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impotence and Erectile Dysfunction
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Erectile Dysfunction (Impotence) Introduction
 
Impotence, also known as erectile dysfunction, is defined as an inability to develop and maintain an erection that is satisfactory for sexual activity.  Most cases of erectile dysfunction are secondary erectile dysfunction, which means that a man has lost the ability to maintain erections.  Primary erectile dysfunction is a situation where the man has never been able to develop an erection.
 
The causes of erectile dysfunction are varied and include: psychological, vascular origins (arteriosclerosis, diabetes), neurological (stroke, injury, seizure), hormonal (low testosterone, Cushings disease), and iatrogenic (drugs, surgery, etc.).  Diagnosis of erectile dysfunction is usually arrived at by patient report and determination of a normal phase of nocturnal penile tumescence (NPT).  The NPT test can point towards a psychological cause (most common), or one that is organic in nature.  Patients with erectile dysfunction of a psychological origin will tend to have nocturnal erections. [1, 2]
 
 
Erectile Dysfunction Statistics
  • It is estimated that between 10 and 20 million adult men in the United States are affected by Erectile Dysfunction.

  • Roughly 52% of men between the ages of 40-70 are affected, with the percentage increasing with age. [3]

 

Erectile Dysfunction Symptoms

 

Patients complain of an inability to achieve or maintain an erection that is sufficient for sexual intercourse.  Patients with Erectile Dysfunction may also show signs of depression, anxiety, prostate surgery, and may have a history of drug use (prescribed or illicit). [4]

 

 

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