Impotence

Impotence is defined as the inability to maintain an erection adequate for satisfactory sexual performance. Impotence (erectile dysfunction) affects an estimated 20 million men in North America and is usually defined as the inability to have penile erections sufficient for intercourse. It affects at least 25% of all men over the age of 50. A loss of libido and subsequent impotence has an organic etiology in over 85% of cases while the remainder is related to psychological problems.

Clinical States associated with impotence

Primary

Impotent since birth

Secondary

Impotence sets in after years of normal sex

Causes of Secondary Impotence

1. Diabetes mellitus
2. Hypertension (high blood pressure)
3. Atherosclerosis
4. Renal (kidney) failure
5. Heart disease
6. Neurological disorders - multiple sclerosis, stroke, paraplegia, spinal cord lesions, Parkinsonism, etc.
7. Injuries - sudden - e.g. pelvic and perineal
8. Injuries - gradual - as in bicycle-riders etc.
9. Surgery-operations on bowel, rectum, bladder, rectroperitoneum, spine, urethra, prostate etc.
10. Local e.g. Peyronie's disease

Help with Andropausal Symptoms