5 Common Causes of Impotence: Diseases, Medications & More

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Healthline only shows you brands and products that we stand behind.

Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we:

• Evaluate ingredients and composition: Do they have the potential to cause harm?
• Fact-check all health claims: Do they align with the current body of scientific evidence?
• Assess the brand: Does it operate with integrity and adhere to industry best practices?

We do the research so you can find trusted products for your health and wellness.

Read more about our vetting process.

Was this helpful?

Impotence occurs when you’re unable to achieve an erection, maintain an erection, or ejaculate on a consistent basis. It’s used interchangeably with ED. Several factors can contribute to the condition, including both emotional and physical disorders.

According to the Urology Care Foundation, an estimated 30 million Americans experience ED.

A 2007 study published in the American Journal of Medicine noted the risk of impotence increases with age. Research suggests it’s even higher in men who have also been diagnosed with one or more cardiovascular risk factors.

Impotence can often have a negative effect on your sex life, and it can also cause depression, additional stress, and low self-esteem.

A common misconception about erectile dysfunction is that you cannot achieve an erection at all. This is not always the case. Erectile dysfunction can also include symptoms like:

• being unable to achieve an erection
• inconsistently being able to achieve an erection each time you have a sexual encounter
• not being able to maintain an erection for the entire sexual encounter

Impotence can begin to affect your quality of life and relationships with your sexual partners over time. However, there are several treatment options available for many of the root causes of ED.

If you are experiencing any of these symptoms, consider talking with your doctor about what might be causing your ED and what treatment options might be best for you.

Understanding the most frequently diagnosed potential causes can help you identify why you may be experiencing the condition. Here are five common causes of impotence:

1. Endocrine diseases

The body’s endocrine system produces hormones that regulate metabolism, sexual function, reproduction, mood, and much more.

Diabetes is an example of an endocrine disease that can cause you to experience impotence. Diabetes affects the body’s ability to use the hormone insulin.

One of the complications associated with chronic diabetes is nerve damage. This affects penis sensations. Other complications associated with diabetes include impaired blood flow and hormone levels. Both of these factors can contribute to impotence.

2. Neurological and nerve disorders

Several neurologic conditions can increase the risk for impotence. Nerve conditions affect the brain’s ability to communicate with the reproductive system. This can prevent you from achieving an erection.

Neurological disorders associated with impotence include:

• Alzheimer’s disease
• Parkinson’s disease
• brain or spinal tumors
• multiple sclerosis (MS)
• stroke
• temporal lobe epilepsy

If you’ve had prostate surgery, you can also experience nerve damage, resulting in impotence.

Long-distance bicycle riders can experience temporary impotence. Repeated pressure on the buttocks and genitals can affect nerve function.

3. Taking medications

Taking certain medications can affect blood flow, which can lead to ED. You should never stop taking a medication without your doctor’s permission, even if it’s known to cause impotence.

Examples of medications known to cause impotence include:

• alpha-adrenergic blockers, including tamsulosin (Flomax)
• antihistamines, such as cimetidine (Tagamet)
• beta-blockers, such as carvedilol (Coreg) and metoprolol (Lopressor)
• chemotherapy medications
• central nervous system (CNS) depressants, such as alprazolam (Xanax), diazepam (Valium), and codeine
• CNS stimulants, such as cocaine and amphetamines
• diuretics, such as furosemide (Lasix) and spironolactone (Aldactone)
• selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine (Prozac) and paroxetine (Paxil)
• synthetic hormones, including leuprolide (Eligard)

4.

Cardiac-related conditions

Conditions that affect the heart and its ability to pump blood well can cause impotence. Without enough blood flow to the penis, you cannot achieve an erection.

Atherosclerosis, a condition that causes blood vessels to become clogged, can cause impotence. High cholesterol and high blood pressure (hypertension) are also associated with an increased risk for impotence.

5. Lifestyle factors and emotional disorders

To achieve an erection, you must first go through what’s known as an excitement phase. This phase can be an emotional response. If you have an emotional disorder, it can affect your ability to become sexually excited.

Depression and anxiety are associated with an increased risk for impotence. Depression is a feeling of sadness, loss of hope, or helplessness. Fatigue-related to depression can also cause impotence.

Performance anxiety can also cause impotence. If you haven’t been able to achieve an erection in the past, you may fear you won’t be able to achieve an erection in the future.

You may find that you cannot achieve an erection with a certain partner. If you’ve been diagnosed with ED related to performance anxiety, you may be able to have full erections when masturbating or when sleeping, but unable to maintain an erection during intercourse.

Substance use disorder involving drugs such as cocaine and amphetamines can also cause impotence. Alcohol misuse or alcohol use disorder (AUD) can affect your ability to achieve or maintain an erection as well. See your doctor if you suspect that you may have a substance use problem.

