Definition: Total inability to perform sexual activity physically or mentally.
Causes: Nerve damage, hormonal imbalance, chronic disease, psychological issues.
Symptoms: Complete loss of erection, fatigue, low libido, depression.
Investigations: Hormone tests, neurological and psychological evaluation.
Allopathy: Testosterone therapy, counselling, antidepressants (if psychological).
Homeopathy: Caladium, Lycopodium, Agnus castus, Acid phos.
Ayurveda: Vajikarana chikitsa, Ashwagandha lehyam, Musli pak.
Diet & Lifestyle: Protein-rich diet, fresh fruits, almonds, ghee, yoga (Paschimottanasana, Dhanurasana), meditation to reduce stress.
Impotence (Erectile Dysfunction)
Understanding Impotence
Impotence, also known as erectile dysfunction (ED), is the persistent inability to achieve or maintain an erection firm enough for satisfactory sexual performance.
While many men experience occasional difficulty, ongoing impotence may be a sign of an underlying health issue that requires medical attention.
The good news is that impotence is highly treatable, and most men can regain sexual confidence and healthy function with the right care.
Common Causes of Impotence
Impotence can result from physical, psychological, or lifestyle-related factors — and often a combination of these.
Physical Causes
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Heart disease or high blood pressure
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Diabetes and high cholesterol
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Hormonal imbalances (low testosterone)
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Obesity or lack of physical activity
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Nerve or blood vessel damage
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Certain medications (for depression, blood pressure, etc.)
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Smoking, alcohol, or recreational drug use
Psychological Causes
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Stress, anxiety, or depression
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Relationship problems or performance anxiety
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Fatigue or mental burnout
Age-Related Changes
As men age, changes in blood flow, hormone levels, and overall health can make impotence more likely—but age itself is not the cause. With proper care, sexual health can be maintained at any age.
Symptoms of Impotence
You may be experiencing erectile dysfunction if you notice:
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Difficulty getting or keeping an erection
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Reduced sexual desire (low libido)
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Shorter-lasting erections
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Anxiety or frustration related to performance
If these symptoms persist for more than a few weeks, it’s time to speak with a healthcare provider.
When to See a Doctor
Impotence is sometimes an early warning sign of other serious health problems, such as heart disease, diabetes, or hormone imbalance.
Seek professional evaluation if you:
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Have persistent erection difficulties
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Experience pain, swelling, or changes in the genital area
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Have chronic health issues or take medications affecting sexual function
Diagnosis
Your doctor will start with a confidential consultation to understand your symptoms, health history, and lifestyle.
Testing may include:
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Physical examination
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Blood tests to check hormones, cholesterol, and blood sugar levels
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Ultrasound to assess blood flow
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Psychological screening to identify emotional factors
Treatment Options
Effective treatments are available for all forms of impotence. Depending on the cause, your doctor may recommend one or more of the following:
1. Lifestyle Modifications
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Eat a balanced, heart-healthy diet
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Exercise regularly
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Quit smoking and limit alcohol
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Manage stress and get adequate sleep
2. Medications
Oral medications such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra) help increase blood flow to the penis, making it easier to achieve and maintain an erection.
(Always consult your doctor before taking any medication.)
3. Hormone Therapy
If low testosterone is the cause, testosterone replacement therapy (TRT) can help restore hormone balance and improve libido and performance.
4. Psychological Therapy
Counseling or therapy can be beneficial for men whose impotence is linked to stress, anxiety, or depression.
5. Advanced Treatments
If oral medications are ineffective, other options include:
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Penile injections or suppositories
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Vacuum erection devices (penis pumps)
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Penile implants – a permanent and effective solution for severe cases
Preventing Impotence
Simple lifestyle changes can go a long way in maintaining sexual health:
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Maintain a healthy weight
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Exercise regularly
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Control blood sugar and blood pressure
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Avoid smoking and excessive alcohol
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Manage stress through relaxation or mindfulness techniques