In the title of this article, we deliberately made a terminological inaccuracy, since erectile dysfunction is not impotence, but for most of these terms are synonyms. Impotence is an extreme, irreversible stage of erectile dysfunction (ED), and, despite the prevalence of the latter, a small number of men suffer from true impotence. Studies in the world indicate a high prevalence of erectile dysfunction in men all over the world. So in the United States, this problem is faced by almost every third man over 30 years old.
Modern classification distinguishes erectile dysfunction of inorganic, organic and mixed nature. Inorganic causes of ED, often referred to as psychological in the literature, can lead to anxiety, depression, indifference to a partner, fear of the inability to have sexual intercourse, conflict between partners, mismatch in sexual habits of partners, fatigue, and general poor health of a man. In favor of the psychological causes of erectile dysfunction (erectile dysfunction) are evidenced by symptoms such as the maintenance of spontaneous erections, erections during masturbation, nocturnal erections.
In practice, a combination of inorganic (psychogenic) erectile dysfunction with organic is more common, when some disease of the genital area (prostatitis, epididymitis, calliculitis, etc.) leads to psychological disorders that enhance the pathological effect. As a rule, all causes of erectile dysfunction are interrelated. So vascular disorders (deterioration of blood flow to the penis or increased outflow through venous drainage) are accompanied by the addition of a psychogenic factor and vice versa.
Organic causes of ED are caused by medical conditions. They are divided into: endocrine, neurological, vascular, drug and local. Unlike psychogenic (inorganic) ED, the diagnosis of organic ED requires the intervention of a specialist – urologist-andrologist.
A modern specialist has a variety of techniques for identifying the primary diagnostic task – to determine the main pathological link of violations.
Treatment of erectile dysfunction https://en.wikipedia.org/wiki/Erectile_dysfunction should be carried out according to the principle – “from simple to complex”, taking into account the identified pathology and individual preferences of the patient.
A full-fledged diagnosis is possible in a medical center. And if necessary, there is the possibility of a comprehensive examination, including X-ray and Doppler techniques. With the timely treatment of the patient for qualified help, such a formidable diagnosis as IMPOTENCE can be avoided.