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Misdiagnosis of Hidden Causes of Impotence
Underlying conditions list:
The list of possible underlying conditions mentioned in various sources for Impotence includes:
- Various hormonal or metabolic diseases can lead to impotence:
- Kidney disease
- Alcoholism
- Liver disease
- Hormonal abnormalities
- Testosterone deficiency
- Testicle disorder
- Pituitary disorder
- Physical damage of various types can lead to impotence:
- Penile injury
- Pelvic injury
- Spinal cord injury
- Bladder injury (see Bladder symptoms)
- Prostate surgery
- Testicle injury
- Blood or blood vessel disorders that may cause impotence include:
- Atherosclerosis
- Vascular disease
- Arteriosclerosis
- Aortoiliac lesion
- High blood pressure
- Disorders affecting the nerves that may cause impotence include:
- Diabetes - impotence caused by diabetes is often curable by treating the diabetes.
- Neuropathy
- Diabetic neuropathy
- Autonomic neuropathy
- Alcoholic neuropathy
- Multiple sclerosis
- Spinal cord disorders
- Heavy smoking
- Penile nerve disorder
- Brain disorders that may cause impotence include:
- Psychological causes of psychogenic impotence include:
- Stress
- Fatigue
- Anxiety (type of Neurosis)
- Guilt
- Depression
- Low self-esteem (see Self-esteem symptoms)
- Performance anxiety
- Fear of sexual failure
- Disinterest in sex
- Gradual degradation of sexuality in long relationships
- Fear of sexually transmitted diseases
- Fear of angina
- Fear of heart attack
- Boredom
- Sadness
- Reduced libido
- Emotional disorder
- Deep-seated psychological disorder
- Smoking - can contribute to or cause impotence in some cases
- Certain medications
- Pudendal nerve entrapment - impotence
- Hyperprolactinemia - erectile dysfunction
- Polyestradiol
- Cyproterone
- Amitriptyline
- Oxazepam
- Finasteride
- Dysautonomia - impotence
- Hypogonadism
- Type 1 diabetes - impotence
- Pemphigus and fogo selvagem - impotence
- Sexual neuropathy - Impotence
- Pituitary tumors, adult - erectile dysfunction
- Leriche's Syndrome - impotence
- Spinal cord injury, chronic phase
- Diabetes mellitus type 2
- Methyldopa
- Bendrofluazide
- Hydrochlorothiazide
- Frohlich syndrome
- Fracture pelvis
- Rectal surgery
- Desticular dysfunction
- Endocrine disorders
- Paraplegia
- Hypospadias
- Vein disorders
- Alcohol
- War sailor syndrome - impotence
- Type 2 diabetes - impotence
- Shy-Drager Syndrome - impotence
- Sensory ataxic neuropathy, dysarthria, and ophthalmoparesis - erectile dysfunction
- Prolactinoma - impotence
- Male Menopause - decrease in morning erections
- Lambert-Eaton Myasthenic Syndrome - impotence
- Forbes-Albright syndrome - impotence
- Calcification of basal ganglia with or without hypocalcemia - impotence
- Nortriptyline
- Lead poisoning
- Castration
- Bowel surgery - may damage nerves
- Macrocytosis - impotence
- Lorazepam
- Desipramine
- Orchidectomy
- Clonidine
- Renal failure, chronic
- Undescended testes
- Religious conflict
- Moral conflict
- Degenerative diseases of the spinal cord
- Papraplegia
- Excess alcohol
- Hemochromatosis - Impotence
- Acromegaly - impotence
- Guanethidine
- Pituitary tumour
- Atenolol
- Anorexia nervosa
- Memories of previous traumatic sexual experiences
- Adrenocortical dysfunction (see Adrenal gland symptoms)
- Central nervous system disorders
- Kelinefelter's syndrome
- Marital disturbance
- Hypogonadotropic hypogonadism without anosmia, X-linked - erectile dysfunction
- Hypogonadism, isolated, hypogonadotropic - erectile dysfunction
- Brain - bone - fat - impotence
- Ethinylestradiol
- Diethylstilboestrol
- Perineal surgery
- Troubled sexual relationship
- Vascular deficiency
- Abnormal sexual inclination
- Prostate Cancer - erection difficulty
- Chemical poisoning - Trichloroethylene - impotence
- Galactorrhoea-Hyperprolactinaemia
- Fosfestrol
- Cimetidine
- Cyclopenthiazide
- Cushing syndrome
- Bladder neck surgery
- Degenerative diseases of the brain
- Penile disorders
- Tabes dorsalis
- Diabetic autonomic neuropathy
- Postchemotheraphy lymph node dissection
- Bladder Cancer - impotence
- Transthyretin amyloidosis - impotence
- Quadriplegia - impotence
- Impotence - impotence
- Andropause - impotence
- Diazepam
- Dothiepin
- Hexamethonium
- Temazepam
- Leriche syndrome - impotence
- Troubled emotional relationship
- Phimosis
- Spinal-cord compression
- Excess drug taking
- Excess tobacco
- Fear of impotence
- Blood flow disorders
- Winkelman Bethfe Pfeiffer syndrome - Impotence
- Prolactinoma, familial - erectile dysfunction
- Obal syndrome - impotence
- Chronic Kidney Disease - impotence
- Escitalopram
- Klinefelter syndrome
- Penis surgery
- Psychological distress
- Peyronnie's disease
- Amyotrophic lateral sclerosis
- Thyroid dysfunction
- Peyronie's disease - erectile dysfunction
- Spinal cord neoplasm - impotence
- Lactotroph adenoma - erectile dysfunction
- Hypopituitarism - Impotence
- Methyldopate
- Propranolol
- Torsion of both testes
- Urinary sphincter surgery
- Pituitary dysfunction
- Tight frenum
- Weinstein Kliman Scully syndrome - Erectile dysfunction
- Spinal Muscular Atrophy - impotence
- Male sexual conditions - Erectile dysfunction
- Cathinone poisoning - impotence
- Andrade's syndrome - impotence
- Clonazepam
- Spinal cord tumor
- Chronic hepatic disease (see Liver symptoms)
- Abdominoperineal resection
- Cushing's syndrome
- Psychogenic
- Addison's disease
- Local trauma
- Drugs
Impotence as a complication:
Other conditions that might have Impotence as a complication might be potential underlying conditions. The list of conditions listing Impotence as a complication includes:
- Acromegaly
- Alcoholism
- Atherosclerosis
- Autonomic neuropathy
- Bladder Cancer
- Diabetes
- Diabetic neuropathy
- Hemochromatosis
- Hemochromatosis-related diabetes
- Pemphigus and fogo selvagem
- Peyronie's disease
- Prolactinoma
- Type 1 diabetes
- Type 2 diabetes
Impotence as a symptom:
Conditions listing Impotence as a symptom may also be potential underlying conditions.
