Estimated that one man out of every ten men has a problem related to sex , such as premature ejaculation ( stream ) premature ejaculation or erectile dysfunction erectile dysfunction.
Refers impotence or sexual dysfunction sexual dysfunction in men to the inability to do the citizenship process correctly; The main problem is the inability to get an erection erection, it is more common than people imagine . In the age group 20-40 years , affecting this case about 7-8 % of men , and in the age group 40-50 years , affecting 11 % . The later sixties , Vtsab 40 %, while occur when more than half of all men over the age of 70 years old . And can affect sexual function malfunction of any human being, regardless of any other factors.

Impotence or erectile dysfunction
Get impotence when a man can not achieve an erection or maintain it. This happens in some periods of life. But do not be the inability to achieve an erection or maintain it is a problem only when he sees the man or his wife to be a problem in it.

Causes of erectile dysfunction
There are a variety of things caused it , some of them myself and some other body . Psychological problems tend to influence the young men , such as the problems of the first night or the night of the wedding and so on. But these problems do not persist in many cases ; However , there could be serious psychological problems about sex need the help of therapist sexual psychosexual therapist.
Contributing factors may include the fears or concerns about work , money, and the special relationship , family , and even the anxiety of not getting an erection.
Includes physical reasons for the inability to achieve an erection as follows:
Medical cases
 Heart disease.
Diabetes.
High blood pressure.
Increase the proportion of cholesterol : It can lead to clogged arteries , including the arteries in the penis ( penis) , which is very narrow ( 1-2 mm in diameter , compared with about 10 mm in the arteries of the heart).
Low testosterone testosterone: decreases testosterone levels in men with age, but he does not get all the men to do so . And in these patients show symptoms such as fatigue , disability and loss of interest (inability to ) having sex .
 Medicines and some other materials

Some disbursed prescription drugs : can include medications ( such as beta-blockers , beta-blockers) used to treat high blood pressure, antidepressants, antipsychotics , and anti-epileptic drugs .
Alcohol.
Recreational drugs , such as cannabis (Indian hemp ) cannabis and cocaine.
Smoking : Nicotine affects blood flow to parts of the penis that causes erections .

Why should a person do if he has erectile dysfunction ?
Must see a doctor , he is able to conduct clinical examination and order blood tests to determine the cause.
Can be erectile dysfunction , sexual dysfunction is an important signal to other issues , which is associated with high cholesterol , diabetes or high blood pressure. It may be any of the warning of heart disease in the future. Therefore , the doctor can make sure to get the treatment that the person needs it .

What are the treatment of sexual dysfunction or impotence ?
First, you must modify any lifestyle factors could be the cause of the problem.
Therefore, you should stop smoking , and stay away from the use of recreational drugs , even though it can take months , where there is no cure overnight .
If a person uses lower blood pressure tablets or antidepressants , your doctor may be able to describe a different type them .
Hormone deficiency can be treated testosterone hormone Almaadh , which should solve the problems of erectile dysfunction as long as they are used along with drugs to help erectile dysfunction. As for the other cases , such as diabetes and high blood pressure, can be treated with the right medications , which may improve erections .
Some men benefit from psychotherapy sexual psychosexual therapy, a form of treatment reform of the relationship ( heal the relationship ) relationship therapy, where the couple can discuss any sexual or emotional issues or concerns they have .

Premature ejaculation or early stream
Case of shooting the man's semen sooner than he wants in during sex ; it is just annoying problem for both spouses . The person can consult a doctor or a sexual therapist for help .

Treatment of erectile dysfunction
This may be caused by an acute sensitivity localized in the nervous system of the penis , where they appear suddenly orgasm .
It can also be early stream related also concerned about sexual performance, or stress , tension , or ongoing issues in the relationship, or depression.

Premature Ejaculation
You should consult your doctor, or sexual therapist , where you can wizard person knows methods to try to delay ejaculation .

Causes of premature ejaculation
Do not feel a lot of men and their wives worried about the stream early , but are working to rectify the matter . But if the person is very much satisfied with it , there are some things that can be tested :
Sex again after he shot the man directly ; In the second time , it will take longer to reach orgasm. But older men may find it difficult to do so, because they may يستغرقون a very long time to achieve an erection again.
Creams can be placed ( Raheemat ) narcotic on the penis . But it tends to move anesthesia sense to the wife, and this may not always amuse her . Some people also find useful condom use .
Can the man presses his penis in a certain way to prevent him from ejaculation. But men need to be wife is fully prepared to do so , some wives do not Tharn comfortable towards this behavior .

Psychotherapy may be useful in terms of achieving relax or explore the problems in the marital relationship.