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Impotence is a sexual dysfunction characterized by the inability to reach or maintain an erection of the male sexual organ, which makes it impossible to have full and satisfying sex. This article reviews important data from studies done around the world and the different types of impotence. It also focuses on the possible reasons for impotence and points out significant risk factors, such as illnesses and various states of health.

The reasons for impotency and most importantly, how can it be resolved?

Impotency is a common disorder and its frequency rises with age due to changes in the state of health.
Impotency is a sexual dysfunction characterized by the inability to reach or maintain an erection of the male sexual organ, which makes it impossible to have full and satisfying sex.
The erection is the process of the hardening of the male sexual organ as a result of stimulus
The stimulus causes a reaction in the nervous system which sends signals to the vascular systems and the muscles. The vascular system increasingly pumps blood into the sexual organ. The pumping of the blood causes the enlargement and hardening of the male sexual organ. Therefore, the sexual arousal and the ability to reach an erection is caused by a combination of stimulus to the brain, blood vessel and neural activity, as well as hormonal and muscularly activity.

In the western world about 50% of men suffer from erectile dysfunction, or ED

According to recent studies, more than 50 percent of men in the western world between the ages of 40 and 70 suffer from some degree of erectile dysfunction and impotence.
Generally, the higher the age, the more common and severe the problem becomes. According to medical literature, the frequency of impotence, premature ejaculation and erectile dysfunction is as follows:
  • At ages of 20 to 30 – about 7% of all men
  • At the age of 40 – about 40% of all men
  • At the age of 70 – about 68% of all men
Today it is safe to assume that between ten and twenty percent of cases of impotency are related to psychological causes, such as stress, anxiety, guilt, low self-esteem and fear of performing poorly in bed. However, among some eighty percent of men suffering from impotence, some form of psychological problem is involved, usually as a secondary reaction to the physical problem.

There are a number of types of impotence:
  • Anatomical impotence – a physical anatomic or organic defect, the most common one being damage to the structures to the length of the penis, such as arteries, the smooth muscle and the connecting tissue.
  • Neural impotence – damage to the nerves which transfer urges that result in an erection.
  • Psychological impotence – caused by issues such as stress, tension, exhaustion, depression and rage.
  • Impotence as a result of poor health – Diabetes, kidney illness, Alcoholism, multiple sclerosis, arteriosclerosis (narrowing of the arterial cavity) and vascular illnesses. Surgery too can cause neural damage in that area (such as prostate removal surgery). An injury to the sexual organ, bladder, spinal cord or pelvis may damage the nerves, the smooth muscle and the connecting tissue.
  • Impotence as a result of the use of medications – some high blood pressure medications, Anti histamines (for allergies), anti-depressants, sleeping pills, tranquilizers, appetite suppressants and others.

Significant risk factors in the development of impotence
  • Diabetics whose sugar levels are unbalanced or who suffer from insulin dependent Diabetes.
  • Patients who suffer from heart and vascular disease; Coronary disease and hospitalization due to myocardial infarction. These cause a steep rise in the incidence of impotence.
  • Patients who suffer from high blood pressure. Impotence is as common among them as it is among the former.
  • People who suffer from stress, over excitement and insecurity/ lack of control at a young age that manifests itself in premature ejaculation.

What is impotence?
  • The inability to achieve an erection or to maintain it.
  • Premature ejaculation with or without difficulty in becoming sexually aroused.

The reasons for impotence:
  • Mental reasons – stress, depression, loss of interest in one’s partner, tragedy in the family such as death etc.
  • An unbalanced diet which causes a deficiency in components essential for the sexual mechanism.
  • Medications. About 200 types of medications can cause impotence, particularly anti-depressants and medications for lowering blood pressure.
  • Smoking – it reduces sexual ability as a result of damage caused to tiny vessels which provide blood to the sexual organ.
  • Alcohol – diminishes the body’s ability to produce the male sexual hormone (Testosterone).
  • Diabetes – damages the functioning of the artery walls. It also causes neurological disorders which harm the ability to transfer erectile related stimuli.
  • High blood pressure.
  • Hormonal problems – not producing enough Testosterone – low levels of Testosterone cause a decrease in sexual drive.
  • Drugs – reduce the level of Testosterone.
  • Prostate surgery – may/might cause damage to the nervous system responsible for sending stimuli to the sexual organ, as well as damage to the blood vessels leading to the sexual organ.