For a more detailed analysis of Impotence as a symptom, including causes, drug side effect causes, and drug interaction causes, please see our Symptom Center information for Impotence.
- Acromegaly
- Alcoholism
- Andrade's syndrome
- Andropause
- Atherosclerosis
- Brain - bone - fat
- Calcification of basal ganglia with or without hypocalcemia
- Cathinone poisoning
- Chemical poisoning - Toluene Diisocyanate
- Chemical poisoning - Trichloroethylene
- Chronic Kidney Disease
- Diabetic neuropathy
- Dysautonomia
- Forbes-Albright syndrome
- Hematochromatosis
- Hyperprolactinemia
- Hypogonadism, isolated, hypogonadotropic
- Hypogonadotropic hypogonadism without anosmia, X-linked
- Hypopituitarism
- Impotence
- Lactotroph adenoma
- Lambert-Eaton Myasthenic Syndrome
- Leriche syndrome
- Leriche's Syndrome
- Macrocytosis
- Male sexual conditions
- Multiple Sclerosis
- Obal syndrome
- Pituitary tumors, adult
- Primary prostate cancer
- Prolactinoma
- Prolactinoma, familial
- Pudendal nerve entrapment
- Quadriplegia
- Sensory ataxic neuropathy, dysarthria, and ophthalmoparesis
- Sexual neuropathy
- Shy-Drager Syndrome
- Spinal cord neoplasm
- Spinal Muscular Atrophy
- Transthyretin amyloidosis
- War sailor syndrome
- Weinstein Kliman Scully syndrome
- Winkelman Bethfe Pfeiffer syndrome
Discussion of underlying conditions of Impotence:
Impotence: NIDDK (Excerpt)
Since an erection requires a sequence of events, impotence can occur when any of the events is disrupted. The sequence includes nerve impulses in the brain, spinal column, and area of the penis, and response in muscles, fibrous tissues, veins, and arteries in and near the corpora cavernosa.
Damage to arteries, smooth muscles, and fibrous tissues, often as a result of disease, is the most common cause of impotence. Diseases--including diabetes, kidney disease, chronic alcoholism, multiple sclerosis, atherosclerosis, and vascular disease--account for about 70 percent of cases of impotence. Between 35 and 50 percent of men with diabetes experience impotence.
Surgery (for example, prostate surgery) can injure nerves and arteries near the penis, causing impotence. Injury to the penis, spinal cord, prostate, bladder, and pelvis can lead to impotence by harming nerves, smooth muscles, arteries, and fibrous tissues of the corpora cavernosa.
Also, many common medicines produce impotence as a side effect. These include high blood pressure drugs, antihistamines, antidepressants, tranquilizers, appetite suppressants, and cimetidine (an ulcer drug).
Experts believe that psychological factors cause 10 to 20 percent of cases of impotence. These factors include stress, anxiety, guilt, depression, low self-esteem, and fear of sexual failure. Such factors are broadly associated with more than 80 percent of cases of impotence, usually as secondary reactions to underlying physical causes.
Other possible causes of impotence are smoking, which affects blood flow in veins and arteries, and hormonal abnormalities, such as insufficient testosterone. (Source: excerpt from Impotence: NIDDK)
Keep your nervous system healthy: NIDDK (Excerpt)
Autonomic nerves go to the penis. Damage to these nerves can prevent a man's penis from getting firm when he wants to have sex. This condition is called impotence (IM-po-tents). Many men who have had diabetes for many years experience impotence. (Source: excerpt from Keep your nervous system healthy: NIDDK)
Sexuality Later in Life - Age Page - Health Information: NIA (Excerpt)
Sexuality is often a delicate balance of emotional and physical issues. How we feel may affect what we are able to do. For example, men may fear impotence will become a more frequent problem as they age. But, if you are too worried about impotence, you can create enough stress to cause it. As a woman ages, she may become more anxious about her appearance. This emphasis on youthful physical beauty can interfere with a woman’s ability to enjoy sex. (Source: excerpt from Sexuality Later in Life - Age Page - Health Information: NIA)
About underlying conditions:
With a diagnosis of Impotence,
it is important to consider
whether there is an underlying condition causing Impotence.
These are other medical conditions that may possibly
cause Impotence.
For general information on this form of misdiagnosis, see Underlying Condition Misdiagnosis
or Overview of Misdiagnosis.
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