Two fundamentally different meanings of the term “impotence in medicine are: the inability or inability to harden the penis sufficiently and the inability or inability to conceive.
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The absence of penile hardening (erection) is often referred to as “impotence” in everyday speech. Impotence is a term used in medical terminology to describe a generalized disorder. No erection is possible (e.g. not even during masturbation).
Penile hardening disorders can also be caused by other causes. These are known as “erectile dysfunction”. Penile disorders can be caused by many factors. In young men, psychosomatic and biological causes are predominant. The second type of impotence that can affect a man is inability to procreate. This is not due to hardening of the penis, but to the quality and transport of the semen to eggs.
Is Impotence a common Condition?
While there is no way to know for sure, it is thought that between 5 and 10% of men will have problems conceiving in their lifetimes. 40% of couples experience involuntary childlessness due to fertility issues in the man, and 40% due the difficulties in the women. The causes of the remaining 20% are shared equally by the man and woman.
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What causes are there for Impotence?
Many reasons a man might be infertile include many.
Low sperm quality is most common due to low sperm count or poor motility. Sometimes the semen does not reach the egg. This is a situation where the sperm quality may be good, but it is still impossible to conceive.
A decrease in sperm quality could be caused by:
- Mumps, diabetes and other diseases (such as those that occur in childhood)
- Hormonal disorders
- Anatomical problems (undescended Testicles)
- Radiation, chemotherapy, surgery (in the event of cancer, e.g. testicular cancer).
- Lifestyle: Stress, nicotine and alcohol, as well as abuse of other drugs.
Even too much heat harms sperm cells. They prefer temperatures of 35 degrees. Men who are looking to have children should avoid saunas.
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If there are not enough sperm cells produced, inability to conceive may also result. Sperm transport is impossible due to blockage of the vas ferens. Transport may be blocked by injuries, operations or anatomical issues. Ejaculatory dysfunction is a condition in which sperm cells fail to reach the female body and fertilization does not occur.
Other causes of male infertility:
- Erectile dysfunction
- Immunological issues
- Glandular disorders
- Sterilization (vasectomy)
- Hereditary factors
- Multiple causes can also be diagnosed.
- How can impotence be diagnosed?
The sex doctor, or urologist, diagnoses the man. A detailed examination of the man is done by the doctor. This includes an examination of his personal and professional history, as well as a palpation and ultrasound examination. The doctor may also perform a spermiogram (examination to determine the nature of sperm), a hormone level examination, genetic evaluation, and testicular biopsy (in the case of testicular cancer).
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