Treatments are available for impotence, including medical interventions, natural remedies, and lifestyle changes.

Medical interventions

There are a variety of medical interventions that can be used to treat impotence. Prescription treatments for impotence include:

• alprostadil (Caverject, Edex, MUSE), which is available as an injection or as a suppository
• avanafil (Stendra)
• sildenafil (Viagra)
• tadalafil (Cialis)
• vardenafil (Staxyn, Levitra)
• testosterone replacement therapy (TRT)

You may also want to consider vascular surgery (to improve blood flow in the penis) or penile implant surgery.

Find Roman ED medication online.

Natural remedies

If you want to avoid prescription medication, there are a variety of natural remedies known to help treat impotence. It’s important to note that the efficacy of these alternative remedies is not always tested or verified by the FDA so you may not see the advertised results of these products. Before you use any natural remedies, make sure you consult your doctor first.

Some alternative remedies for impotence include:

• acupuncture
• Korean red ginseng, which is also known as Panax ginseng
• pomegranate juice
• yohimbe

Penis pumps

Penis pumps are another option if you’re looking for noninvasive, nondrug treatments. They may be most effective if you have moderate ED.

Lifestyle changes

Whether your impotence has a physical or an emotional cause, there are many cases where lifestyle changes can reduce problems with ED.

According to an article in the Journal of Restorative Medicine, examples of these lifestyle and behavioral changes include:

• quitting smoking if you smoke
• drinking alcohol in moderation
• practicing supportive communication in a romantic relationship
• exercising
• eating a well-balanced, nutritious diet
• reducing anxiety

You may also want to consider meeting with a mental health professional if you feel your ED is due to psychological causes.

Naturally increasing blood flow to the penis often requires a combination of lifestyle changes. Here are a few changes that you can consider trying:

• If you smoke, consider quitting. Smoking can affect your blood flow and worsen erectile dysfunction.
• Engage in regular physical activity. Exercise can help improve blood flow in your entire body and aid in maintaining a moderate weight, which also may reduce erectile dysfunction.
• Try to choose heart-healthy foods. These include low sodium and low fat foods.
• Consider seeing a physical therapist who specializes in pelvic floor physical therapy. It’s important to start these exercises under the advice of a therapist as appropriately performed exercises can help erectile dysfunction, but inappropriately performed exercises can be problematic.

However, it’s important to remember that some causes of decreased blood flow require medical treatments. If you try techniques at home to increase blood flow to your penis yet still experience erectile dysfunction, it’s worthwhile to seek out medical attention.

Impotence has a variety of causes. However, there are still measures you can take to help prevent it.

Possible prevention methods include:

• exercising, which decreases the risk for impotence
• avoiding smoking, drugs, or alcohol abuse
• getting enough sleep
• following a healthy diet
• reducing stress, anxiety, and depression

IMPOTENCE AND AGE

Although aging is often associated with erectile dysfunction (ED), growing older is not necessarily one of the biggest contributing causes of impotence. ED is not considered a natural part of aging. Aging is just a risk factor. Some men never experience impotence.

While erectile dysfunction is commonly tied to aging, it is not an inevitable part of the aging process. Many people have been able to treat the condition, regardless of their age.

If you experience problems achieving or maintaining an erection, consider talking with a doctor. Both primary care professionals and urologists can help you create a treatment plan for erectile dysfunction. However, if your condition is related to an underlying medical condition, they may refer you to a specialist.

It’s completely understandable if you feel self-conscious about speaking with a doctor about erectile dysfunction.

However, it’s important to keep in mind that sexual health is an important part of your overall health and how you feel about yourself.

It’s important that you are able to talk with healthcare professionals openly and honestly about your symptoms and to get help for any underlying medical conditions.

How long can the average person with a penis stay erect?

There is not a specific answer for how long the average person with a penis can stay erect. What matters is if you are unable to maintain an erection for a long enough time to have satisfying sexual intercourse.

There is also an alternative where the penis stays erect for too long, a condition known as priapism. If your erection exceeds 4 hours, you should seek emergency medical attention.

What causes erectile dysfunction?

Erectile dysfunction can be caused by impaired blood flow, problems with the nerves in and around the penis, or nervous system changes that may affect sexual desire.

Sometimes, erectile dysfunction can occur as a side effect of taking some medications, including:

• antidepressants
• anxiolytics
• muscle relaxants
• diuretics
• antihypertensives

What is the main cause of impotence?

For older people experiencing impotence, an estimated 70 to 80 percent of cases are related to a physical issue that affects blood flow to the penis.

In some instances, erectile dysfunction can be one of the earliest signs of blood flow problems in the body. Because erectile dysfunction can potentially signal underlying medical conditions like cardiovascular disease, it’s important to talk with your doctor if you experience ED or impotence for several weeks.

Can impotence be cured?

