Review medicine.

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Impotence. From this word breathes a mortal depression, and every man to think about it feels a chill between his shoulder blades. Indeed, the meaning is known, perhaps, each individual male species Homo Sapiens over 13 years.
And although there are many more sonorous epithets describing the meaning (“a weakness for men”, “agenesis”, etc.) are one – a man becomes available function underlying the continuation of the human race. According to the definition proposed in the Great Medicine Encyclopedias – Impotence (from Lat. Impotentia – weakness) – lack of erection of the penis in males, leading to the impossibility of sexual intercourse. A more precise and concise definition is difficult to find.

It is characterized by an extreme degree of erectile dysfunction – when the sexual act the man, in principle, available. For quite a long time, the diagnosis of impotence “is set to all, without exception men who complained to reduce the duration and strength of erections of the penis. However, there were (and are) patients who have an erection, in principle, preserved, but their strength is not enough for a complete sexual intercourse. In other words, these people would not be as impotent, but not completely healthy. However, an inaccurate diagnosis in medicine, as is known, leads to unwholesome treatment.

In addition, during the special sociological studies have shown that people with reduced quality of erections much longer than people with a complete lack of them. In this regard, a few years ago at the joint European Congress of Andrology, urologists, therapists and other professionals involved in treating male genital diseases, has proposed a new term used to describe violations of erection – Erectile Dysfunction. «And today in the scientific press, the term “impotence” is practically impossible to meet. All this term is rarely found in the pages of popular science literature.

What is erectile dysfunction is different from impotence? The term “Erectile dysfunction” is commonly understood pathological condition which is characterized by deterioration in the quality of erections in men and as a consequence – the lack of opportunities for full sexual intercourse (i.e., for the introduction of the penis into the vagina and the maintenance of normal strength erection during the time required to complete the full sexual intercourse). Thus it is clear that impotence is nothing like an extreme form of erectile dysfunction. In other words – the term “Erectile dysfunction” is a wider concept than impotence, and it combines all the violations (i.e. dysfunctions) of erectile ability of the penis in males.

Patients come to doctors to receive complaints of violation of erection, often ask the question: “How often erectile dysfunction?”. That question is difficult, and easily. The simple answer usually is: “Well, as you surely know from the newspapers and other media, erectile dysfunction found one in four men older than 40 years”, etc. etc. In the same spirit. Actually, not so simple. The difficulty lies in the fact that, despite the huge number of sociological and medical research in this field the exact answer to the question about the prevalence of erectile dysfunction has been received and that’s why.

First, not every man is inclined to discuss their sex life with strangers.

Secondly, the number of patients have a satisfying their sex life despite the problems with erection, that is of questioning or survey, they view themselves as healthy.

And thirdly, the very nature of sociological research in this area can not give a complete picture precise answer to the question about the prevalence of erectile dysfunction.

For example, the famous German urologist Hartmut Porst wrote in one of his books : “For all sorts of data in Germany there are about 10 million men with erectile dysfunction. However, when trying to determine the source of this information, its trace is lost in the jungle of secondary and pseudo-scientific literature. ”

Nevertheless, studies on the prevalence of erectile dysfunction is not terminated and research data are regularly updated. Today’s most rigorous research in this issue is held in 2010 in the U.S. “Program for the Study of aging men in Massachusetts (MMAS)». In the course of this program was subjected to questioning 1,709 people aged 40 to 70 years. As a result of processing of the data yielded the following figures: minimal erectile dysfunction, which in principle do not interfere with live more or less a full sexual life were detected in 17% of respondents, moderate violations, which have a significant influence on the quality of sexual life are found in 25% of respondents and the complete impotence – 10%. Thus, disturbances of erection of different severity were detected in 52%   men.

In real terms this means that 18 million American men have a place of erectile dysfunction of different severity. Needless to say, the figure is huge! In this case the obtained data clearly show that the prevalence and severity of erectile dysfunction is strictly correlated with age, while not a sign of very old age.
High injury of the male population (common are injuries of the pelvic bones, which resulted in very often suffer from blood vessels supplying the penis), alcoholism and smoking of low-quality varieties of tobacco. In addition to these three causes of common risk factor for erectile dysfunction is psychological stress, which leads to a depressed mood, reduced sex drive in men and as a consequence – the development of erectile dysfunction. As a result, more than 30% of the male population over age 50 have pronounced erectile dysfunction, and the age of 60 complete impotence occurs in 25% of men. These dismal. But with the advent of Viagra , in our opinion, this alarming statistics can change for the better.