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Erectile Dysfunction (Impotence)

WHAT IS ERECTILE DYSFUNCTION (ED)?
Erectile Dysfunction (ED) is defined as persistent or recurrent, partial or complete failure to obtain or sustain/maintain, an erection until completion of satisfactory sexual activity or orgasm. Some other common terms used  for erectile dysfunction are Impotence, erectile failure, sexual inadequacy, sexual weakness, less erection, decreased erection, failure in intercourse, sexual incompetence, unable to intercourse/sex, erection problem, napunsakata, less hardness of penis, looseness of penis in mid of sex or before penetration.
The symbol for the man’s “masculinity” is the erect penis.

When man suffers with erectile failure it comes as a major shock, when suddenly the symbol of his masculinity does not respond on. It usually means much more to the man than the simple fact that he is not responding sexually at that moment. It causes him to question his status as an adequate male.

WHAT IS SEVERITY OF IMPOTENCE?
Complete erection failure:It may be complete erectile disorder i.e. some men achieve no erection at all.

Mid play failures: In these patients erection may occur in the regular manner, but as the love making continues the erection is lost .

For others, the erection may be maintained very adequately up to the point of entry. As soon as entry is  attempted, the erection disappears.

For some, erection may be maintained beyond the point of entry and then wane after a period of activity inside the vagina.

Whatever the time of loss of erection it is very disturbing for the patient. Although  Erectile dysfunctions  benign disorder, it has a great impact on the affected. Patient may feel frustration, low mood, depression, ashamed, low self-esteem and may even disturb family relationship. Now majority of patients are cured by proper diagnosis and treatment of underlying cause. Now lots of  people are coming for medical advice.
In a survey in USA (1994) 39% of 40 Yr. old men, 67% of 70 Yr. old men complained of some degree of impotency. Complete erectile failures were present in 5% at age of 40 Yr., 15% at age 70 Yr. In India 1 in every 10 men suffers from some degree of impotence.

TREATMENT: After taking complete history and relevant investigations we, give complete package of including some medication along with counseling and sex therapy to overcome this problem

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