What is Impotency, and How is it Different from ED?

Impotency and erectile dysfunction (ED) are conditions in which a man has persistent difficulties maintaining or achieving an erection. Impotence can be caused by various physical, mental, and emotional factors. It can range from mild to severe in severity, and there are several treatment options available depending on the cause of the problem.

It’s estimated that 30 million men in the United States have erectile dysfunction (ED), which is typically defined as not being able to achieve or maintain an erection.

Difference between impotence and erectile dysfunction?

Many people hear the term impotency and assume it means erectile dysfunction but do not realize there is a distinction. Impotence is the inability to perform sexual activities properly or to reproduce. It can also refer to a lack of sexual desire or to problems related to orgasm. In contrast, ED is when a man has trouble getting an erection in the first place. This distinction matters because impotency is often caused by medical problems that can be fixed. In contrast, ED  may not have any specific physical cause and requires long-term medication to help prevent it from happening again.

These two syndromes are often confused, but it’s essential to understand that impotence/erectile dysfunction is not just about being unable to have an erection. Impotency refers to a man’s inability to achieve an erection at all, while erectile dysfunction refers to a man’s inability to maintain or achieve an erection.

What causes impotency? Impotence may occur for many reasons:

1. Micropenis condition 
2. There isn’t enough blood flowing into the penis during arousal (hypogonadism)
3. A nerve problem prevents normal sexual response (neuropathy of the genitalia)
4. An injury to the nerves in the pelvis and lower back can cause problems with ejaculation (pelvic floor syndrome)
5. Erections aren’t strong enough because there isn’t enough testosterone circulating through the body (low T levels)
6. Drugs, alcohol, or other substances impair your ability to perform sexually.
7. Diabetes mellitus
8. Stress affects you emotionally and physically.

What causes erectile dysfunction?

The most common reason for ED is a physical condition that impairs blood flow to the penis: atherosclerosis, high cholesterol, heart disease, hypertension, smoking, obesity, and certain medications such as nitrates used to treat chest pain after an MI.

Other reasons include psychological problems like depression, anxiety disorders, stress, relationship issues, low self-esteem, lack of interest in sex, and performance anxieties.

Some men experience ED due to aging; others develop it later in life. It’s not uncommon at all ages but is more often seen among older adults. The average age when symptoms first appear is 50 years old.

ED can be temporary or permanent. Temporary means your erection will go away on its own within minutes or hours. Permanent means you won’t get erections again without medical help. If the problem persists for a long time, underlying causes may need treatment.

Causes: There are many possible underlying causes of ED. Some common ones include:

1. Hormonal changes as we grow older (e.g., low testosterone)
2. Depression and anxiety, Stressful situations like job loss, divorce, death of loved one, etc.
3. Certain medications include anti-depressants, blood pressure medication, birth control pills, steroids, etc.
4. Poor diet, Obesity, Smoking, Excessive caffeine intake
5. Physical injury to the penis
6. Infection in the area around the penis

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