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Definition of Impotence
Impotence involves the inability to achieve and maintain penile erection sufficient to complete satisfactory intercourse.
Alternative names of Impotence
Sexual dysfunction - male; Erectile dysfunction
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Considerations
Between 2 million and 30 million men in the United States are affected by impotence problems, according to recent estimates. About 52% of men aged 40 to 70 have some degree of erectile dysfunction (ED). Approximately 90% of cases of ED are caused by physical, not psychological, problems.
Impotence can be classified as primary or secondary. A man with primary impotence has never had an erection sufficient for intercourse. This is rare. The more common condition, secondary impotence, is the loss of erectile function after a period of normal function. Except for impotence caused by injury or sudden illness, secondary impotence usually comes on gradually.
Risk factors for ED include the following:
- Hypertension (high blood pressure)
- Hyperlipidemia (high cholesterol)
- Endocrine disorders
- low testosterone (such as patients receiving hormonal therapy for prostate cancer or patients with hypogonadotropic hypogonadism)
- thyroid disease
- hyperprolactinemia
- diabetes
- Coronary artery disease
- Peripheral vascular disease
- Anemia
- Medications
- Smoking
- Alcohol abuse
- Surgical procedures
- vascular surgeries
- abdomino-perineal resection
- radical
- Neurological conditions
- Psychiatric illness
- anxiety disorder
- depression
- obsessive-compulsive disorder
- Injury
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