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An abnormal physical or psychological state of a male characterized by inability to copulate due to failure of having or maintaining an erection.
Medical terms related to impotence :
Erectile Dysfunction, Erection Dysfunction, Sexual Dysfunction
Common causes of impotence: 
o Atherosclerosis
o Nicotine, alcohol, or cocaine
o Smoking and Quitting Smoking
o Stress, fear, anxiety, or anger
o Poor communication with your partner
o Depression
o Diabetes ( due to Peripheral neuropathy)
o High Blood Pressure
o Kidney Failure ( Uremia)
o Liver Failure ( Cirrhosis of the liver)
o Medications that can cause impotence, sexual dysfunction:
Blood pressure medications (especially beta-blockers)
Heart medications (such as digoxin)
Some peptic ulcer medications, sleeping pills, and antidepressants

Other Causes of impotence:
o Injuries or Surgery:
Injury to the penis, spinal cord, prostate, bladder, and pelvis.
o Prostate Cancer
Multiple Sclerosis (MS):
A demyelinating disease marked by patches of hardened tissue in the brain or the spinal cord and associated especially with partial or complete paralysis and jerking muscle tremor.


Call your doctor if impotence is accompanied by: 
o A new medication
o Injury or prostate surgery
o Low back pain, abdominal pain, or change in urination

Diagnostic tests that may be performed include: 
o Urine analysis (UA)
o Blood tests, including CBC, metabolic panel, hormone profile, PSA
o Penile ultrasound (to evaluate for blood vessel or blood flow problems)
o Nocturnal penile tuemscence (NPT) to test if you are having nighttime erections and rigidity monitoring (Rigiscan)
o Neurological testing
o Psychometric testing

Prevention and self-care: 
o Avoid smoking, alcohol, and illegal drugs
o Get plenty of rest and take time to relax
o Exercise and eat a healthy diet
o Use safe sex practices
o Talk openly to your partner about sex and your relationship

Medications for impotence may include: 
o Sildenafil (Viagra)
o Tadalafil (Cialis)
o Vardenafil (Levitra)
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Diagnosis of impotence, Reasons of impotence, Prevention of impotence, Definition of impotence, Treatments for impotence

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