If the underlying cause of impotence is treatable, impotence can be cured.

Treatment can include:

• taking medications to improve blood flow
• participating in talk therapy
• changing medications that may contribute to impotence

Medications, such as sildenafil (Viagra) or tadalafil (Cialis) can also help to improve erectile dysfunction symptoms. However, it should be kept in mind that not all causes will have cures, and it may take time for a doctor to properly diagnose your specific issue.

Impotence can change your life and affect your self-esteem.

Though ED can have a negative effect on your sex life, it’s ultimately a treatable condition. Many interventions exist that can help you regain your sexual function, including natural remedies, medications, and lifestyle changes.

Because impotence can signal an underlying health problem, it’s important to make an appointment with a doctor if it becomes a consistent problem, even if you think it’s just stress.

5 Common Causes of Impotence: Diseases, Medications & More

We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission Here’s our process.

Healthline only shows you brands and products that we stand behind.

Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we:

• Evaluate ingredients and composition: Do they have the potential to cause harm?
• Fact-check all health claims: Do they align with the current body of scientific evidence?
• Assess the brand: Does it operate with integrity and adhere to industry best practices?

We do the research so you can find trusted products for your health and wellness.

Read more about our vetting process.

Was this helpful?

Impotence occurs when you’re unable to achieve an erection, maintain an erection, or ejaculate on a consistent basis. It’s used interchangeably with ED. Several factors can contribute to the condition, including both emotional and physical disorders.

According to the Urology Care Foundation, an estimated 30 million Americans experience ED.

A 2007 study published in the American Journal of Medicine noted the risk of impotence increases with age. Research suggests it’s even higher in men who have also been diagnosed with one or more cardiovascular risk factors.

Impotence can often have a negative effect on your sex life, and it can also cause depression, additional stress, and low self-esteem.

A common misconception about erectile dysfunction is that you cannot achieve an erection at all. This is not always the case. Erectile dysfunction can also include symptoms like:

• being unable to achieve an erection
• inconsistently being able to achieve an erection each time you have a sexual encounter
• not being able to maintain an erection for the entire sexual encounter

Impotence can begin to affect your quality of life and relationships with your sexual partners over time. However, there are several treatment options available for many of the root causes of ED.

If you are experiencing any of these symptoms, consider talking with your doctor about what might be causing your ED and what treatment options might be best for you.

Understanding the most frequently diagnosed potential causes can help you identify why you may be experiencing the condition. Here are five common causes of impotence:

1. Endocrine diseases

The body’s endocrine system produces hormones that regulate metabolism, sexual function, reproduction, mood, and much more.

Diabetes is an example of an endocrine disease that can cause you to experience impotence. Diabetes affects the body’s ability to use the hormone insulin.

One of the complications associated with chronic diabetes is nerve damage. This affects penis sensations. Other complications associated with diabetes include impaired blood flow and hormone levels. Both of these factors can contribute to impotence.

2. Neurological and nerve disorders

Several neurologic conditions can increase the risk for impotence. Nerve conditions affect the brain’s ability to communicate with the reproductive system. This can prevent you from achieving an erection.

Neurological disorders associated with impotence include:

• Alzheimer’s disease
• Parkinson’s disease
• brain or spinal tumors
• multiple sclerosis (MS)
• stroke
• temporal lobe epilepsy

If you’ve had prostate surgery, you can also experience nerve damage, resulting in impotence.

Long-distance bicycle riders can experience temporary impotence. Repeated pressure on the buttocks and genitals can affect nerve function.

3. Taking medications

Taking certain medications can affect blood flow, which can lead to ED. You should never stop taking a medication without your doctor’s permission, even if it’s known to cause impotence.

Examples of medications known to cause impotence include:

• alpha-adrenergic blockers, including tamsulosin (Flomax)
• antihistamines, such as cimetidine (Tagamet)
• beta-blockers, such as carvedilol (Coreg) and metoprolol (Lopressor)
• chemotherapy medications
• central nervous system (CNS) depressants, such as alprazolam (Xanax), diazepam (Valium), and codeine
• CNS stimulants, such as cocaine and amphetamines
• diuretics, such as furosemide (Lasix) and spironolactone (Aldactone)
• selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine (Prozac) and paroxetine (Paxil)
• synthetic hormones, including leuprolide (Eligard)

4.

Cardiac-related conditions

Conditions that affect the heart and its ability to pump blood well can cause impotence. Without enough blood flow to the penis, you cannot achieve an erection.

Atherosclerosis, a condition that causes blood vessels to become clogged, can cause impotence. High cholesterol and high blood pressure (hypertension) are also associated with an increased risk for impotence.

5. Lifestyle factors and emotional disorders

To achieve an erection, you must first go through what’s known as an excitement phase. This phase can be an emotional response. If you have an emotional disorder, it can affect your ability to become sexually excited.

