$Unique_ID{BRK00979}
$Pretitle{}
$Title{Advice About Declining Sexual Ability}
$Subject{sex impotence age aging behavior behaviors lifestyle lifestyles
impotence erection sexual dysfunction prescription medications alcohol illegal
drugs marijuana cocaine amphetamines narcotics prescriptions medication}
$Volume{T-23}
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Copyright (c) 1991-92,1993   Tribune Media Services, Inc.


Advice About Declining Sexual Ability


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QUESTION:  I have a question of a rather delicate nature, that I would find
too embarrassing to ask my personal physician about.  Though not an old man by
today's standards, I find my sexual ability declining.  I know my wife would
appreciate more attention, but don't know what to do about my situation.  I am
hoping you may provide some advice in your column.

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ANSWER:  I am always a bit disheartened when I learn that someone feels
restrained in discussing an intimate problem with a physician.  It means that
the relationship is faulty at a time when it is most needed to help with a
problem that is not easy to correct.  While I am happy to offer you some
insight, I truly hope that you will continue your search for a solution with
the consultation and advice that only a personal family physician can offer.
Your problem is not a rare one for impotence, defined as the inability to
achieve and maintain an erection adequate for vaginal penetration to the
mutual satisfaction of both partners, is one of the most common forms of
sexual dysfunction.  In one form or another it may be a problem for more than
20 million American men.  It may be either a physical or mental problem.  One
of the most easily remedied causes of impotence stems from the unwanted side
effects of many prescription medications.  Antianxiety, antidepressant and
antipsychotic medications, sedatives, some blood pressure medications, as well
as medication used for stomach ulcers and epilepsy must be included in the
long list of prescription medications that may be causing your situation.
Review any medication you are now on with your physician, as changing or
altering dosages may lead to a remedy.  Of course, alcohol, illegal drugs;
marijuana, cocaine, amphetamines, narcotics and yes, nicotine may all be the
culprit.  The presence of an erection (nocturnal penile tumescence) is an
indication that the patient is physically capable of a normal erection, and
may be discovered by using one of a number of home monitors which are now
available.  You are also entitled to a complete physical examination, and
laboratory workup to assist in determining the reasons for your problem.
There are many causes for impotence, and it is not a condition that is either
all black or all white.  Many new effective techniques and treatments now
exist, but you will only discover which is best for you by confiding your
problem to you doctor.

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The material contained here is "FOR INFORMATION ONLY" and should not replace
the counsel and advice of your personal physician.  Promptly consulting your
doctor is the best path to a quick and successful resolution of any medical
problem.