Sexual impotence

Sexual impotence, also known as erectile dysfunction (ED), is a medical condition characterized by the inability to develop or maintain an erection of the penis during sexual activity. An erection is the hydraulic effect of blood entering and being retained in sponge-like bodies within the penis. The process is most often initiated as a result of sexual arousal, when signals are transmitted from the brain to nerves in the penis. Impotence is a common problem affecting men and can have a significant impact on their quality of life and that of their partners.

Causes

Sexual impotence can result from both psychological and physical causes. Often, these factors interplay to cause or exacerbate the condition.

Physical Causes

Physical causes of ED are more common in older men. They include:

• Cardiovascular diseases
• Diabetes
• Hypertension
• High cholesterol
• Obesity
• Metabolic syndrome
• Certain prescription medications
• Tobacco use
• Alcoholism and other forms of substance abuse
• Sleep disorders
• Treatments for prostate cancer or enlarged prostate
• Injuries or surgeries affecting the spinal cord or pelvic area

Psychological Causes

Psychological factors are more likely to affect younger men. These include:

• Stress
• Anxiety, including anxiety about sexual performance
• Depression
• Relationship problems due to stress, poor communication, or other concerns

Diagnosis

Diagnosis of sexual impotence involves a detailed medical and sexual history and a physical examination. Tests may also be conducted to determine if there are underlying conditions contributing to the impotence. These tests can include blood tests, urine tests, ultrasound, or psychological examinations.

Treatment

Treatment for sexual impotence depends on the underlying cause. It may include:

Lifestyle Changes

• Losing weight
• Exercising regularly
• Quitting smoking
• Limiting or avoiding alcohol
• Reducing stress

Medications

• Phosphodiesterase type 5 inhibitors (e.g., Sildenafil (Viagra), Tadalafil (Cialis), and Vardenafil (Levitra))
• Testosterone replacement (in cases of low testosterone)
• Penile injections
• Suppositories

Devices

• Vacuum erection devices
• Penile implants

Counseling

• Psychological counseling to address stress, anxiety, or depression

Prevention

Preventive measures for sexual impotence include leading a healthy lifestyle, managing chronic health conditions, regular exercise, and avoiding tobacco and excessive alcohol consumption.

See Also

• Sexual health
• Penis
• Erectile dysfunction medication