Impotence is a male sexual disorder characterised by an inability to either achieve or sustain an erection that is adequate for the completion of sexual intercourse. Despite the prevalence of this condition across the world, it is still considered to be an embarrassing topic for many people, leading to many men avoiding seeking the treatment they need.
Most people tend to now use these terms interchangeably. Previously, the term impotence was used when a man was incapable of achieving an erection sufficient to complete intercourse, while erectile dysfunction was more of a blanket term used for a number of erectile issues, such as gaining but then losing an erection. In today's world, it is generally accepted that the two terms refer to the same condition.
No. Though impotence is more common for men over the age of 40, it can occur at any age.
If you frequently experience difficulty in gaining and/or sustaining an erection, then it is likely that you are suffering from impotence. If you have only experienced this once, it is most likely a one-off and should not be taken as a sign of impotence.
Causes of impotence can be either physical or psychological. The majority of cases are caused by psychological factors. Physical causes can include lifestyle factors such as smoking, obesity, recreational drug use and excessive consumption of alcohol. Medical factors can also contribute to physiological causes, such as diabetes, artery deterioration and the use of certain prescription medications.
Contributory psychological factors can include depression, guilt, nerves, exhaustion and problems within a relationship. A good way to determine whether the cause of your impotence is psychological or physiological is to note whether you wake up in the morning with an erection, and if you can still gain an erection while masturbating. If these things occur, your causes are likely psychological.
If you are worried that you are impotent, you should speak to a medical professional such as your GP. A doctor will carry out an examination in order to determine the potential cause of the impotence and will advise on the most suitable treatment for you. Like many men, you may be embarrassed about the condition and reluctant to seek treatment. There is no need for this, as the condition is very common and it is important to get the treatment you need.
Yes, there are several prescription medications available for this condition. The most famous is Viagra, but there are also alternatives in the form of Levitra and Cialis, which also offer dissolvable and daily varieties, respectively.
In some cases, prescription medications such as those described above may not be necessary. For many men, seeking some form of counselling, either individually or with their partner, is more suitable. There are also mechanical aids available, such as vacuum pumps, which may be helpful if the impotence is minor to improve confidence levels.
There are many treatment options available for impotence which do not involve surgery, and for this reason surgery is rarely recommended as a first choice of treatment. Surgery has the potential to cause serious side effects which could be permanent.