Erectile Dysfunction/ Impotence

Erectile dysfunction (ED, also known as impotence, is the inability to achieve an erection and/ or maintain it, thus becoming an impairment to a healthy sex life. ED is also known as ‘impotency’.

Types & Causes of Impotence:

  • Intake of drugs.
  • Side effects of surgery.
  • Antidepressants.
  • Kidney failure.
  • Nervous system disorders.
  • Hormonal issues.
  • Relationship problems.
  • Cavernosal disorders.
  • Atherosclerosis ie arteries become narrow.
  • Age: Common in age group between 40 to 60 years of age.
  • Anxiety, stress, mental disorders, depression.
  • Diseases that affect the blood flow and nervous system like diabetes and multiple sclerosis.
  • A rare cause: Arsenic poisoning by well water contamination.
  • Smoking/ tobacco consumption.
  • Obesity.
  • Unhealthy lifestyle.

Symptoms of Erectile Dysfunction:

  • Lack of erection.
  • Improper erection.
  • Erection that doesn’t hold for too long.

Erectile Dysfunction Diagnosis:

  • Penile nerve function.
  • Lipid profile.
  • Corpus cavernosometry.
  • Duplex ultrasound.
  • Magnetic resonance angiography (MRA).
  • Dynamic infusion cavernosometry (DICC)
  •  Complete blood count (CBC).
  • Blood glucose (sugar).
  • Penile biothesiometry.
  • Liver and kidney function tests.
  • Thyroid function test.
  • Blood hormone studies.
  • Urinalysis.
  • Bulbocavernosus reflex.
  • Nocturnal penile tumescence (NPT).
  • PSA.
  • Vasoactive injection.

Treatment for Erectile Dysfunction:

  • Medication.
  • Oral, injected and topical medication.
  • Penile vacuum pumps.
  • Hormonal therapy.
  • Surgery: Penile prosthesis.

Prevention & Precaution is Better than Cure:

  • Regular check-up and tests.
  • Healthy living.
  • Losing obesity.
  • Regular exercise.
  • Avoid tobacco, smoking.

Alternative Therapies:

  • Psychological counseling.
  • Naturotherapy.
  • Marriage/ relationship counseling.

All above, treatments are finalized taking into consideration the overall health, severity, age and other ailments of the patient.