A vasectomy has no effect on the hormones, bodily processes, or penile structures that affect your ability to get an erection. The penis once again becomes flaccid as it loses the built up pressure. Also, some guys get soft during the refractory period, while others maintain erections. At the same time, the artery to the penis widen to twice its diameter, increasing the blood flow sixteen-fold, and the veins which carry blood away from the penis are blocked. This discomfort will diminish over time. If you are trying to have a second round because your partner wants it, keep sex toys in mind. Louanne Cole Weston, PhD, licensed marriage, family, and child counselor and a board-certified sex therapist in practice. It affects 4 to 5 million men in the United States.
Though uncommon, post-vasectomy pain syndrome may result from nerve damage or sperm building up in the vas deferens. But if the feeling persists after a month or so, see your doctor. This confirms the notion that there is great variation between the needs and sensibilities among men. At that point, both of you are probably content and just want to nap the rest of the day. As the swelling reaches the limit of the penile skin, the penis becomes firm. Some people get soft during the refractory period, while others maintain erections. Most drugs used for psychological disorders, including anti-anxiety drugs, anti-psychotic drugs, and antidepressants. I think that spending another 40 minutes caressing, kissing , massaging, nuzzling, and the like is a wonderful way to pass the time. There is no definitive answer to this question. Many diseases are related to erectile dysfunction, such as depression, hypertension, heart and circulatory problems, diabetes mellitus, multiple sclerosis, prostatic diseases. Physical impotence occurs gradually but continuously over a period of time. There are exceptions, but that's what they are -- exceptions. Your doctor can assess your symptoms and advise you on any next steps. As a consequence, a whole 'vicious circle' starts on, which very often results in avoiding sexual contact and any circumstances that could potentially lead to sexual intercourse. Prostate Cancer and its Treatments can damage nerves needed for erectile function. In one study, 12 out of 20 men whose dysfunction had a psychological basis and who were advised to enter a sex clinic resisted sex therapy out of embarrassment or because they felt it wouldn't help. Radiation the side effects of radiation therapy include most of those of surgery, but the risks for impotence and incontinence are considerably lower. The health risks of smoking are particularly shocking when it comes to men because fags can restrict blood flow to the penis making it more difficult to get an erection. In many cases, the psyco-sexual therapy can be combined with pharmacotherapy that facilitates erection, i. To consider a man sexually dysfunctional solely by measuring his arousal during intercourse, with a long term partner, is simply too limited as well as illogical. In virtually every case of impotence, there are emotional issues that can seriously affect the man's self-esteem and relationships, and may even cause or perpetuate erectile dysfunction. It is often difficult to determine if the cause of erectile dysfunction is physical or psychological, or even some combination. Anxiety has both emotional and physical consequences that can affect erectile function. It may also be helpful for men whose erectile dysfunction is caused by impaired blood circulation. A regular exercise program is extremely important. It is among the most frequently cited contributors to psychological impotence.
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