Sex is an important part of life and it is everyone’s right to enjoy a sexual relationship. When an organic disorder interferes with an individual’s ability to enjoy sex, it is the responsibility of urologist to help restore the sexual relationship. Most of the time, the patient doesn’t know whom to consult for his problem. These patients remain in the hands of quacks, so called sexologists. Andrology (a sub-specialty of urology) is the branch of science which deals with these disorders. Sexual impotence has been one of those hidden conditions which have been ignored due to shyness on the part of the patient. It is quite unacceptable to ignore an organ failure, so why the penis? Impotence is a not a taboo; it is a disease. It can be due to a number of factors ranging from psychological, neurological, hormonal, vascular (e.g. diabetes mellitus, trauma) and drug-induced (anti-hypertensives). Most of these disease entities are treatable. A patient of impotence needs to be subjected to a battery of tests including hormonal analysis, Doppler ultrasound etc. to find out the exact nature of defect so that a scientific treatment can be instituted. With the better understanding of the genesis and mechanism of impotence, a number of medicines have been devised to handle these situations and fortunately, these drugs are quite effective. With further knowledge of anatomy of penis and its physiology, a whole range of surgical procedures including various penile prostheses are available with the help of which now it is always possible to restore potency to a frustrated male.
There can be several contributing factors for impotence. These include both emotional and physical disorders.
According to The Merck Manual, an estimated 50 percent of men ages 40 to 70
experience some ED at one time or another. The risk of impotence increases with age.
It’s also been noted that men with more education are less likely to experience impotence, probably because they have healthier lifestyles on average. Impotence often has a negative affect on sex life, and can cause additional stress, depression, and low self-esteem.Understanding the most common potential causes can help a person identify why they may be experiencing the condition.
The body’s endocrine system produces hormones that regulate metabolism, sexual function, reproduction, mood, and much more. Diabetes is an example of an endocrine disease that can cause a person to experience impotence. Diabetes affects the body’s ability to utilize the hormone insulin. One of the side effects associated with chronic diabetes is nerve damage. This affects penis sensations. Other complications associated with diabetes are impaired blood flow and hormone levels. Both of these factors can contribute to impotence.
Neurological and Nerve Disorders
Several neurologic conditions can increase the risk for impotence. Nerve conditions affect the brain’s ability to communicate with the reproductive system. This can prevent a person from achieving an erection