Depression and anxiety are associated with an increased risk for impotence. Depression is a feeling of sadness, loss of hope, or helplessness. Fatigue-related to depression can also cause impotence.

Performance anxiety can also cause impotence. If you haven’t been able to achieve an erection in the past, you may fear you won’t be able to achieve an erection in the future.

You may find that you cannot achieve an erection with a certain partner. If you’ve been diagnosed with ED related to performance anxiety, you may be able to have full erections when masturbating or when sleeping, but unable to maintain an erection during intercourse.

Substance use disorder involving drugs such as cocaine and amphetamines can also cause impotence. Alcohol misuse or alcohol use disorder (AUD) can affect your ability to achieve or maintain an erection as well. See your doctor if you suspect that you may have a substance use problem.

Treatments are available for impotence, including medical interventions, natural remedies, and lifestyle changes.

Medical interventions

There are a variety of medical interventions that can be used to treat impotence. Prescription treatments for impotence include:

• alprostadil (Caverject, Edex, MUSE), which is available as an injection or as a suppository
• avanafil (Stendra)
• sildenafil (Viagra)
• tadalafil (Cialis)
• vardenafil (Staxyn, Levitra)
• testosterone replacement therapy (TRT)

You may also want to consider vascular surgery (to improve blood flow in the penis) or penile implant surgery.

Find Roman ED medication online.

Natural remedies

If you want to avoid prescription medication, there are a variety of natural remedies known to help treat impotence. It’s important to note that the efficacy of these alternative remedies is not always tested or verified by the FDA so you may not see the advertised results of these products. Before you use any natural remedies, make sure you consult your doctor first.

Some alternative remedies for impotence include:

• acupuncture
• Korean red ginseng, which is also known as Panax ginseng
• pomegranate juice
• yohimbe

Penis pumps

Penis pumps are another option if you’re looking for noninvasive, nondrug treatments. They may be most effective if you have moderate ED.

Lifestyle changes

Whether your impotence has a physical or an emotional cause, there are many cases where lifestyle changes can reduce problems with ED.

According to an article in the Journal of Restorative Medicine, examples of these lifestyle and behavioral changes include:

• quitting smoking if you smoke
• drinking alcohol in moderation
• practicing supportive communication in a romantic relationship
• exercising
• eating a well-balanced, nutritious diet
• reducing anxiety

You may also want to consider meeting with a mental health professional if you feel your ED is due to psychological causes.

Naturally increasing blood flow to the penis often requires a combination of lifestyle changes. Here are a few changes that you can consider trying:

• If you smoke, consider quitting. Smoking can affect your blood flow and worsen erectile dysfunction.
• Engage in regular physical activity. Exercise can help improve blood flow in your entire body and aid in maintaining a moderate weight, which also may reduce erectile dysfunction.
• Try to choose heart-healthy foods. These include low sodium and low fat foods.
• Consider seeing a physical therapist who specializes in pelvic floor physical therapy. It’s important to start these exercises under the advice of a therapist as appropriately performed exercises can help erectile dysfunction, but inappropriately performed exercises can be problematic.

However, it’s important to remember that some causes of decreased blood flow require medical treatments. If you try techniques at home to increase blood flow to your penis yet still experience erectile dysfunction, it’s worthwhile to seek out medical attention.

Impotence has a variety of causes. However, there are still measures you can take to help prevent it.

Possible prevention methods include:

• exercising, which decreases the risk for impotence
• avoiding smoking, drugs, or alcohol abuse
• getting enough sleep
• following a healthy diet
• reducing stress, anxiety, and depression

IMPOTENCE AND AGE

Although aging is often associated with erectile dysfunction (ED), growing older is not necessarily one of the biggest contributing causes of impotence. ED is not considered a natural part of aging. Aging is just a risk factor. Some men never experience impotence.

While erectile dysfunction is commonly tied to aging, it is not an inevitable part of the aging process. Many people have been able to treat the condition, regardless of their age.

If you experience problems achieving or maintaining an erection, consider talking with a doctor. Both primary care professionals and urologists can help you create a treatment plan for erectile dysfunction. However, if your condition is related to an underlying medical condition, they may refer you to a specialist.

It’s completely understandable if you feel self-conscious about speaking with a doctor about erectile dysfunction.

However, it’s important to keep in mind that sexual health is an important part of your overall health and how you feel about yourself.

It’s important that you are able to talk with healthcare professionals openly and honestly about your symptoms and to get help for any underlying medical conditions.

How long can the average person with a penis stay erect?

There is not a specific answer for how long the average person with a penis can stay erect. What matters is if you are unable to maintain an erection for a long enough time to have satisfying sexual intercourse.

There is also an alternative where the penis stays erect for too long, a condition known as priapism. If your erection exceeds 4 hours, you should seek emergency medical attention.

