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Do impotent men still have desire?

"Impotence and loss of libido are two very separate things," says Richard Milsten, MD, a New Jersey-based urologist and co-author of The Sexual Male. However, men who experience impotence commonly experience a decrease in libido over time, he adds.

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Drugs can also decrease libido. Many prescription antidepressants can diminish sex drive. Other medications with this side effect include tranquilizers and blood pressure medications . Illicit substances, such as heroin , cocaine , and marijuana , when used heavily and chronically, may lower libido, according to Milsten. He suggests that if a prescription medicine has hampered a man's sex drive to a distressful degree, he should ask his doctor about the possibility of swapping the medication with a similar-functioning one that doesn't cause sexual side effects.

Stress Can Sabotage Sex Drive

Imagine this scenario: You and your dream lover are naked in bed together. Then, all of a sudden, a stranger barges into the room with a gun. You've just lost all interest in sex, and now the only plan you have for your privates is keeping them out of harm's way. In short, you've reprioritized your activities as a survival instinct. This is an extreme example, but any kind of serious stress -- whether related to work, relationships, or any other area of life -- is going to diminish your sex drive. To have a healthy libido, you need to be engaged in the moment -- not angry or hurt. If you're having shouting matches with your partner, your libido is nearly certain to take a nose-dive, says Milsten. Fortunately, if you work on your differences and good feelings are restored, sex drive is likely to return to baseline levels. Some problems, however, such as depression or anxiety, intense job stress, family worries, serious marital conflicts, experiences of past abuse, or conflicts about sexual orientation may require professional assistance. It is essential to seek such help if negative feelings interfere with the rest of life, if they are overwhelming, or if you are no longer able to experience pleasure.

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Does every male eventually get prostate cancer?

All men are at risk for prostate cancer. Out of every 100 American men, about 13 will get prostate cancer during their lifetime, and about 2 to 3 men will die from prostate cancer. The most common risk factor is age. The older a man is, the greater the chance of getting prostate cancer.

All men are at risk for prostate cancer, but African-American men are more likely to get prostate cancer than other men. All men are at risk for prostate cancer. Out of every 100 American men, about 13 will get prostate cancer during their lifetime, and about 2 to 3 men will die from prostate cancer. The most common risk factor is age. The older a man is, the greater the chance of getting prostate cancer. Some men are at increased risk for prostate cancer. You are at increased risk for getting or dying from prostate cancer if you are African-American or have a family history of prostate cancer.

African American Men

Are more likely to get prostate cancer than other men.

Are more than twice as likely to die from prostate cancer than other men. Get prostate cancer at a younger age, tend to have more advanced disease when it is found, and tend to have a more severe type of prostate cancer than other men.

Family History (Genetic Risk Factors)

For some men, genetic factors may put them at higher risk of prostate cancer. You may have an increased risk of getting a type of prostate cancer caused by genetic changes that are inherited if— You have more than one first-degree relative (father, son, or brother) who had prostate cancer, including relatives in three generations on your mother’s or father’s side of the family. You were diagnosed with prostate cancer when you were 55 years old or younger. You were diagnosed with prostate cancer, and other members of your family have been diagnosed with breast, ovarian, or pancreatic cancer. Talk to your doctor about your family’s health history. For more information, visit the National Cancer Institute’s Genetics of Prostate Cancer (PDQ®)–Health Professional Version.

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