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IMPOTENCE

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Impotence can be quite a devastating symptom for any man just as loss of libido is devastating for women, but particularly for one who is young or in his middle years. In these men, impotence does not usually result from a hormone deficiency. It is commonly psychological in origin. It is important to emphasise that this is frequently a psychological problem, because if this is appreciated it makes for a better understanding between partners; after all, women, following menopause, may experience similar psychological problems.

How do these problems arise? There are several possible factors involved. The work environment of the middle-aged man often involves increased pressures, particularly from younger men who are eager to fill their shoes. The prospect of retirement is often another factor – having to face a change in life style, with a reorganisation of interests and finances. Finally, the realisation that time is coming to be a most precious commodity and there is so little of it left – and has it all been worth while? Any or all of these factors can lead to depression, which can be compounded by children leaving home and developing their own life style, which often involves a completely different set of values. The couple is, in many instances, left alone for the first time in years, and, like the woman, the man suddenly becomes aware of this.

Any of these stresses may cause depression, tiredness and, ultimately, impotence. Impotence is also particularly aggravated by drinking alcohol to excess.

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