Post Date April, 15 2023
Impotence has seriously affected the sexual life of couples and also brought trouble to male friends. Over time, it will definitely affect the relationship between husband and wife. What is the cause of male impotence? Here is a specific understanding.
1、 Trauma, Surgical
Any trauma and operation that damages the innervation and blood supply, such as spinal cord injury or operation, pelvic fracture combined with urethral trauma, transabdominal perineal radical resection of rectal cancer, retroperitoneal lymphadenectomy, aortic reconstruction, and pelvic radiotherapy for prostate cancer, are easy to cause impotence. Therefore, surgeons should constantly improve their surgical style and skills to prevent the occurrence of iatrogenic impotence.
2、 Age
Age is an indirect high risk factor closely related to impotence. The possibility of impotence increases with age. According to foreign reports, the incidence rate of impotence among men aged 20-30 years is 7%, and the incidence rate of impotence among men aged 70-79 years is 57%. Although the possibility of impotence increases with age, impotence is not inevitable in the aging process.
3、 Disease
The proportion of impotence in patients with cardiovascular diseases such as heart disease and hypertension was 39% and 15% respectively. Impotence may be the precursor of systemic atherosclerosis.
Diabetes is one of the most closely related diseases with impotence. The incidence rate of impotence in diabetes patients is 23%~75%. Patients with diabetes more than 10 years old are twice as likely to have impotence as those with diabetes less than 5 years old. In addition, poor glycemic control and smoking increased the incidence rate.
More than 40% of chronic renal insufficiency accompanied by impotence.
In hyperlipidemia, the higher the total cholesterol in serum and the lower the high density lipoprotein, the greater the possibility of impotence.
Multiple sclerosis, stroke, demyelinating disease, Alzheimer's disease and other neurological diseases are all related to impotence.
Endocrine diseases, such as hypopituitarism, hypogonadism, hyperprolactinemia, adrenal diseases, thyroid disorders and other endocrine diseases are related to erectile function.
The probability of prostate disease with impotence is more than 40%.
The probability of ulcer with impotence is 18%. Arthritis, allergy, alcoholic cirrhosis, chronic obstructive pulmonary disease, etc. are closely related to impotence.
4、 Psychological factors
Schizophrenia, depressive schizophrenia, depression and drugs for treating depression are all related to impotence. 50%~90% of depression patients are indifferent to sexual desire; On the other hand, sexual dysfunction often leads to depression, anxiety and other mental disorders.
5、 Medication
Diuretics, antihypertensive drugs, drugs for treating heart disease, tranquilizers, antidepressants, hormones, anticholinergics and drugs for treating ulcer disease may all cause impotence.
