Impotence can be one of the main reasons for male infertility. Clinically the definition of impotence is "the inability to attain or sustain an erection for penetration during intercourse." It's also called erectile dysfunction of ED. Impotence can be a long term or a short term problem and can often be treated so getting medical attention to fix the problem is crucial.
Hormonal imbalances like a thyroid or pituitary malfunction can affect the ability to get or maintain an erection as well as the ability to ejaculate. Low testosterone levels can also cause impotence and is caused by hormonal imbalances.
Certain medications can cause erectile dysfunction. These include morphine, muscle relaxants, anti-depressants, high blood pressure medication and diuretics. Even Benadryl and other anti-histamines have been known to cause impotence.
Injuries like pelvic fractures, puncture wounds to the testes, bladder or penis, straddle injuries and (obviously) penile amputation can cause erectile dysfunction. So can structural problems to the body like muscle damage or malformation, congenital nerve structure anomalies or injures to the blood vessels in the penis or pelvis.
Psychological and physical ailments are commonly associated with ED as well. These include depression, low self-esteem, stress, indifference, anxiety, diabetes, hypertension, kidney disease, stroke, MS, muscular dystrophy, stroke or Parkinson's disease.
It's important to treat impotence for your personal sex life as well as to help you and your partner conceive without undergoing fertility treatments. Treatments for erectile dysfunction are usually not difficult, are less invasive than fertility treatments like IVF, and cost significantly less.
Hormone imbalances can be treated with testosterone replacement therapy and is usually only done if medical tests confirm there's a deficiency. Sometimes a drug is injected directly into the penis shaft to make it erect when you want to have sex, but it's not fully known if this helps fertility. This drug takes about 15 minutes to work.
Psychosexual therapy is used to treat impotence caused by psychological ailments. Some medical researchers estimate that as high as 90 percent of the cases of erectile dysfunction in men are because of a psychological cause.
There are also a variety of medical treatments available to treat ED. Viagra, Cialis and Levitra are the most advertised aids. They don't increase sexual desire and work by helping you get or maintain an erection if already sexually stimulated. Transurethral therapy involves inserting a small medicine pellet into the urethra where it gets absorbed into the erectile tissue of the penis to create an erection within ten minutes. Sexual stimulation is not required to achieve an erection.
These treatments are proven to work to treat impotence, but you'll need to discuss with your doctor if they'll affect any other aspects of your fertility such as the viability of your sperm.