Impotence is the inability to initiate or sustain an erection that is required for successful sexual intercourse. This can occur due to both mental and physical health issues. It is also known as erectile dysfunction which is quite common in men of all ages and is treatable as well.


  • Endocrine Diseases such as diabetes and diabetic neuropathy Neurological Disorders such as Alzheimer's disease, spinal tumors, epilepsy etc.
  • Fatigue can also be the reason behind impotence in a few rare cases, such as in marathon bicycle riders. This impotence is temporary and resolves with rest in most cases.
  • Some medications are known to cause impotence such as some antidepressants and sleep inducers etc.
  • Substance abuse, drug addiction, excessive alcohol consumption and smoking can also cause erectile dysfunction.
  • Cardiac disorders such as atherosclerosis and hypertension can also cause impotence in men because the heart is unable to pump the blood efficiently in the penile areas thereby there is a little erection which is not sufficient for intercourse.
  • Stress, depression, relationship issues and performance anxiety can also be the main reasons behind the erection issues.


  • Medicines - In mild ED cases, certain medicines are given that should be taken prior to the intercourse and they help in achieving the full erection.
  • Treatment of the Underlying cause - If ED is due to some underlying disorder such as cardiovascular disease or diabetes etc, then the underlying factor is either treated or controlled to treat impotence.
  • Counselling - It works in cases where there is an emotional or mental memory or trauma involved.
  • Hormone Therapy - It is given in case of hormonal disturbance.
  • Penile Injections - They provide erection after the injection, these injections can be administered at home by the patient just before the intercourse.
  • Penile Implants - These are the perfect solution for severe erectile dysfunction patients. These implants are hidden inside the penile tissue and provide a full erection. They can be of two types, malleable and inflatable, the inflatable implants provide a more natural erection than the malleable ones. However, it depends upon the choice and preference of the patient.

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