Kerala Travel » Treatments in Kerala » Impotence
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The medical term for impotence is Erectile dysfunction. It is a sexual dysfunction found in male only. In this, the patient is unable to develop or preserve an erection of the penis firm enough for sexual intercourse in spite of the ability to ejaculate. Other problems which can interfere with the sexual intercourse and reproduction are also related to this dysfunction. Such as lack of sexual desire and sometimes problem of ejaculation or orgasm.

Erectile dysfunction or ED can be divided into three types such as :
  • complete inability to achieve erection,
  • an inconsistent ability to achieve erection and ejaculation,
  • a tendency to maintain only brief erections.
These three variations has created problem in defining and estimating its incidence.

Reasons behind Erectile Dysfunction :
  • The main reason behind erectile dysfunction is any kind of injury to the penis or area near the penis which includes nerves, smooth muscles, arteries, and fibrous tissues of the corpora cavernosa. Even injury to nerves and impairs blood flow in the penis can also cause ED.
  • Even injury to the spinal cord, prostate, bladder, and pelvis can lead to ED.
  • Psychological, physiological and habitual reasons-Person suffering from erectile dysfunction can have a history of causes such as physiological such as diabetes mellitus, kidney disease, multiple sclerosis, atherosclerosis, vascular disease and neurological diseases or habitual causes like chronic alcoholism, chain smoking, overweight and avoid of regular exercising. Psychological factors such as stress, anxiety, guilt, depression, low self-esteem, and fear of sexual failure can also causes 10 to 20 percent of ED cases. Psychological impotence can often be helped by approximately anything that the patient believes in.
  • Even some surgery like radical prostrate and bladder surgery for cancer which sometimes injures the nerves and arteries near the penis also can lead to ED.
  • Many common medicines such as antidepressants, antihistamines, tranquilizers, appetite suppressants, blood pressure drugs and cimetidine (an ulcer drug) can also lead ED as a side effect of these medicines.
Older man mostly suffers from erectile dysfunction due to physical causes only such as injury or side effects of drugs. This dysfunction increases with the age. Approximately 5% of men above 40 years of age and 15 to 25% of 65 years old men suffers from this disorder. But it can be treated at any age.

Techniques to diagnosed Erectile Dysfunction
Patient History : The main techniques to diagnosed the ED is to know the medical and sexual history of the patient which is a great help in defining the degree and nature of ED. A medical history helps in disclosing the diseases that are root cause behind the ED whereas a sexual history helps in identify the main reason behind the ED by distinguishing among the causes like sexual desire, erection, ejaculation.

Physical Examination : A physical examination of the patient can provide information about the systemic problems. For instance, if the patient is not feeling any sensation in his penis after touching it, than there must be a problem in the nervous system. Hair pattern or breast enlargement which comprises abnormal secondary sex characteristics, can point to hormonal problems, which means the involvement of endocrine system. The doctor might realize a circulatory problem in the patient by observing reduced pulse rates in the wrist or ankles. A penis that gets bend or curve while erection could be the result of Peyronie's disease. It is an unusual characteristics of the penis which could also be the main cause of the problem.

Laboratory Tests : Several laboratory tests are also performed to diagnose ED. Blood counts, urinalysis, lipid profile, and measurements of creatinine and liver enzymes are some of the tests to detect systematic diseases. Measuring the amount of free testosterone in the blood can help in getting information about problems with the endocrine system and is indicated especially in patients with less sexual desire.

Psychosocial Examination : A psychosocial examination includes face to face interview with the patient and a filled questionnaire by the patient itself which helps in identifying the various psychological factors involve in the disorder. The sexual partner of a man can also be interviewed to find out the expectations and perceptions during sexual intercourse.

Treatments of ED
After identification of the root cause of the disorder the treatment is started.
  • If the disorder is due to the habitual reasons like smoking, alcoholism or obesity than the doctor prescribes the patient to change their habits. And indulge themselves in some healthy life style tips to regain sexual ability.
  • If the disorder is due to the side effects of some drugs than ask your doctor to immediately change the medicine.
  • Psychotherapy- ED occurs due to psychological reasons can be treated using techniques that decrease the anxiety associated with intercourse. The patient's partner is a great help in the techniques. The partner can gradually increase the level of intimacy and stimulation. This technique can also be used in relieving the anxiety occur due to physical causes.
  • Drug Therapy-In this therapy drugs are taken orally or injected directly into the penis or inserted into the urethra at the tip of the penis to treat ED.
  • Mechanical Vacuum Device is an instrument that helps in erection by creating a partial vacuum, which draws blood into the penis, engorging and expanding it. This device has mainly three components a plastic cylinder, into which the penis is placed, a pump, which draws air out of the cylinder and an elastic band, which is placed around the base of the penis to maintain the erection after the cylinder is removed and during intercourse by preventing blood from flowing back into the body.
  • Surgery can also be used to treat this disorder. It is mainly done to achieve these three goals such as to implant a device that can cause the penis to become erect, to reconstruct arteries to increase flow of blood to the penis and to block off veins that allow blood to leak from the penile tissues.