Impotence: Description, Causes and Risk Factors:Inability of the male to achieve and/or maintain penile erection and thus engage in copulation; a manifestation of neurologic, vascular, or psychological dysfunction.ICD-9-CM: 302.72.ImpotenceThe penis contains two chambers, called the corpora cavernosa, which sprint the extent of the organ. A spongy tissue fills the chambers. The corpora cavernosa are encircled by a covering, called the tunica albuginea. The spongy tissue contains soft muscles, fibrous tissues, spaces, veins, and arteries. The urethra, which is the strait for urine and ejaculate, runs down the underneath of the corpora cavernosa.Erection begins with sensory and cerebral motivation. Impulses from the brain and local nerves source the muscles of the corpora cavernosa to loosen up, allowing blood to surge in and load the open places. The blood creates pressure in the corpora cavernosa, constructing the penis to get bigger.The tunica albuginea helps to ambush the blood in the corpora cavernosa, in so doing helps in sustaining the erection. Erection is inverted when muscles in the penis contract, making the inflow of blood to stop and giving an opportunity to the outflow channels.Impotence can be an entirety incapability to attain erection, and contradictory capability to do so, or a predisposition to maintain only concise erections. Experts believe impotence affects all men at least once in their lifetime. Issue of causes for erectile dysfunction can be many and its just not possible to point at one angle or scenario conjugation.Experts trust that psychological factors cause about 10- 20% of cases of impotence. These factors include stress, anxiety, guilt, low self-esteem, and depression.Disease includingDiabetes. Drugs IncludingHigh blood pressure drugs.
  • Tranquilizers.
  • Antihistamines.
  • Antidepressants.
  • Cimetidine (an ulcer drug).
  • Appetite suppressants.
Some other cuases of impotence inlcude smoking, which affects blood flow in veins and arteries, and hormonal abnormalities, such as inadequate testosterone.Diagnosis:A physical examination may be able to provide clues for systemic problems. For example, if the penis does not respond as predictable to certain touching, a quandary in the nervous system might be a reason. Nonstandard less important sex distinctiveness, such as hair pattern, can summit to hormonal tribulations, which would represent the endocrine system is concerned.A psychosocial examination, using a consultation and questionnaire, reveals psychological factors. The man's sexual associate besides can be interviewed to conclude prospect and perceptions encountered during sexual intercourse.Several laboratory tests to analyze Impotence includeBlood counts.
  • Urinalysis.
  • Measurements of liver enzymes.
  • Lipid profile.
  • Measurements of creatinine.
Treatment Options:The treatment may depend on the cause. For example, if the problem is caused by a hormonal imbalance, medication to treat the underlying endocrine disorder will be prescribed. However, the same treatment may be used for many different causes. Consult your health care provider for appropriate evaluation and management.There are many treatment options today. Sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis) are medicines prescribed for erection difficulties caused by either physical or psychological problems. The drugs work only when the man is sexually aroused. The effect is usually seen within 15 - 45 minutes. These drugs should not be used with certain other medications, including nitroglycerin. When taken with nitroglycerin, a man's blood pressure can become dangerously low. Some men have died after taking these drugs with nitroglycerin.If erection problems seem to be caused by a medication you are taking for an unrelated condition, consult your doctor. You may benefit from reducing the dose of the drug or changing to another drug that has the same result but not the same side effects. Do not change or stop taking any medications without first talking to your doctor.Talk to your health care provider if your erection problems are related to fear of recurring heart problems. Sexual intercourse is usually safe in these circumstances.Call your doctor immediately or go to an emergency room if medication for erection problems give you an unwanted erection that lasts more than 4 hours. Permanent impotence or other lasting damage to your penis may result from this condition.DISCLAIMER: This information should not substitute for seeking responsible, professional medical care. 


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