Causes of impotence

When it comes to impotence, most male friends certainly don't want to mention such a topic. Because impotence not only brings inferiority to men psychologically, but also hurts men's self-esteem. Some newlyweds may suffer from impotence on their wedding night because the man is easily nervous. However, if his wife scolds him at this time, the situation may become more serious. No man wants to be looked down upon, and no one wants to suffer from impotence, so many men are unwilling to go to the hospital for treatment even if they suffer from impotence.

There are different reasons for impotence. Some people may experience occasional impotence. Don't worry about it. If this doesn't happen often, there is no need to see a doctor. Some people also experience impotence every time they have sexual intercourse, which may be related to their own mental stress and external interference. So let’s look at the relevant reasons.

Impotence is manifested as the inability of a male's penis to erect or the ability to erect but not hard when he has sexual desire, making it impossible to engage in sexual intercourse and causing difficulty in sexual intercourse. The complete inability of the penis to erect is called complete impotence, while the ability to erect the penis but not having sufficient hardness for sexual intercourse is called incomplete impotence.

1. Organic diseases

(1) Vascular causes include any disease that may lead to reduced blood flow in the corpus cavernosum arteries, such as atherosclerosis, arterial injury, arterial stenosis, pudendal artery shunt, and abnormal heart function, or penile venous leakage caused by a decrease in the tunica albuginea and smooth muscle in the cavernous sinus of the penis that hinder venous return and closure mechanism.

(2) Neurogenic central or peripheral nerve diseases or injuries can lead to impotence.

(3) Surgery and trauma Large vessel surgery, radical prostatectomy, radical abdominal, perineal, and rectal cancer resection, as well as pelvic fractures, lumbar compression fractures, or straddle injuries can cause damage to blood vessels and nerves related to penile erection, leading to impotence.

(4) Endocrine diseases: Impotence is often caused by endocrine diseases, mainly diabetes, hypothalamic-pituitary abnormalities and primary gonadal insufficiency. According to foreign reports, 23% to 60% of male diabetic patients suffer from varying degrees of impotence. Its occurrence mechanism is mainly related to autonomic nerve fiber lesions on the corpus cavernosum of the penis, penile vascular stenosis, endocrine abnormalities and mental factors.

2. Diseases of the penis itself

Such as Peyronie's disease, penile curvature, severe phimosis and balanitis.

3. Urogenital malformations

Congenital penile curvature, double penis, micropenis, penoscrotal displacement, retroverted bladder, urethral fissure, congenital testicular absence or hypoplasia, fibrous scar formation of the corpus cavernosum, varicocele, etc., which may lead to inability to achieve an erection.

4. Urogenital diseases

Impotence secondary to chronic inflammation of the urogenital system is more common, such as orchitis, epididymitis, urethritis, cystitis, prostatitis, etc. Among them, impotence caused by chronic prostatitis is the most common. Urogenital system surgery and certain injuries, such as prostate hyperplasia, prostatectomy, urethral rupture, penis and testicle injuries, etc. can all cause impotence. Patients with chronic renal failure often suffer from impotence due to testicular atrophy and decreased testosterone.

5. Other factors

Radiation exposure, heavy metal poisoning, etc. Chronic illness and long-term use of certain medications can also cause impotence.

6. Psychological causes

Refers to impotence caused by mental and psychological factors such as tension, pressure, depression, anxiety and marital discord.

The above lists the relevant reasons. If any patient finds that he suffers from impotence, he should not feel embarrassed and not see a doctor, as this will not cure his disease. First, we need to find out the cause of the disease, and then make specific arrangements based on the specific situation. If it is due to a problem of the disease itself, we must receive relevant treatment. If it is due to other reasons, we must find a solution.