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IMPOTENCE OR ERECTILE DYSFUNCTION (ED): A Great Killer of Male Self Image and Esteem. Written by Dr. Ejike Udeze



Before we delve into this topic I’d like to make it clear that this is not intended to make anybody feel bad about themselves and as such the diagnosis of ED requires a visit to your doctor.
By definition ED is the regular or repeated inability of a man to achieve and maintain an erection enough for sexual intercourse. It is not a one time event.

Who suffers from impotence?
Research has shown a great percentage(40%) of males have ED at one point in their lives or the other. Though anybody can be impotent it’s more with the aged, above 60 years of age. More with smokers as smoking tends to occlude the blood vessels in all parts of the body. ED has been noted more in people with some medical conditions such as diabetes mellitus, hernia of the groin region, conditions of the prostate, liver and kidney problems, heart and blood vessel problems.
Studies have also shown that exercise confers a protective influence against ED. Particularly aerobic exercises such as running, playing soccer, swimming, long distance walks. Hence it is always advisable to engage in these exercises especially in middle ages.


Surgeries and other treatment modalities for cancer of the prostate have been known to cause erectile dysfunction. Some drugs and herbal concoctions cause ED, likewise excessive bicycling.
ED can and do usually arise from psychological issues, stress, anxiety to perform or last long and over expectations. Incompatibility with your sexual partner can also cause ED.
Why visit your doctor first?
It can even be the first pointer to another more debilitating underlying medical condition. Hence if ever you or yours feel bothered by this it is always advisable to first see your doctor. The doctor can then look out for those other medical conditions. And this might be lifesaving as against patronizing chemists who can only give you drugs without knowing if there are other things worrying you.
Most importantly your doctor will be the one to make the diagnosis (it’s not all inabilities to get a hard-on qualifies as ED, there’s a time frame involved), find out the cause and then implement the appropriate treatment.


The treatment of impotence depends on the cause. If it’s psychologically-induced your doctor will know the line of action to toe. If he finds out any of those above mentioned conditions, he goes about first treating them.
He might advise complete abandonment of tobacco in all forms especially smoking. The treatment can simply be to place the patient on exercises. Commonly drugs are used in treating ED, but for want of adherence to medical professionalism none will be mentioned here. These are prescription drugs and must only be given you by your doctor.
There’s no shame in being impotent, visit your doctor today. It might only take surgical repair of that your hernia to bring one back to full action on the bed.
What to do as the female partner
Always support your husband or partner as he goes through this. It’s treatable, and only the woman’s succor might be all he needs to sustain his manhood abi manliness.



Ejike Udeze is a health personnel at Nnamdi Azikiwe University Teaching Hospital (NAUTH). Ejike is always in search of new medical discoveries and breakthrough. You can reach him on Facebook  by clicking here or with his name “Ejike Udeze.


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