Impotence occurs when you cannot maintain an erection or ejaculate. It can be used interchangeably with erectile dysfunction (ED). There are several factors that can cause this condition, including emotional and physical disorders.
According to the Urology Nursing Foundation, an estimated 30 million Americans suffer from ED. The risk of erectile dysfunction impotence increases with age.
A study published in the American Journal of Medicine in 2007 pointed out that the risk of impotence increases with age. Among men diagnosed with one or more cardiovascular risk factors, this proportion is even higher.
Impotence usually has a negative impact on your sex life and can lead to depression, extra stress and low self-esteem.
Knowing the most common potential causes can help you determine why you might be experiencing this situation.
1. Endocrine diseases
The body’s endocrine system produces hormones that regulate metabolism, reproduction, sexual function and mood.
Diabetes is an example of an endocrine disease, which can lead to impotence. Diabetes affects the body’s ability to use the hormone insulin.
One of the complications associated with chronic diabetes is nerve damage. This can affect penis sensation. Other complications associated with diabetes include hormone levels and impaired blood flow. Both of these factors can lead to impotence.
2. Nervous and neurological diseases
Several neurological diseases increase the risk of impotence. Neurological conditions affect the ability of the brain to communicate with the reproductive system. This may prevent you from getting an erection.
Nervous system diseases related to impotence include:
- Alzheimer’s disease
- Parkinson’s Disease
- Brain or spinal cord tumor
- Multiple Sclerosis (MS)
- Temporal lobe epilepsy
If you have had prostate surgery, you may also experience nerve damage, which can lead to impotence.
People who ride bicycles long distances may experience temporary impotence. Repeated pressure on the genitals and buttocks can affect nerve function.
3. Take medicine
Taking some medications may affect blood flow, which can lead to erectile dysfunction (impotence). You should never stop taking medication without the permission of your doctor, even if the medication is known to cause impotence.
Examples of drugs known to cause (ED) impotence include:
- Alpha-adrenergic blockers, including tamsulosin (Flomax)
- Beta blockers, such as (Lopressor) metoprolol and (Coreg) carvedilol
- Cancer chemotherapy drugs, such as cimetidine (Tagamet)
- Central nervous system (CNS) inhibitors, such as alprazolam (Xanax), diazepam (Valium), and codeine
- Central nervous system stimulants, such as amphetamines and cocaine
- The diuretic such as (Aldactone) spironolactone and (Lasix) furosemide
- Selective serotonin reuptake inhibitors (SSRIs) such as fluoxetine (Prozac) and paroxetine (Paxil)
- Synthetic hormones, including leuprolide (Eligard)
4. Lifestyle factors and emotional disorders
To achieve an erection, you must first go through the so-called excitement phase. This stage can be an emotional response. If you have a mood disorder, it can affect your ability to become sexually excited.
Anxiety and depression are associated with an increased risk of erectile dysfunction. Depression is also a feeling of unhappiness, loss of hope, sadness, or helplessness. The fatigue related with depression can also lead to impotence.
Performance anxiety can also lead to impotence. If you were unable to get an erection in the past, you may worry about not getting an erection in the future.
Sometimes you can also find that you can’t get an erection with your partner. If you are diagnosed with ED related to performance anxiety, you may get a full erection while masturbating or sleeping, but you cannot maintain an erection during intercourse.
The abuse of drugs such as cocaine and amphetamine can also cause impotence. The addiction to the consumption of alcoholic drink may also affect your ability to achieve or maintain an erection. It’s up to you