What causes erectile dysfunction?

Erectile dysfunction can be caused by impaired blood flow, problems with the nerves in and around the penis, or nervous system changes that may affect sexual desire.

Sometimes, erectile dysfunction can occur as a side effect of taking some medications, including:

• antidepressants
• anxiolytics
• muscle relaxants
• diuretics
• antihypertensives

What is the main cause of impotence?

For older people experiencing impotence, an estimated 70 to 80 percent of cases are related to a physical issue that affects blood flow to the penis.

In some instances, erectile dysfunction can be one of the earliest signs of blood flow problems in the body. Because erectile dysfunction can potentially signal underlying medical conditions like cardiovascular disease, it’s important to talk with your doctor if you experience ED or impotence for several weeks.

Can impotence be cured?

If the underlying cause of impotence is treatable, impotence can be cured.

Treatment can include:

• taking medications to improve blood flow
• participating in talk therapy
• changing medications that may contribute to impotence

Medications, such as sildenafil (Viagra) or tadalafil (Cialis) can also help to improve erectile dysfunction symptoms. However, it should be kept in mind that not all causes will have cures, and it may take time for a doctor to properly diagnose your specific issue.

Impotence can change your life and affect your self-esteem.

Though ED can have a negative effect on your sex life, it’s ultimately a treatable condition. Many interventions exist that can help you regain your sexual function, including natural remedies, medications, and lifestyle changes.

Because impotence can signal an underlying health problem, it’s important to make an appointment with a doctor if it becomes a consistent problem, even if you think it’s just stress.

Lovely💖 The behavior of an impotent man in a relationship

• Why does a guy become impotent
• Signs of impotence
• Features of the behavior of an impotent with women
• How to deal with a guy with erectile dysfunction
• Psychologist’s advice
• How not to become impotent

Impotence is the absence of an erection in a guy or the inability to maintain it during intercourse. The behavior of an impotent man in relationships with a woman differs significantly from a healthy relationship between the sexes. This problem is not customary to discuss in society, although recently it concerns almost all men. High levels of stress and poor ecology inevitably affect sexual performance. In addition, there are many nuances that can also reduce sexual activity.

Why a guy becomes impotent

Men with psychological or physiological health problems are at risk of impotence:

• smoking and excessive drinking, drug addiction;
• poor quality and inadequate nutrition;
• promiscuity;
• vascular disorders;
• hormonal failure resulting in a drop in testosterone levels;
• mental disorders, depression, stress.

Men rarely associate erectile dysfunction with the above points. Although sometimes it is enough to eliminate the root cause, get closer to a healthy lifestyle and sexual intercourse will again be full. Guys should respond to body signals in time and immediately seek medical or psychological help.

Signs of impotence

Sex is the most important sphere in the life of partners of both sexes. The inability to satisfy and enjoy yourself directly affects the behavior of an impotent man in relationships with a woman.

The first sign to look out for is premature ejaculation. The sexual organ at the very beginning of the act ejaculates and assumes a relaxed form. The second point that should alert you is that in order to get an erection, you need to make more efforts than before. The third and most serious is the lack of erection. Initially, these may be one-time failures. If you do not pay attention to them, then they will go into permanent dysfunction.

Impotence can be easily cured. It is better to start with a confidential conversation with the doctor, as a result of which he will find out the features of relationships with the opposite sex, conduct physical examinations and prescribe laboratory tests.

In this case, it is better not to self-medicate. An exception can be only single, mild violations of sexual function.

Features of the behavior of an impotent woman with women

It is possible to understand whether a guy has problems with erectile function by indirect signs. The behavior of an impotent man in relationships with ladies has the following differences:

• The guy does not insist on intimacy. He will laugh it off, postpone the date, come up with a bunch of reasons, just to avoid sexual intercourse. Instead of passionate sex scenes, he will offer a walk in the park, a visit to a museum or an exhibition.
• Annoyed by sexual conversations, especially when they are spiced with “peppery” humor.
• Doesn’t make eye contact, speaks softly, is unsure of himself.
• There are signs of alcoholism or drug addiction.

Of course, the points listed above may just be the guy’s personal characteristics. But if you notice the presence of one or two signs, this is an occasion to think about an impending problem.

How to behave with a guy with erectile dysfunction

The behavior of an impotent man in a relationship with a woman must be built from two sides. If your partner has this problem, and you are not going to end the relationship, you should choose tactics aimed at eliminating the cause:

• This is a sensitive issue, please treat it tactfully. Sharp jokes, mocking laughter, neglect are unacceptable.
• The problem must be carefully examined, if it is for medical reasons, persuaded to visit a doctor. If there is a psychological factor, create a favorable environment at home that promotes complete relaxation.
• Don’t focus on failures in bed, think of alternative ways to please each other.
• Emotionally support a man on his way to recovery.

