the male partner was a severe premature ejaculator. Intromission rarely occurred during the first four years because the husband could not control his ejaculatory process sufficiently to accomplish vaginal penetration. It must be pointed out, however, that a heavy burden had been placed upon this premature ejaculator by the extremely difficult vaginal penetration.

The excessive stimulation returned to the male by difficult penetrative efforts contributed to the husband’s acknowledged rapid ejaculatory tendencies. When seen in therapy, the wife, denying coital experience before marriage, had involuntary vaginal spasm.

Whether spasm was present at marriage is debatable, but the marital combination of premature ejaculation and vaginismus was insuperable sexually for both husband and wife.

Of specific interest is the fact that 6 primarily impotent males with religious orthodoxy as the major etiological factor influencing their sexual dysfunction have been treated at the Foundation.

Five of these men married women who have been categorized as evidencing vaginismus. For the wives as well as the husbands, the indisputable etiological factor in both partners’ sexual inadequacy was the overwhelming influence of religious orthodoxy.

Clinical histories illustrative of the potential sexual difficulties inherent in marriages between orthodox partners have been presented in the discussion on primary impotence and primary orgasmic dysfunction and will not be repeated.

Histories describing direct association of vaginismus with male sexual inadequacy are made available to underscore the fact that sexual dysfunction, regardless of whether originally invested in the male or the female partner, is a marital-unit rather than an individual problem.

Tags Impotence, Vaginismus

Impotence Cure

Post author By The Beauty Nation
Post date 02/02/2021

Impotence is not a naturally occurring phenomenon. Yet there are men who never experience intromission regardless of available coital opportunity; they have been identified as primarily impotent.

There are men, having succeeded in coital opportunity on single or multiple occasions, who develop erective inadequacy and ultimately cannot achieve or maintain an erection quality sufficient for intromission regardless of opportunity. They have been termed secondarily impotent.

But are there naturally impotent men, men born without the slightest facility for effective sexual function?

The answer must be a hesitant yes, but they are encountered so rarely as to be of no statistical significance.

There is a rare male never able to have intercourse for anatomical or physiological reasons.

For example:
Men born with endocrine dysfunction, such as Klinefelter’s syndrome, may never be able to achieve sufficient steroid balance to develop an effective erection. These genetic misfortunes do occur, but with adequate knowledge and control some of their untoward clinical sequelae, such as impotence, may be reversed.

Tags Cure, Impotence, Impotence Cure

Erectile Dysfunction

Sex Partner and Impotence

Post author By The Beauty Nation
Post date 02/02/2021

While developing therapy concepts and procedural patterns at onset of the clinical investigative approach to sexual dysfunction in 1959, there were many severe problems to be faced. One of the most prominent concerns was the demand to develop a psychosocial rationale for therapeutic control of unmarried men and women that might be referred for treatment.

During 11 years of treatment, 54 men and 3 women were unmarried when referred by their local authority with complaints of sexual dysfunction. In a statistical breakdown relative to intake diagnosis, 16 men were premature ejaculators, one was an incompetent ejaculator, 21 were primarily impotent, and 16 were secondarily impotent.

The three women were orgasmically dysfunctional, one primarily and two situationally (coital orgasmic inadequacy).

The immediate problem to be faced was the obvious clinical demand for a female partner a partner to share the patient’s concerns for successful treatment, to cooperate in developing physically the suggestions presented during sessions in therapy, and most important, to exemplify for the male various levels of female responsivity.

All of these factors are essential, if effective sexual functioning is to be returned to the sexually inadequate man. In brief, someone to hold on to, talk to, work with, learn from, be a part of, and above all else, give to and get from during the sexually dysfunctional male’s two weeks in the acute phase of therapy.

The term replacement partner is used to describe the partner of his or her choice brought by a sexually inadequate unmarried man or woman to share the experiences and the education of the clinical therapy program.

Partner surrogate has been reserved to indicate the partner provided by the cotherapists for an unmarried man referred for treatment who has no one to provide psychological and physiological support during the acute phase of the therapy.

The final listing, that of marital partners, includes not only husband and wife units, but also former husbands and wives, divorced or legally separated, who choose to join each other in mutual hope of a reversal of the sexual dysfunction that was a major contributor to the legal dissolution of the marriage.

Nine such units legally separated at intake have been seen in therapy in the last 11 years. Statistically, these units have not been treated separately from the legally married units referred for therapy.

Thirteen of the 54 non-married men brought replacement partners of choice who were most willing to cooperate with the therapists to enable their sexually dysfunctional men to establish effective sexual performance. The three unmarried women also brought replacement partners of their choice to participate in therapy.

These replacement partners were men with whom they had established relationships of significant duration, as well as the personal warmth and security that develops from free exchange of vulnerability and affection.

Partner surrogates have been made available for 41 men during the 11 years. This situation has involved basic administrative and procedural decisions. Should the best possible climate for full return of therapeutic effort be created for the incredibly vulnerable unmarried males referred for constitution or reconstitution of sexual functioning, or should there be professional concession to the mores of society, with full knowledge that if a decision to dodge the issue was made, a significant increase in percentage of therapeutic failure must be anticipated?

Unmarried Impotent Men

Whose dysfunctional status could be reversed to allow assumption of effective roles in society would continue sexually incompetent. From a clinical point of view there really was only one alternative. Either the best possible individual return from therapeutic effort must be guaranteed the patient, or the Foundation must refuse to treat unmarried men or women for the symptoms of sexual inadequacy.

Either every effort must be made to meet the professional responsibility of accepting referrals of severely dysfunctional men and women from authority everywhere in or out of the country, or admission to clinical procedure must be denied. It would have been inexcusable to accept referral of unmarried men and women and then give them statistically less than 25 percent chance of reversal of their dysfunctional status by treating them as individuals without partners.

This figure has been reached by culling the literature for material published from other centers, since it is against Foundation policy to treat the sexually dysfunction individual as a single entity. If the concept that therapy of both partners for sexual inadequacy has great advantage over prior clinical limitations to treatment of the sexually dysfunctional individual without support of marital partner, then partners must be available.

Statistically there no longer is any question about the advantage of educating and treating men and women together when attacking the clinical concerns of male or female sexual inadequacy.

For these reasons the therapeutic technique of replacement partners and partner surrogates will continue as Foundation policy:

It should be emphasized that no thought was ever given to employing the prostitute population. For reasons that will become obvious as the contributions of the replacement-partner and partner-surrogate populations are described, so much more is needed and demanded from a substitute partner than effectiveness of purely physical sexual performance that to use prostitutes would have been at best clinically unsuccessful and at worst psychologically disastrous.

Tags Impotence, Partner, Sex, Sex Impotence, Sex Partner, Sex Partner Impotence

Get to Know Us

Our Brands

Contact