Not many people are aware that in most cases physical rather than psychological causes are responsible for impotence (ED), and that ED is usually eminently curable.
Sexual impotence is perhaps the most poorly understood and mismanaged of all medical disorders. Two factors are responsible for this unfortunate state of affairs.

  • Ignorance, myths, superstition, guilt and the stigma and taboo attached to anything sexual in the minds of the people.

  • Abysmal sexual ignorance : on account of which people continue to believe that impotence is something that is largely psychological in origin.

These two factors explain why most cases of impotence do not come to light and why the few that do are grossly mismanaged. It is not surprising, therefore, that the general impression is that impotence is something largely incurable.

Impotence, or erectile dysfunction (ED, E.D.), as andrologists prefer to call it, has always been and continues to remain an extremely common disorder. It is said to afflict as much as 10 percent of the male population. Above the age of 40, nearly 52 % of men are affected. Despite this staggering incidence, few cases come to light.

Contrary to popular belief, impotence is almost never an 'all or none' phenomenon. Most laymen (and several doctors) believe that a man can either have an erection of very good quality or none at all. Nothing can be farther from the truth. Most men with erectile dysfunction have normal desire and can obtain an erection, only the erection is not hard enough or doesn't last long enough, Hence the term erectile dysfunction (which suggests partial loss) is preferred to impotence (which suggests a total loss). Not many are aware that in most cases organic rather than psychological causes are responsible.

However, the trend is slowly but definitely changing. This is largely due to tremendous advances in andrological research over the past few years which have conclusively established that in as many as 80-90 percent of cases of chronic impotence, the cause is not in the mind but in the body. These causes can be identified using modern andrological investigative modalities, quantified and often successfully treated using totally non-psychological methods.

In an era where so many advances have been made in nearly all other branches of medicine, it is surprising that male reproductive system research has remained so woefully neglected and backward. For instance, the branch of obstetrics and gynecology (the female analogue of andrology) which deals with disorders of the female reproductive system has been with us for several decades now and is a well recognised specialty. In fact, so advanced is the understanding of the subject that today, in most countries, gynecologists restrict themselves to sub-specialty areas within their subject such as gynecological oncology, high-risk pregnancies, female infertility etc. because it is so difficult to keep pace with all the developments in the subject.

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