Impotency, also called erectile dysfunction, is a type of sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual activity.
Causes:
- Cardiovascular disease
- Diabetes
- Neurological problems
- Hormonal insufficiencies
- Side-effects of medicines
- Psychological issues
- Kidney disease
- Spinal disease
- Stroke
- Low levels of testosterone
- Alcoholism
- Drug abuse
- Fatigue
- Stress
- Obesity
- Physical inactivity
- Depression
- Performance anxiety
- Guilt
- Fear of intimacy
Diagnosis and Treatment:
Diagnosis includes a physical exam and answering questions (medical history). If you have chronic health conditions or your doctor suspects that an underlying condition might be involved, you might need further tests or a consultation with a specialist.
Tests include:
- Physical exam (careful examination of your penis and testicles and checking your nerves for sensation)
- Blood tests (to check for signs of heart disease, diabetes, low testosterone levels and other health conditions)
- Urine tests
- Ultrasound
- Psychological exam
Treatment includes:
- Oral medications
- Testosterone replacement
- Penis pumps, surgery, and implants
- Penile implants
- Exercise
- Psychological counselling
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