Impotence
Impotence, also known as erectile dysfunction (ED), is the inability to achieve or sustain an erection sufficient for sexual activity. It can be caused by a variety of factors, including neurological, hormonal, and vascular issues, as well as ageing and chronic health conditions. While erectile dysfunction is common, the good news is that it is treatable.
Early diagnosis and treatment of erectile dysfunction can significantly improve men’s sexual health and overall well-being. At Dr. Kamaraj Hospital, our dedicated team is committed to diagnosing and addressing erectile dysfunction using advanced treatment methods to help restore sexual health and support family planning.

Symptoms of Erectile Dysfunction
The common symptoms of impotence or erectile dysfunction include:
- Inability to achieve an erection at any time
- Occasionally able to achieve an erection, but not consistently when desired
- Able to get an erection but unable to maintain it long enough for intimacy
Common tests for diagnosing impotence or erectile dysfunction include:
- Physical Examination and Medical History: A detailed medical history helps identify potential causes of ED, including lifestyle habits, medical conditions, or medications.
- Blood Tests: Blood tests can detect conditions like heart disease, diabetes, or low testosterone levels, which may contribute to ED.
- Urinalysis: This test helps identify underlying health issues, such as diabetes, that may be linked to erectile dysfunction.
- Psychological Examination: Since mental health can affect sexual function, a psychological assessment may identify issues like anxiety, stress, or depression contributing to ED.
Causes of Erectile Dysfunction
Erectile dysfunction can result from a range of factors, including:
- Vascular Issues: Inadequate blood flow to the penis is a leading cause of erectile dysfunction.
- Psychological Factors: Conditions like anxiety, depression, stress, and relationship difficulties can trigger or worsen ED.
- Chronic Health Conditions: Illnesses such as diabetes, obesity, kidney disease, and heart conditions can increase the risk of impotence.
- Hormonal Imbalances: Low testosterone levels or other hormonal imbalances can affect sexual function, leading to ED.
- Medication Side Effects: Certain medications, including those for high blood pressure, depression, ulcers, and antiandrogens, may cause impotence as a side effect.
Types of Erectile Dysfunction
Erectile dysfunction can be classified into four distinct types:
Vascular ED
This occurs due to reduced blood flow to the penis, often resulting from conditions such as atherosclerosis, hypertension, or diabetes.
Neurogenic ED
This type develops when nerve damage or neurological disorders interfere with the signals required for an erection.
Hormonal ED
This arises from hormonal imbalances, particularly low testosterone, which can negatively impact libido and erectile function.
Psychogenic ED
This type is influenced by psychological factors like stress, anxiety, or depression, which affect sexual arousal even when physical structures are intact.

Treatment for Erectile Dysfunction
Erectile dysfunction can be treated in various ways, depending on its underlying cause and severity. Here are some common impotence treatment options:
- Oral Medications: Depending on the cause, oral medications are sometimes prescribed to help achieve an erection.
- Intracavernosal (ICI) and Urethra (IU) Therapies: If oral medications don’t work, these therapies are used to treat ED. These therapies involve delivering medication directly to the erectile tissue via injection (ICI) or insertion into the urethra (IU).
- Vacuum Erection Devices: This mechanical device creates a vacuum around the penis, drawing in blood, and uses a constriction ring at the base to maintain the erection.
- Testosterone Therapy: For men with low testosterone levels, testosterone therapy may help restore sexual function and improve libido.
Process of Erectile Dysfunction Treatment at KHPL
At Dr. Kamaraj Hospital, we offer a comprehensive three-step approach to address impotence. This includes:
Step 1:
History and Assessment
We begin with a comprehensive review of the patient’s sexual, medical, and psychosocial history, focusing on the onset, severity, and duration of ED symptoms.
Step 2:
Physical Exam and Tests
Our expert team conducts a thorough physical examination, assessing the genitourinary, endocrine, vascular, and neurological systems to identify issues, such as poor circulation or Peyronie’s plaques.
Step 3:
Specialised Testing
Depending on initial findings, we may recommend advanced tests like nocturnal penile tumescence (NPT) or Doppler ultrasound for a more accurate diagnosis.
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FAQ
What is the fastest way to cure erectile dysfunction?
Medications may offer quick relief for many cases, but treatment effectiveness depends on individual health factors.
What are the precautions to be taken after impotence treatment?
It is important to maintain a healthy lifestyle and follow medical guidance after undergoing impotence treatment.
What is the biggest cause of impotence?
Common causes of impotence include vascular issues, ageing, and certain chronic health conditions.
What is the best treatment for impotence?
Impotence treatment depends on the individual’s test results and the underlying cause of the condition.
How to reverse erectile dysfunction?
It typically involves addressing underlying health factors, adopting healthier lifestyle habits, and using prescribed treatments.
Meet Our Doctor

Dr. T. Kamaraj
Sexologist & Male Infertility Specialist

Dr. J. S. Jeyarani Kamaraj
Infertility Specialist