Warm and frank relationships, love and mutual understanding will help to cope with problems, including erectile dysfunction.

Psychologist’s advice

In half of the cases, impotence has psychological causes. Emotional impotent people do not suffer from diseases of the internal organs, they eat right and have a good rest. And the erection disappears more and more often and it is more and more difficult to restore the former ardor. Stress, anxiety, depression will cool any sexual desires and nullify all efforts in bed. The behavior of an impotent man in a relationship with a woman will become tense and nervous.

Experts advise those who fail in sex to understand first of all that impotence is not a sentence, it can be perfectly treated. To distract yourself from obsessive thoughts about sexual conquest, find any exciting activity. If it didn’t work right after the therapy started, be patient. The psychological cause of impotence can be overcome on your own by delving into yourself in detail. Who, if not the man himself, knows the trigger mechanism that triggered unpleasant consequences.

How not to become impotent

For prevention, you need to follow simple rules every day:

• treat problems easier, learn to control emotions;
• get enough sleep;
• eat right and balanced, replenish the deficiency of vitamins and minerals, monitor weight;
• keep fit by exercise;
• give up cigarettes and excessive alcohol consumption;
• treat inflammatory processes.

Impotence is perhaps the most delicate male problem. The inability to have sexual intercourse causes panic and loss of self-confidence. Stress only makes things worse. It becomes difficult for an impotent man to build relationships with women. There is only one way out – to calm down and believe that this is not a fatal disease. Eliminating the causes of impotence will lead to new victories on the love front.

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What should a wife do if her husband is impotent, signs and behavior of a man, how to live with it

Impotence is a common problem for men, and they are not always ready to make efforts to solve it. Women usually easily recognize such people during the dating period and are eliminated. The situation is much worse if the sex life is lost after several years of marriage, putting a previously strong union in jeopardy.

Contents

• 1 Features of impotence
• 2 Is the spouse to blame
• 3 Causes of impotence
  • 3.1 Physiological causes
  • 3.2 Psychological causes
• 4 How a wife can help
• 5 What a man should do
  • 5.1 Medicines and dietary supplements
  • 5.2 Lifestyle correction
  • 5.3 Surgical intervention
• 6 Prevention of impotence
• 7 Conclusion

Features of the manifestation of impotence

Impotence in men occurs suddenly only after severe stress or injury . In all other cases, the problem develops gradually – within 3-4 years. The first sign is a decrease in the intensity of sexual life : sex is less frequent, without much enthusiasm on the part of the husband. At his wife’s attempts to take the initiative, he withdraws, citing fatigue. In the process, the man begins to tire more and more often, his member periodically falls , as a result, the act often ends without ejaculation. The wife notices that the husband has moved away, become withdrawn, the old emotions and feelings give way to causeless irritation. As a result, even tortured sex disappears.

A lecture on the signs of the disease is given by Yuriy Prokopenko, a sexologist

Another characteristic symptom of incipient impotence is sexual hypocrisy . If a man used to react with interest or neutrally to openly dressed women, erotic scenes, now he deliberately condemns such things and even attacks his wife with reproaches for promiscuity if she tries to reason with him.

In a number of cases, a man feels guilty towards a woman, trying to satisfy her in other ways, but without corresponding emotions. Such a substitute for normal sex becomes a burden to both. The wife accumulates resentment, the husband grows complexes and anger at himself. Relationships of the “man-woman” format are slipping into the “son-mother” or “father-daughter” model. If a wife loves her husband, there is a warm relationship between them despite impotence, then she is in a trap. The only way out can be mutual frankness and a desire to find a solution to the problem.

Is the spouse to blame

There is a stereotype in society that the wife is to blame for the husband’s impotence: either she is not well-groomed, or she has gained weight, or she is unkind, as well as a host of other reasons why a man does not want a particular woman. However, as practice shows, husbands with a normal level of libido and healthy erectile function, even with a not too desirable wife, perform a full-fledged sexual intercourse from time to time – the sexual instinct needs to be realized.

There is also such a nuisance as habit when the wife is no longer a sexual object. No one is to blame here . But you can try to wake up the libido by playing on curiosity: order intimate toys that excite lubricants. But there is a risk that all efforts will run into a wall of male bewilderment.

We should not forget that the main erogenous zone of a man is his brain. In order for sex not to disappear in a long-term relationship, a woman should be interesting to him not only physically, but also spiritually. The main mistake of wives is obsession with the interests of their husbands, children and everyday life. At first it will be accepted with enthusiasm, then by default. As a result, the wife is lost against this background as a woman. It remains to console yourself with a stereotyped status in social networks – “a happy wife and mother.” A self-sufficient, constantly developing, enthusiastic woman always feeds the notorious masculine instinct of a hunter. The husband will perceive his wife as a person, and this also fuels sexual interest.

