Up to 20 million men in the US are said to suffer from impotence, a condition that hinders them from having sex because their penis doesn't harden and they are unable to get or keep an erection.
What creates incapacity?
It can be brought on by conditions like diabetes or kidney disease that affect hormone levels, blood circulation, and overall levels of strength and energy. Issues with nerve function, such as multiple sclerosis or a spinal cord damage, can also cause impotence.
You may have trouble getting and/or keeping an erection if you take drugs, especially some high blood pressure meds.
Surgery, drug or alcohol addiction, emotional problems like melancholy or anxiety, marital problems, stress, and worry that you won't be able to have sex are also possible causes.
Impotence can also be caused by a combination of physical and emotional problems.
How is impotence diagnosed?
You can be referred to an urologist, a medical professional who deals with urinary system issues. The doctor will gather your medical history, perform a thorough physical examination, assess your emotional condition, and speak with your sexual partner to determine whether you have impotence.
The following tests may also be prescribed for you:
• Testosterone levels in the blood are measured
• The nerve and blood supply to the penis are examined
• Nocturnal (nighttime) erections.
How is impotence treated?
The source of your impotence will determine the best course of action for you. Choose wisely with the aid of your doctor. Counselling can be highly beneficial if you are having an emotional issue.
If you and your companion both go, it will work out best. The doctor may prescribe a different drug if the drug you are now taking is the root of your problem.
Drugs:
The doctor may occasionally inject a medication right into the penis. This medication results in an erection that lasts one to two hours by causing a significant amount of blood to enter the tissues of the penis. This therapy may occasionally result in a protracted, uncomfortable erection.

A hormonal imbalance may be the reason of your impotence. Sometimes, medications like testosterone are used to address this issue. You should speak with your doctor about any possible side effects of these medications.
Men’s health medicine helped some men. About 20 to 25 percent of the men who take this daily-required medication report feeling better. Your doctor needs to perform a thorough medical evaluation before prescribing the relatively new yet extensively used oral medicine Viagra.
Vacuum Pump:
Your doctor might try a different procedure known as a vacuum pump that aids in drawing blood into the penis. A specific elastic band placed around the penis can be utilized to maintain the erection brought on by this procedure. The ring could occasionally result in bruising.
Surgery:
Your doctor can advise surgery if neither medications nor the hoover pump are effective. Your penis can be made sufficiently hard for sex by inserting a device during surgery. Occasionally, infections may arise following surgery, necessitating the removal of the device by the physician.
Rebuilding the blood arteries in the penis to improve blood flow into or decrease blood flow out of the penis is another procedure that can be helpful for you. You can achieve and keep an erection with the aid of these techniques.
But not all patients are candidates for these procedures. Ask your doctor if you might benefit from this kind of surgery.
What purpose does sex therapy fulfill?
During sex therapy, your counselor will look at the sexual problems you and your partner are having. For problems like performance anxiety, in which you worry so much about being able to have sex that you are unable to, sex therapy is useful.
It also helps when your erection problems aren't the result of drugs, alcohol, or premature ejaculation (you come too fast).
You might develop the ability to unwind to a point of climax or enough to prevent pain during sex. If you undergo counseling, the course of therapy you and your doctor have chosen may help you adjust.