Impotence is actually not terrible, but people feel unhappy is impotence is not very good treatment, feel the old can not go to the root! This is not today my old patients Wang and find me, this handsome young man is only the early 30s, rules shy, is a university just joined the work of engineers soon. Wang’s lover is a people’s teachers, married for 5 years, the two are also very loving, 3 years ago, Wang got impotence, and since then the couple’s life is not harmonious. Good in his wife reasonable, and did not deliberately complain about anything, but Wang still feel very ashamed of his wife. Wang said, he always worry before each coitus, afraid of the old disease again, make now more and more uninterested in the intercourse! In the clinical work, and Wang similar experience of a few patients. To be honest, the impotence of the disease itself is more complex, from the cause of Wang both psychological factors and organic factors, some of the impotence of the people will be entangled, although I have a bad erection, but the examination did not have any problems ah! In fact, even if sometimes you do not find any abnormalities in the examination, can not rule out the existence of some organic factors, because after all, the current level of medical science is limited, some of the causes of the disease is no way to clarify. The main point here today is not to tell you the cause of the problem, but to emphasize in the impotence, the patient how to cooperate with the doctor to treat the problem. To get to the root cause, it is important to cooperate with the doctor! Doctors can solve the organic problem of impotence, while the psychological factors have to be eliminated by the patient himself. To make this clear, you need to understand the mechanism of erection and weakness of the penis, so as to understand how your psychological activities have affected your erectile function. The process of penile erection is a complex psychological and physiological process medically known as neurovascular reflexes. To begin with, there is a category of nerves in our body’s nervous system that is medically called the vegetative nervous system, which includes the sympathetic and parasympathetic nervous systems. The reason it is called the vegetative nervous system is that this type of nerve is not fully controlled by our subjective consciousness. Let’s start here with a brief overview of how an erection of the penis occurs. Penile erection is actually the penile cavernous smooth muscle relaxation, relaxation of the blood sinus dilation and congestion, the penile cavernous body after the congestion of blood distension, after filling, like the pressure of the high rise of the water pipe, the penis will become hard. On the contrary, the smooth muscle of the cavernous body of the penis shrinks, the blood sinus contracts, the blood of the cavernous sinus of the penis is squeezed out, like a water pipe that has been drained, and weakens. The above process of penile erection is subject to vegetative innervation. If the parasympathetic nerves are excited, the smooth muscle cells of the small arteries and vascular sinuses in the corpus cavernosum of the penis diastole, blood flows into the corpus cavernosum, the cavernous blood sinuses dilate, and the penis swells and produces an erection. If the sympathetic nerve is excited, the smooth muscle cells of the small arteries and vascular sinuses will contract, the blood sinuses contract, the blood flows out of the corpus cavernosum, and the penis begins to weaken. Above we basically understand the activity of the nerves and blood sinuses during penile erection and weakness. To put it bluntly, penile erection and weakness is the result of sympathetic and parasympathetic excitation! Here’s another explanation of a common physiological phenomenon that is also related to sympathetic and parasympathetic arousal. In the physiological situation, the daytime and nighttime excitability of the vegetative nerve is different, the daytime general sympathetic nerve excitability is higher, which is conducive to keep a person in a state of tension. Therefore, in the daytime you are working in the tension, the penis is also obediently in a weak state. At night, when parasympathetic arousal is higher, you are more relaxed and your heart rate and blood pressure drop. At the same time your penis is a little more likely to be erect. That’s why a normal person’s penis naturally gets erect several times per night during sleep situations. This is also why we use nocturnal erection monitoring to determine good and bad erectile function! With all the above said, we will understand the reasoning that the penis becomes erect when the parasympathetic nerves are excited and weak when the sympathetic nerves are excited. During intercourse, both the sympathetic and parasympathetic nerves are highly excited, and in a normal person the two are in a state of equilibrium, and the penis is able to have a normal erection and complete sexual intercourse. Generally speaking, the sympathetic nerves and the parasympathetic nerves are in a dynamic equilibrium. When one side is excited, it suppresses the other side’s excitement! This means that all we need to do to get better erectile function is to do everything we can to keep the sympathetic nerves from becoming over-excited, that is, to keep the parasympathetic nerves a little more excitable! There are some factors that can affect the balance between the sympathetic and parasympathetic nerves, one of which is psychological anxiety for various reasons. For example, some people are born with a sympathetic body, which makes them easily agitated and unsure of themselves when things go wrong. Psychological anxiety is the most important reason that touches the sympathetic nerves and causes over-excitement of the sympathetic nerves, thus leading to impotence. Therefore, to cure impotence, eliminating psychological factors is an indispensable part. This point alone male doctor is sometimes not enough, the patient must do at least two things: 1, the knowledge of coitus has a considerable understanding, to do a good job. 2, the need to establish a deep emotional relationship with his wife so that his wife to understand your psychological state, his wife’s support and concern for the elimination of your psychological barriers, and to gain self-confidence is indispensable!