There are variants when a man does not want sex in principle, no matter what tricks a woman goes for. But he is not necessarily physically impotent. In youth, almost all men have excellent potency, due to an excess of androgens. It depends on the sexual constitution how long this period will last. For some, the decline occurs after 30 years – a man becomes sexually lazy. At the same time, he has no problems with erection, but there is no desire to cause it either. Sex for him turns into a duty, an extra tension that does not bring pleasure. The wife is not to blame.

You can talk about impotence when sex between spouses has become impossible due to the inability of a man to have sexual intercourse even if there is a desire (read how to have sex with impotence) . Uncertain, unstable or absent erection. A woman can provoke this in the following way:

• Ridicule and humiliation of a man;
• Indifference to sex, suppression of any attempts to induce intimacy on the part of the husband;
• Treason;
• Bad habits affecting appearance and behaviour;
• Prolonged postpartum depression;
• Change of character, scandals, constant complaints.

If a man, due to his upbringing or mild temperament, cannot influence the above factors, and in principle he does not allow connections on the side, then psychogenic impotence may well develop. The desire for intimate relationships will be gradually forced out, sexual energy will be sublimated into a career, sports, hobbies. Returning to a normal rhythm of sexual activity can be difficult.

Many husbands themselves are to blame for their impotence , but they follow a simple path – they blame their wives. Going to the doctor, giving up the sofa in favor of the gym is unthinkable for them. Even male sexologists in most cases, when talking with a couple, tend to put the blame on the woman. Moreover, the arguments often contradict each other:

1. Too much pressure on a man, excessive ingenuity and activity.
2. Boring and monotonous sex.
3. You can’t tell a man that sex is not the most important thing in a relationship.
4. Sex should not be elevated to a cult.

In addition to women, there are many factors that negatively affect male libido and erectile function. You can deal with them if you want. The main problem for the impotent wife is to stimulate him for treatment, to find motivation. Men often resign themselves to the situation and do not want to do anything.

Causes of impotence

All causes of erectile dysfunction can be divided into psychological and physiological . Distinguishing psychogenic impotence from organic is simple – just pay attention to the presence of night and morning erections. If a member can get up spontaneously, then the cause of failure in bed should be sought at the level of the psyche.

Physiological causes

Most often provocateurs of organic impotence in men are pathologies associated with the state of blood vessels:

• Atherosclerosis;
• Hypertension;
• Varicose veins;
• Peripheral blood flow disorders;
• Cerebrovascular diseases.

Obstructed blood flow not only does not provide normal blood supply to the penis, but also causes malnutrition of the brain. As a result, the conductivity of nerve impulses worsens, libido decreases.

Erectile dysfunction in men often occurs against the background of chronic prostatitis, the treatment of which is sometimes ineffective and drags on for years. A common cause of impotence is also low testosterone levels, observed in diabetes mellitus, testicular or adrenal dysfunction, pituitary tumors.

It is especially hard for men after 45 years , when the androgen level itself steadily decreases . The situation is aggravated by high blood pressure, medication, stagnant processes in the pelvic area.

Impotence can also develop in young men. The reason is usually a passive lifestyle and bad habits (more causes of poor potency at a young age), but it can also be the other way around. Sport for potency is a stimulating factor, but in a moderate dosage. There are men who fully devote themselves to classes, along the way actively using anabolic steroids. As a result, the wife observes an athletic, but not sexually functional body-souvenir. Most often, this happens to men of asthenic physique, who abruptly decided to take care of themselves and gain weight. Anabolics and exhausting workouts lower libido.

Psychological causes

The most common cause of psychological impotence in modern men is ordinary infantilism caused by uninteresting work, personal complexes, chronic unwillingness to change one’s lifestyle. As a result, the husband discusses with the TV in the evenings or sits down to realize himself in computer games. At the same time, the wife’s claims are embittered, and their absence is even more relaxing.

Psychotherapist Grigory Ovtsov tells about the causes of psychological impotence

Psychogenic impotence can be caused by phobias . Modern men under the influence of the information environment often develop a pathological fear of infection . They try to avoid any situations in which they could theoretically become infected. As a result, there is a feeling of disgust even towards his own wife.

A common cause of impotence is job loss. A long search for a new one, adaptation in another place for many men is a strong stress, as a result of which libido decreases.

How a wife can help

A wife can help only if a man has realized the problem of impotence, accepted it and is ready to solve it. Some women, desperate to persuade, begin to frighten with divorce, provoke jealousy, but the opposite side perceives this as a challenge and a reason to go deeper into depression. You can’t demonstratively show your annoyance at the lack of sex. This makes the man even more tense. His wife becomes a nymphomaniac in his eyes, far removed from his own needs.

