percent of infertile men.
Many erection problems have at least some physical cause. To achieve an erection there must be cooperation of blood vessels, nerves, and tissues. Impotence can be caused by a number of health problems, including diabetes, heart and circulation problems, stroke, epilepsy, Alzheimer’s disease, neurological disorders, alcohol and drug abuse, Parkinson’s disease, and liver and kidney disease. Impotence can also be caused by certain mediations,such as tranquilizers, diuretics, and anti-ulcer, anti-psychotic, anti-depressant, and anti-hypertensive drugs. Some over-the-counter antihistamines and decongestants can cause temporary impotence as well.
The other cases of impotence stem from psychological factors, such as relationship problems, stress, anxiety, grief, depression, fatigue, boredom, and guilt. Sexual intimacy can make some people feel very vulnerable, causing a number of stresses and uncomfortable feelings.
With patience and treatment, most cases of impotence can be managed and overcome, but you must be willing to ask for help. The prescription drug Viagra, approved by the FDA last year, has been shown to help 70 percent of men with impotence. For more information on impotence, talk to your doctor or contact:
Potency Restored
8630 Fenton Street, Suite 218
Silver Spring, MD 20910
(301) 588-5777
Impotence Institute of America
10400 Little Patuxent Parkway, Suite 485
Columbia, MD 21044
(410) 715-9605
Impotence Information Center
American Medical Systems
Minneapolis, MN 55440
(800) 543-9632
COUPLES
Be Conventional: Stick to the Missionary Position
The so-called missionary sexual position—man on top, woman on the bottom—reduces the risk of sperm leaking from the vagina and increases contact of the semen with the cervix. If you are a woman, after intercourse you might want to tip your hips back, slip a pillow or two under your hips, and gently press the labia (lips) of your vagina together to give the sperm every chance possible to work their way north to the Fallopian tubes.
Another option is rear entry or “doggie style.” This position allows for the deposit of sperm close to the cervix. When you’re trying to conceive, don’t make love sitting, standing, or with the woman on top.
Make Love Before You Make Breakfast
Making love is a nice way to say good morning. There are no studies to show that morning intercourse improves the odds of conception, but experts do know that sperm counts are higher in the morning (provided youhaven’t had intercourse the night before). In addition, male hormones peak in the morning, which may help explain why many men feel passionate first thing in the morning.
Have Sex Every Other Day
Some infertile couples assume that conception can most easily be achieved by having intercourse as often as possible near the time of ovulation. However, too much of a good thing can compromise sperm count.
Your goal, of course, is to fertilize a mature egg as soon as possible after it is released from the ovary. Since this window of opportunity can be just six or eight hours for some women, intercourse must occur in a timely fashion. Mother Nature makes this task somewhat easier because sperm can survive inside the vagina for up to five days. (Actually, the length of time the sperm remain alive depends on where a woman is in her menstrual cycle: If she is in an infertile phase, the sperm will die within hours; if she is approaching ovulation, the sperm can survive for days in the more hospitable wet cervical mucus.)
Waiting two days between lovemaking sessions is ideal for most couples. Having intercourse daily will reduce sperm count somewhat, which can make a difference in cases where the man has low or borderlinesperm count. One exception: Men who have excessively high sperm counts (as determined by a sperm analysis conducted by a doctor) may find that daily intercourse helps lower the sperm count to a more normal level, which can prevent the sperm from