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Male Impotence is a sexual malfunction characterized by the inability to acquire or maintain an erection of the penis sufficient for satisfactory sexual performance. An erection happens as a hydraulic effect due to blood rushing and being retained in sponge-like bodies within the penis. The process is most often initiated as a result of sexual arousal, when signals are conveyed from the brain to nerves in the pelvis. Erectile dysfunction is characterized when an erection is always difficult or impossible to produce, despite arousal. There are different and often several underlying causes, some of which are treatable medical conditions. The most important organic causes are cardiovascular disease and diabetes, neurological problems , hormonal insufficiencies and drug side effects. It is essential to recognize that erectile dysfunction can signal underlying risk for cardiovascular disease. There is often a contributing and complicating and sometimes a primary psychological or relational problem. Psychological impotence is where erection or penetration fails due to thoughts or feelings rather than physical impossibility; this can often be helped. Particularly in psychological impotence, there is a strong response to placebo treatment. Erectile dysfunction, tied closely as it is to cultural notions of potency, success and masculinity, can have strict psychological outcomes. There is a strong culture of silence and inability to discuss the matter. In reality, it has been estimated that around 1 in 10 men will experience frequent impotence problems at some point in their lives. Besides treating the underlying causes and psychological consequences, the first line treatment of erectile dysfunction consists of a trial of inhibitor drugs. In some cases, treatment can involve prostaglandin tablets in the urethra, intracavernous injections with a fine needle into the penis that cause swelling, a penile prosthesis, a penis pump or vascular reconstructive surgery. The Latin term impotentia coeundi describes simple inability to insert the penis into the vagina. It is now frequently replaced by more precise terms. The study of erectile dysfunction within medicine is covered by andrology, a sub-field within urology. The term penis impotence is defined as the state where a man has an ongoing problem achieving and continuing an erection for intercourse, something which is believed to affect upwards of 30 million men in the United States from 18 to 70 years of age. A man is said to be suffering from impotence when he can't get a good enough erection to have sex or his erection does not last long enough to end intercourse. Impotence is also known as erectile dysfunction (ED) and millions of men across the world suffer from this situation. While a man can suffer from impotence at any age, it is more general in men who are older than 65 years.
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