The majority of men experience various sexual performance disorders throughout their lives, including impotence (also known as frigidity), premature ejaculation, delayed or absent ejaculation, and impotence. These disorders may be temporary and do not necessarily require treatment, but if they persist permanently, they pose a serious issue. Despite the fact that these issues are considerably more widespread than we realize, people do not typically discuss sexual performance abnormalities with their doctors out of concern for their reputation.
What is meant by impotence?
Inability to achieve or sustain an erection of the penis long enough to finish sexual intercourse is referred to as erectile dysfunction (ED) in males.
Although the likelihood of having ED rises with age and affects millions of men worldwide, it is not a typical aspect of aging.
What is the difference between frigidity and impotence?
As opposed to impotence, which is independent of a man’s desire for sexual activity—he wants a sexual connection but is unable to have it—frigidity is the absence or lack of a man’s desire for sexual intercourse, which means that a man does not accept in any form an intimate relationship.
What are the causes of impotence?
Numerous factors can lead to erectile dysfunction, and studies show that roughly 70% of instances have physical reasons and 30% have psychological ones.
Psychological causes: A number of factors that interfere with sexual feelings, which may result in the problem of erectile dysfunction, include: psychological stress as a result of personal problems and problems between spouses; anxiety, especially from Sexual performance (such as fear of failure); the man’s perception that he does not satisfy his wife; and depression. The brain plays a significant role in initiating the erection process due to its role in feelings of sexual arousal.
Physical causes: Erectile dysfunction is frequently caused by physical factors such disorders that alter blood flow to the penis, issues with innervation, smoking, drinking, drug misuse, and certain medicines.
Diseases include: obesity, metabolic syndrome, liver disease, renal disease, hypothyroidism, Parkinson’s disease or Parkinson’s disease, multiple sclerosis, diabetes, heart disease, atherosclerosis, high blood lipids, high blood pressure, and obesity Sleep issues, low or high testosterone levels, and Peyronie’s disease, which causes fibrous scar tissue to form inside the penis, are all symptoms of this condition.

Medications include: Medications for prostate disease, stomach antacids, sedatives, antihistamines, antidepressants, beta-blockers, lipid-lowering diuretics, chemotherapy, and different hormones.
Innervation problems: due to pelvic or spinal cord traumas, after a ruptured disc in the spine, after pelvic surgery (prostate, bladder, or rectum), or after pelvic radiation.
How is the cause of ED diagnosed?
A patient should tell their doctor if they have erectile dysfunction. ED could be a symptom of another medical condition. The patient is questioned about his lifestyle, medical history, drugs used and doses, and testosterone and blood sugar levels may also be checked in order to pinpoint the precise reason of the ED. in one’s blood.
In general, a patient with ED can spontaneously erection during sleep or in the morning before using the restroom, but if the cause is physical, he cannot erection during sleep or in the morning.
How can ED be treated?
Understanding the etiology is essential to ED treatment. When the underlying cause of ED is addressed, it frequently goes away on its own. If a specific condition is the cause, the sickness must be treated; if the cause is taking certain drugs, the medications are changed or their dosages are modified; and if the cause is Since the patient is deficient in testosterone, replenishing this hormone will help. If the cause is psychological, it may also be beneficial to consult a psychologist.
In all circumstances, it is necessary to stop using tobacco, alcohol, and narcotics.
Additionally, there are several therapies that can assist eliminate this issue, including:
For treatment with oral medications:
Viagra pills (Sildenaphil/Viagra), Levitra (Vardenaphil/Levitra), Cialis (Tadalafil/Cilas), or Avanafil are the first line of therapy now available. These medications increase blood flow to the penis, which facilitates erections and improves sexual performance. They vary from one another in terms of dose and time of consumption, duration of their benefits, and side effects, but generally speaking they may result in certain adverse effects such as indigestion, headache, nasal congestion, facial redness, and muscular soreness.
We see that neither of these medications begin their action without arousal nor do they boost sexual desire (physical or mental).
Use of Alprostadil:
It is injected into the cavernous bodies of the penis or placed into the urethra to be utilized. A very little medication pellet is placed in the urethra using a specific tool, and the erection starts to happen after approximately five minutes. The first approach involves injecting alprostadil into the side of the penis using a very fine needle.
The most frequent adverse consequence of this course of therapy is painful erections, or priapism.
Penis pump or Vacuum pump:
A plastic tube that slips over the penis is attached to a pump at the other end, which lowers the pressure surrounding the penis by releasing air from the tube. This causes a rush of blood to the penis, which lasts for one to two minutes before a rubber ring glides over the erection. to apply pressure on the penis’ base,The penis is then pulled out of the tube and the pump is withdrawn. The rubber ring must be removed within 30 minutes or when discomfort, coldness, or extreme blueness appear in the penis. If the rubber ring is kept in place for more than 30 minutes, it may result in penile damage.

surgery
Surgery is an option to cure erectile dysfunction if all other treatments are unsuccessful. The most popular surgical approach is to implant a specific graft into the penis to produce an erection (an artificial penis).
The penile revascularization technique is yet another surgical option. If erectile dysfunction is brought on by a problem with the blood arteries in the penis, this surgery is advised.