The other day a young man aged around 30 years came with his life partner for consultation to me on his inability to have penetrative intercourse with his wife. It was amazing to me to note that his wife told me that their marriage was performed two years ago but the first night did not happen yet. On further eliciting their family history it was learnt that her husband was not able to attain erection of his genital organ.
To know the reasons for his erectile dysfunction I conducted all general tests including a hormonal assay. The color Doppler of the penis was also performed. Though most of the tests are near normal he was found HIV positive. I just asked his wife to wait outside my chamber and enquired about his sexual history. He said that his friends have been insulting him with a nickname eunuch (an ineffectual person). Therefore he went to several call girls to test his male potency, probably that could be the reason he turned HIV positive. It is a usual practice and notion among people that whenever there is poor self-confidence before mating a wedded wife young men prefer to have sex with vamps to get experience.
What is impotence? When a person is unable to achieve an erection maintain an erection, or ejaculate consistently, it is called broadly impotency. It’s used interchangeably with ED. Several factors can contribute to this condition, including both emotional and physical disorders. According to the Urology Care Foundation, an estimated 30 million Americans experience ED. A 2007 study published in the American Journal of Medicine noted the risk of impotence increases with age. Erectile impotence was reported in 27% and 13% of the ‘patient group’ and ‘control group’ respectively. 63.4% of subjects from the ‘patient group’ described their sexual relationship as unpleasant as compared to only 2.5% from the ‘control group’ considered unpleasant as reported by Indian Journal Psychiatry, 2010 Jan, in their project on “Sexuality research in India: An update”.
Research suggests it’s even higher in men who have also been diagnosed with one more cardiovascular risk factor. Impotence can often hurt sex life, and it can also cause depression, additional stress, and low self-esteem.
Impotence and erectile dysfunction symptoms: A common misconception about erectile dysfunction is that one cannot achieve an erection at all. This is not always the case. Erectile dysfunction can also include symptoms like being unable to achieve an erection in consistently being able to achieve an erection each time of a sexual encounter and not being able to maintain an erection for the entire sexual encounter. Impotence can begin to affect the quality of life and relationships with sexual partners over time. However, there are several treatment options available for many of the root causes of ED. When there are erectile dysfunction symptoms it is advised to consult a qualified physician or endocrinologist.
Causes of impotence: Endocrine diseases: 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 to experience impotence. Diabetes affects the body’s ability to use the hormone insulin. One of the complications associated with chronic diabetes is nerve damage. This affects penis sensations. Other complications associated with diabetes include impaired blood flow and hormone levels. Both of these factors can contribute to impotence.
Neurological causes: 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 you from achieving an erection. Neurological disorders associated with impotence include Alzheimer’s disease, Parkinson’s disease, brain or spinal tumors, multiple sclerosis (MS), stroke, and temporal lobe epilepsy. When there is prostate surgery, patients may experience nerve damage, resulting in impotence. Long-distance bicycle riders can experience temporary impotence. Repeated pressure on the buttocks and genitals can affect nerve function.
Drugs: Taking certain medications can affect blood flow to the genital organ, which can lead to ED. Examples of medications known to cause impotence include: alpha-adrenergic blockers, including temsulosin (Tamsulosin is used to treat men who have symptoms of an enlarged prostate gland, which is also known as benign enlargement of the prostate (benign prostatic hyperplasia or BPH). antihistamines, cimetidine (Tagamet), beta-blockers, such as carvedilol (Coreg) and metoprolol (Lopressor), chemotherapy medications, central nervous system (CNS) depressants, such as alprazolam, diazepam, and codeine, CNS stimulants, such as cocaine and amphetamines, diuretics, such as furosemide and spironolactone, selective serotonin, reuptake inhibitor (SSRIs), such as fuoxetine and paroxetine, synthetic hormones, including leuprolide. Prolonged uses of the said drugs have shown significant erectile dysfunction. A physician can modify the dose or change the drug when they interferes with healthy sexual function. (To be continued)