Currently, the term “impotence” has lost some of its relevance, since it does not cover the entire spectrum of erectile disorders in men. A more correct diagnosis today is the formulation “erectile dysfunction”. This is due to the fact that the inability to perform full sexual intercourse may have various mechanisms and causes. The word “impotence”, even if it continues to occur in medical terminology and everyday language, has long been understood as any functional disorders that prevent the maintenance of an erection or the achievement of ejaculation.

The manifestation of impotence can be limited to one of the phenomena that prevent normal sexual activity: a violation of ejaculation, unstable erection, lack of orgasm, frigidity. However, often impotence is a consequence of a whole complex of deviations, and some become the background for the development of others (with unstable erection, the fear of being unsuitable in bed causes a decrease in attraction in the opposite sex).

Statistics show a sufficient frequency of those of other erectile disorders. Although it is proved that the risk of impotence increases with age, about a third of men up to 60 years old already have certain problems with the implementation of sexual intercourse.

Symptoms of erectile dysfunction

the man has reduced or no sexual desire;

in the presence of sexual desire, the erection is unstable or quickly extinguished;
too fast onset of ejaculation;

with an erection, the penis cannot be inserted into the vagina;
there are problems with the implementation of frictions during the time required to achieve orgasm;

a man with all conditions favorable for sexual intercourse is unable to perform sexual intercourse due to any violations at one or another stage of sexual contact.

The presence of at least one of these disorders suggests that impotence is present and requires treatment. However, it is worth mentioning that extreme conditions, the danger of being caught with a partner, the risk to life and other external obstacles complicating physiological proximity or introducing psychological discomfort can become a reason that does not allow achieving a full orgasm and this is not a pathology.


The most common erectile dysfunction is divided into organic and psychological impotence.

Organic impotence is caused by the existing physiological disorders. So, for example, the cause of sexual insolvency can be trauma, endocrine diseases, urological infections, abnormalities of the development of the genital organs.

With this type of erectile dysfunction, most often, the desire for the opposite sex is safe, but failures in sexual intercourse progress with time. At the same time, there is a lack of night and morning spontaneous erections, the ejaculation process is preserved, and the connection of sexual failures with any circumstances is not traced.

Psychological (cortical) impotence is always the result of adverse psychogenic factors. This type of erectile disorder is usually wave-like. In the presence of night and morning erections in the presence of the desired woman, the man develops instability of erection, the inability to reach orgasm or, on the contrary, premature ejaculation. As a rule, such impotence is provoked by a certain traumatic episode, begins suddenly and is combined with low self-esteem, uncertainty in one’s own attractiveness, doubts that the sexual partner sincerely wants closeness.


The factors of organic genesis, provoking the development of erectile dysfunction, are divided into five groups:

disorders of the vascular system;
endocrine diseases;
neurological diseases and psychological trauma;
local organic pathologies;
drug factors.

The most frequent background diseases are: hypertension, reduced testosterone production, spinal cord injury, atherosclerosis, diabetes. Infections, developmental anomalies and injuries of the genital organs themselves also carry a high risk of impotence.

Erectile dysfunction of a psychogenic nature is most characteristic of young men. At the age of 35-50 years, the spinal form of these disorders is common (against the background of the organic pathology of the prostate and the seed tubercle); at an older age, a decrease in sexual viability is caused by endocrine changes.

Treatment of impotence, unfortunately, for many men is still a difficult step because of the inability to overcome the shame before this delicate problem. Meanwhile, in 95% of cases, impotence is subject to successful medical correction. Also, according to indications, surgical treatment is used to eliminate the consequences of injuries and congenital anomalies of the genital organs. Cortical impotence is treated through psychotherapy.

At the same time, any form of erectile dysfunction can combine radical measures, therapeutic techniques and local physiotherapy (such as the vacuum method, injection of the penis into the cavernous bodies of the penis, drugs that promote vascular dilation). The treatment plan always includes a comprehensive examination, which allows not only to understand the mechanisms of the development of pathology, but also to identify background diseases, the cure of which often by itself leads to the restoration of potency.

Today, the main problem in the treatment of impotence is not so much the fight against the disease itself, as the refusal of men to seek medical help in a timely manner. Only 10% of the total number of people suffering from erectile dysfunction find the courage to come to the doctor. In this case, the first appeal already proves that the medical staff is delicate and highly professional in solving the problems of the sexual sphere. A man understands that he made the right choice and overcomes not only the disease itself, but also the insecurity associated with this crucial aspect of life.