There are men who, with signs of impotence, withdraw into themselves and try to move away. The complexity of the situation is that this may be evidence of his connection on the side. It is important not to immediately accept this thought as the only true one. A confidential business conversation in a calm tone without a hint of pity will help lead a man to a revelation and work out constructive tactics with him.

The first thing to do in case of a violation of potency is to exclude physical pathology . There is no need to wait for special enthusiasm on the part of a man for a proposal to be examined by a urologist-andrologist, but you need to gently insist. You can start with a simple hormone test.

Table of normal indicators of hormones in the male body

If everything is in order in terms of urology, then it will not be superfluous to check the spine . Due to damage in the lumbar region (hernia), the erectile function and libido of a man can deteriorate significantly.

If there are no physiological problems, you can arrange with a psychologist (sexologist) and go to family counseling.

If your husband is overweight, you can adjust the diet by removing trans fats and enriching it with fiber and protein.

What a man should do

There are many ways to get rid of impotence (we wrote more about them here), but they will only work if they are used for the intended purpose. First you need to find out the cause of the dysfunction, so as not to aggravate the situation with self-medication.

Medicines and dietary supplements

0155 dietary supplements or “Viagra” . Both remedies can help if a man has vascular erectile dysfunction or psychogenic . Bioadditives will help accelerate blood flow in the groin area, gently stimulate the production of testosterone, and relieve inflammation of the genitourinary system.

Examples of bioactive additives:

1. Extracts of eurycoma, creeping palm, tribulus, ginseng.
2. Yohimbine.
3. Icariin.
4. Beekeeping products: dead bee, perga, propolis, drone homogenate.

For impotence supplements are taken in courses . The first effect can be seen after 2-3 weeks.

More information about dietary supplements for male potency.

As for PDE-5 inhibitors (Viagra), you can drink them only with the permission of a doctor . The drugs are strong, they expand not only the vessels of the penis, but also raise the overall blood pressure. Single dose of tablet can help with psychogenic impotence , when some men on a reflex level forget how a normal erection works. “Viagra” will help to remember, but only in the presence of sexual arousal . Subsequent sex often occurs without pills.

The most popular drug for erection and potency is Viagra. More details doctor urologist-andrologist Tonyan Arsen

At the initial stages of impotence, erection will be strengthened stimulating lubricants and sprays (more about them in this article). Some of them can be used in courses for medicinal purposes.

Men over 40 may experience the following symptoms along with impotence:

• Weight gain;
• Cardiovascular problems;
• Prostatitis;
• Headaches;
• Depression.

All of the above – symptoms of andropause and low testosterone . The doctor may suggest hormone replacement therapy . Do not be afraid of it , exogenous testosterone does not cause oncology. But other side effects are possible, which the doctor takes into account and controls.

Read also about Chinese balls to increase potency.

Lifestyle modification

The human body has the ability to self-regulate, but it takes effort to start this process. Many men underestimate the influence of a healthy lifestyle on potency, but it is significant, especially in adulthood. What can be done:

1. Minimize the amount of fatty and soy products, smoked meats, semi-finished products, and alcohol in the diet.
2. Exercise regularly, take contrast showers.
3. Take courses of vitamin complexes with zinc.

If there are contraindications to physical activity, then static squats, yoga, qigong gymnastics are well suited to get rid of vascular impotence.

Surgery

There are cases of hopeless impotence when it is not possible to achieve a natural normal erection in a man by conservative methods. This is possible, for example, with diabetes, Peyronie’s disease, after prostate surgery. The way out is penile prosthetics. The essence of the operation: implants are introduced into the cavernous bodies of the penis, allowing the organ to take an erect form.

There are 3 types of impotence prostheses:

• Elastic , in which an erection is achieved by raising the penis with the hand;
• Hydraulic two piece . A pump is placed between the testicles, balloons with reservoirs filled with saline are sewn into the cavernous bodies of the penis. When you press the scrotum, the solution flows into the cans, an erection occurs;
• Hydraulic Three piece . The solution reservoir is placed behind the pubic bone. This avoids excessive pressure on the corpora cavernosa when the balloons are deflated.

Service life of modern models order 25 years . The probability of rejection is 0. 5%.

Prevention of impotence

Even minor erectile dysfunction can develop into impotence, so it is important for a man to take action at its first signs.

Ways of prevention:

1. Regular physical activity – from stagnant processes and prostatitis.
2. Rational nutrition – from problems with blood vessels and excess weight.
3. Fighting bad habits – for the health of the endocrine and cardiovascular system (more about the effect of herbs on male potency).
4. Timely treatment of infectious urological diseases – to preserve the reproductive organs.

To prevent endocrine impotence, it is useful to periodically donate blood for hormones (especially for men over 35).

Conclusion

For some women, an impotent husband is a real problem. Many of them develop neuroses because of the lack of sex. But there are wives for whom the husband’s impotence does not play a decisive role.