Complete impotence

Such a serious sexual disorder as a complete loss of sexual potency is usually characterized by 2 components: 1. a decrease in libido up to a complete loss of interest in sexual intercourse; 2. lack of any form of erection. It is possible to establish the presence of pathology and decide on the method of its treatment only after a thorough history and examination.

Decreased libido

Libido mechanisms

The temporal and limbic zones of the cerebral cortex are responsible for the onset and growth of sexual desire. In healthy men, libido arises and is maintained at a sufficiently high level with a variety of sexual stimulation. The maintenance of a stable sex drive for women is due to bioactive testosterone. The production of the sex hormone is carried out in the testes, which act under the influence of a certain category of enzymes.

In medicine, sexual desire is usually called an impulse of a biological nature, based on motives and desires. Full sexual attraction cannot occur without a mental component, which is formed under the influence of a wide range of exciting and inhibiting physiological, social and psychogenic determinants.

Questions of changing the level of potency

During a man's life, normal physiological processes occur in his body that can temporarily reduce or increase the level of libido. In 30% of men over the age of 40, there is a persistent decrease in potency due to natural hormonal and functional changes. The complete loss of interest in intimacy is a pathological sign that is not characteristic of a healthy organism. Complete impotence can be established by the absence of sexual desire for a long period of life. The method of treating a patient will be based on the results of diagnostics, which will reveal the causes and features of the course of the disease. Potency may disappear suddenly or decrease gradually. The prospect of the medical care undertaken and the ability to reproduce in the future largely depend on the speed of a man's reaction to a deterioration in sexual health.

Reasons for decreased libido

Among the negative factors that cause a significant decrease in sexual desire for the opposite sex, urologists call:

• the onset of dystrophic changes in the body due to old age or exhaustion
• alcohol abuse, chronic nicotine addiction, drug addiction
• acute or chronic renal failure
• hypogonadism and hyperprolactinemia
• depression and negative sexual experiences during adolescence
• prolonged sexual abstinence, decreased self-esteem

A physician can find out about the stability and duration of the violations that have occurred after interviewing the patient. Taking a life history will help to establish the level of sexual activity and signs characteristic of a decrease in libido. In addition, during the examination, the doctor determines the characteristics of the hormonal background, determining the testosterone content in the blood.

Erectile dysfunction

To diagnose complete impotence, a urologist must record the presence of severe copulatory disorder, that is, erectile dysfunction. Normal erection occurs in males due to increased blood supply and inhibition of venous outflow. Prolonged loss of erection is a pathological phenomenon that makes it impossible to enter into intimacy and fertilize an egg. The most severe form of erectile disorder is the complete absence of intentional and spontaneous arousal.

Causes of loss of erectile function

Loss of the ability to have sexual intercourse can be triggered by several reasons:

• mental factors (excessive fear and excitement, negative sexual experience, consequences of upbringing);
• deviations in the veno-occlusive mechanism (morphological changes in the tunica albuginea, ectopic veins);
• neurogenic changes (trauma to the spinal cord and brain, loss of sensitivity of nerve endings in the perineal region);
• endocrine pathologies associated with dysfunction of the testicles and adrenal glands.

Diagnostics of erectile pathology is carried out using complex measures, including laboratory and instrumental examination.