Impotence also known as Erection problems or sometimes just like ED is a type of problem among men, it can be seen as a the consistent lack of ability to achieve or sustain an erection sufficient for sexual intercourse. How common is difficult to quantify because even in today’s considerably more enlightened times, under 20% of males suffering from ed seek help, but studies suggest a figure in excess of 200 million impotence sufferers in the western world.
Varieties of Impotence
a. Transient impotence: Occasional erection troubles are quite typical exceeding 50% of males experiencing an inability to realize full sexual function at least once in life. It’s not considered dysfunction, especially as one gets older.
b. Primary impotence: The sufferer with this condition never achieves a satisfactory erection.
c. Secondary impotence: The place that the person has succeeded in completing intercourse in the past but is now having problems.
Factors behind Impotence
Statistics indicate a natural symptom in 20% to 50% in men with erectile problems.
Often both organic and psychological factors coexist so that it is tough to easily pin point one factor since the cause. Another complication is the fact that many medications can impact a chance to achieve a hardon.
Organic reasons behind impotence in men include: Diabetes, Heart disease, High blood pressure and Prostate type of cancer. Outside factors for example alcohol, steroids or drugs like beta blockers can be implicated. Impotence may also be the effect of a blood clot that stops enough blood from flowing in to the penis to cause a bigger harder erection or by generally poor health, poor dietary habits and obesity.
Impotence that’s triggered by psychological factors is a bit more likely to appear suddenly and perhaps with simply a particular person. Psychological causes include; difficult relationships, guilt, fear, previous rejections, religion, depression, anxiety and stress.
Signs of different types of Impotence and Diagnosis
Secondary erectile disorders may be:
a. Partial: in which the man struggles to achieve a full erection.
b. Intermittent: where he is sometimes potent with the same partner.
c. Selective: where erection can only be achieved with certain partners.
In disorders caused by Psychogenic problems, erection may still be achieved by masturbation. In these instances there are often signs and symptoms of sweating and palpitations.
A full sexual history is required to help differentiate between organic and psychogenic causes and between primary and secondary impotence.
Questions includes:
1. When did the trouble begin, was it sudden or gradual.
2. Can he achieve erections through masturbation.
3. Is he taking medication for other conditions.
4. The fact that was his life situation once the problem first surfaced.
5. Does he come with an underlying disease.
6. Is there personal problems at home.
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