What is the impotence:

Erectile dysfunction or impotence is the inability to get and maintain an erection to perform sex.

Having erection problems from time to time is not necessarily a concern. While erectile dysfunction is a permanent problem, it can cause stress, affect your self-confidence, and contribute to relationship problems. Problems with getting or maintaining an erection can also be a sign of an underlying medical condition that requires treatment. Impotence is the risk factor for heart disease.

Where should you consult for Impotence?

If you’re concerned about erectile dysfunction, talk to your Urologist – even if you’re embarrassed. Sometimes treating stress or an underlying condition is enough to reverse erectile dysfunction. In other cases, medication or other direct treatment may be necessary.

What are the causes of impotence?

Male sexual arousal is a complex process involving:

  • Brain,
  • Hormones,
  • Emotions,
  • Nerves,
  • Muscles
  • Blood vessels.

Likewise,

  • Stress
  • Mental health problems
  • Combination of physical and mental problems
  • Minor physical condition that slows down your sexual response can cause fear of maintaining an erection
  • Fear of above things

Can cause or worsen erectile dysfunction.

Physical Causes:

  • Heart disease
  • Clogged blood vessels (atherosclerosis)
  • High cholesterol high blood pressure diabetes obesity
  • Metabolic syndrome
    • A condition with high blood pressure,
    • High insulin,
    • Body fat around the waist
    • High cholesterol
  • Parkinson’s disease multiple sclerosis
  • Certain prescription drugs Tobacco use
  • Peyronie’s disease – development of scar tissue in the penis
  • Alcoholism and other forms of substance abuse sleep disorders
  • Treatments for prostate cancer
  • Enlarged prostate
  • Operations or injuries that affect the pelvic area or spinal cord
  • Low testosterone
  • Psychological causes of erectile dysfunction
  • The brain plays a key role in triggering a series of physical events that cause an erection, starting with feelings of sexual arousal.

A number of things can affect sexual feelings and cause or exacerbate erectile dysfunction.

These include:

  • Depression,
  • Anxiety,
  • Other mental illness stress Relationship problems due to stress,
  • Poor communication or other concerns

What is Treatment of Impotence?

The first thing your doctor will do is make sure you get the right treatment. Urologist will diagnose for any health condition that could cause or worsen your erectile dysfunction.

Depending on the cause and severity of patient’s erectile dysfunction and the underlying health conditions, patient may have different treatment options.

Urologist can explain the risks and benefits of each treatment and consider the patient’s preferences. Preferences of patient’s partner can also play a role in your treatment decisions.

Oral medications

Oral medications are successful in erectile dysfunction management for many men, they include:

  • Sildenafil (Viagra)
  • Tadalafil (Adcirca, Cialis)
  • Vardenafil (Levitra, Staxyn)
  • Avanafil (Stendra)

Other medications for erectile dysfunction include, if medications aren’t effective or appropriate to help, Urologist  might recommend a different treatment, include:

  • Alprostadil urethral suppository
  • Alprostadil self-injection
  • Testosterone replacement.
  • Battery-powered penis pump for erectile dysfunction.
  • Penis pumps.
  • Penile implants.

Exercise

  • Moderate to vigorous aerobic activity,
  • Even less strenuous, regular exercise might reduce the risk of erectile dysfunction.
  • Increasing your level of activity might also further reduce your risk.

Psychological counselling

If Impotence or  erectile dysfunction is caused by

  • Stress,
  • Anxiety
  • Depression
  • The condition is creating stress and relationship tension
    • Visit a psychologist or counsellor.

Alternative medicine

Some alternative products, which  claim to work for erectile dysfunction can be dangerous, so consult your Urologist before use.