Inability to achieve or maintain erection is impotence. It can be from the beginning or may develop after some years of successful sexual intercourse or it can be situational as well. Earlier it was thought that 90% of patients have psychological problem and only 10% have physical disease. But now with the advancement of sexual medicine it is proved that only half of the patients suffer from a physical disease and the rest 50% suffer from psychological origin.
- Diabetes, thyroid disorder, heart diseases, and hypertension, drugs used for hypertension, alcoholism, liver failure, drug abuse, and spinal cord injuries.
- Martial disharmonies, psychiatric illness, lack of blood supply to Penis, Stress, faulty food habits, Obesity, excess cholesterol and Urinary problems also lead to impotence.
- Working in night shift also stands as a contributor for impotence. Just like menopause in women, a similar condition in men is called Andropause.
- Studies have revealed that approximately one third of the diabetics have sexual problems at one stage of life.
Quick ejaculation is also a problem which leaves the woman unsatisfied is called pre-mature ejaculation. It is a very common suffering which leaves the man depressed, dejected and at times leads to marital problems and impotence. A consultation with a specialist can avert such kind of danger. Sex problems in elderly men are quite common caused by certain diseases like nervous or prostatic diseases and can be treated effectively.
Sex after heart disease, heart attack, heart operation can be safely performed after assessing their heart condition such individuals can be counseled about safe sex practices. Counseling together with the treatment of their erection problem gives good result.
Gynecomastia: Gynecomastia is a condition in which the size of the breast is increased in an adolescent male due to hormonal disturbance. Hormonal treatment or surgery corrects the condition.
Lifestyle disorders: Sexual dysfunctions are common in lazy people, obese men, alcoholics, smokers and drug addicts this can be reversed in a few months time with counseling and medicine.
Stressed individuals particularly people who are in the IT, ITeS, and BPO sectors encounter more sex problems. Less frequency of intercourse, erection failure, early discharge and no ejaculation are more common in them than in general population. Male infertility is prevalent in people who work on computers for longer time. Not having sex even after years of married life is a typical situation among IT people.
Dhat: Dhat syndrome is quite common in the people of India and the Middle East. In these regions people think that ‘semen’ is precious and have a rigid misconception that loss of semen by masturbation or while asleep will make them weak physically and sexually. Counseling regarding sexuality will clear the doubts and make these individuals normal.
Concern about size of the penis: Almost every man whether married or unmarried wants to have a longer, thicker organ. 99% of men who approach the doctor don’t need any treatment. Enlightenment about the size of the organ and its use will solve the problem and in rare cases of micro-penis or buried penis lengthening of the organ can be resorted to by surgery.
Cybersex: Young men are addicted to viewing porn, virtual sex over net, online sex chat, and paid phone sex. Long hours of filthy sex talk over phone with friends and unknown people of opposite sex kills sex function in them. These problems can be assessed and solved.
Homosexuality: Attraction to and sexual acts with individuals of the same sex is called ‘homosexuality’. People having homosexual tendency along with normal attraction to the opposite sex are called ‘bisexuals’. Homosexuality is not a disease, but a variant behavior. Medical and psychological status of these people – male or female can be assessed and managed.