There is a man’s body, but can not do manly things, impotence is like a heavy iron shackles clasp men’s hearts, making their days depressed and heavy. American sexologist Kaplan has also said, “Impotence patients play the saddest role on the stage of life.” However, in our lives, there are many men who cannot wield this sadness. According to the results of the American MMAS study, the incidence of impotence in men aged 40-70 is about 52%, of which 17% are mild, 25% are moderate and 10% are severe; a research study conducted in China shows that men over 20 years of age have about 26% of impotence of various degrees. In order to quit the “stage of sorrow”, they “search” for medical advice, but in the end, many people still end up in a “miserable” situation. What is “impotence”? Most people know that men can not raise Yang or raise but not firm, called “impotence”. The “yang” here refers to the penis. Since 1993, the National Institutes of Health has renamed impotence as “erectile dysfunction”, or ED for short, and redefined it as: (1) inability to raise the penis or erect but not firm, the penis can not be inserted into the vagina during sexual intercourse; (2) although barely inserted, but can not freely control the pumping in the vagina, erection time can not be maintained for a long enough (3) the above two bad conditions have lasted for a long time (generally refers to more than three months). It can be seen that if the above-mentioned bad situation happens occasionally during the sexual life of a couple due to the influence of interpersonal relationship, mood, environment, etc., it is not considered impotence. Self-diagnosis of “impotence” Impotence is an act of self-diagnosis. For this reason, our urologists and male specialists have developed the following five-question assessment questionnaire based on the International Index of Erectile Function (IIEF) and combined it with our cultural background. How is your sex life in the past 3 months? Please answer: 1. How confident are you in getting and maintaining an erection? Choose () A. Very low B. Low C. Medium D. High E. Very high 2. How many times can the penis get an erection when sexually stimulated? Choose () A. Almost no B. A few times C. About half the times D. More than half the times E. Almost always 3. How many times can the penis penetrate the vagina during sexual intercourse? A. Almost no B. Few times C. About half times D. More than half times E. Almost always 4.How many times can the penis maintain an erection after vaginal penetration during intercourse until completion of intercourse? Choose () A. Almost no B. A few times C. About half the times D. More than half the times E. Almost always 5, how many times during sexual intercourse to get satisfied? Choose () A. Almost no B. A few times C. About half the times D. More than half the times E. Almost always The above questions are only applicable to men who have been sexually active and trying to have intercourse in the last 3 months to fill in. Men who are not sexually active can answer when they have been sexually active in the past 6 months or longer. There are 5 answers to each question, choose the one that best suits you. Choose A for 1 point, B for 2 points, C for 3 points, D for 4 points, E for 5 points, and then add up the scores for each question to calculate the total score (maximum total score of 25). Conclusion: If your total score is higher, it means that your erectile function is better. A total score > 21 diagnoses no erectile dysfunction; 12 to 21 diagnoses mild erectile dysfunction; 8 to 11 diagnoses moderate erectile dysfunction; 5 to 7 diagnoses severe erectile dysfunction. If you self-diagnose erectile dysfunction, you should promptly consult with a urologist or male physician and seek safe, easy and effective treatment options. The body of a man, but can not do the things of a man, impotence is like a heavy iron shackles buckle men’s hearts, making their days depressed and heavy. American sexologist Kaplan also said, “Impotent patients play the saddest role on the stage of life.” Xiangnan College Hospital Male Department Zeng Rong However, in our lives, there are many men who cannot wield this sadness. According to the results of the U.S. MMAS study, the incidence of impotence in men aged 40-70 is about 52% of which 17% are mild, 25% are moderate and 10% are severe; a research study conducted in China shows that men over 20 years old have about 26% of impotence of different degrees. In order to quit the “stage of sorrow”, they “seek” to seek medical advice, but in the end, many people still end up in a “miserable” situation. What is “impotence”? Most people know that men can not raise Yang or raise but not firm, called “impotence”. The “yang” here refers to the penis. Since 1993, the National Institutes of Health has renamed impotence as “erectile dysfunction”, or ED for short, and redefined it as: (1) inability to raise the penis or erect but not firm, the penis can not be inserted into the vagina during sexual intercourse; (2) although barely inserted, but can not freely control the pumping in the vagina, erection time can not be maintained for a long enough (3) the above two bad conditions have lasted for a long time (generally refers to more than three months). It can be seen that if the above-mentioned bad situation happens occasionally during the sexual life of a couple due to the influence of interpersonal relationship, mood, environment, etc., it is not considered impotence. Self-diagnosis of “impotence” Impotence is an act of self-diagnosis. For this reason, our urologists and male specialists have developed the following five-question assessment questionnaire based on the International Index of Erectile Function (IIEF) and combined it with our cultural background. How is your sex life in the past 3 months? Please answer: 1. How confident are you in getting and maintaining an erection? Choose () A. Very low B. Low C. Medium D. High E. Very high 2. How many times can the penis get an erection when sexually stimulated? Choose () A. Almost no B. A few times C. About half the times D. More than half the times E. Almost always 3. How many times can the penis penetrate the vagina during sexual intercourse? A. Almost no B. Few times C. About half times D. More than half times E. Almost always 4.How many times can the penis maintain an erection after vaginal penetration during intercourse until completion of intercourse? Choose () A. Almost no B. A few times C. About half the times D. More than half the times E. Almost always 5, how many times during sexual intercourse to get satisfied? Choose () A. Almost no B. A few times C. About half the times D. More than half the times E. Almost always The above questions are only applicable to men who have been sexually active and trying to have intercourse in the last 3 months to fill in. Men who are not sexually active can answer when they have been sexually active in the past 6 months or longer. There are 5 answers to each question, choose the one that best suits you. Choose A for 1 point, B for 2 points, C for 3 points, D for 4 points, E for 5 points, and then add up the scores for each question to calculate the total score (maximum total score of 25). Conclusion: If your total score is higher, it means that your erectile function is better. A total score > 21 diagnoses no erectile dysfunction; 12 to 21 diagnoses mild erectile dysfunction; 8 to 11 diagnoses moderate erectile dysfunction; 5 to 7 diagnoses severe erectile dysfunction. If you self-diagnose erectile dysfunction, you should promptly consult with a urologist or male physician and seek safe, easy and effective treatment options. First look at the causes of impotence The causes of impotence are complex, with a range of psychological and physiological factors involved in the formation of erectile dysfunction, the main cause being vascular lesions, other important causes including endocrine causes, neurological diseases, psychological factors, etc. Neurogenic impotence refers to the premise that there is sexual impulse and sexual excitement, but due to blocked nerve transmission pathways, or organic lesions in the penis, such as: pelvic fractures, perineal trauma; diabetes causing neurotrophic disorders, senile degenerative nerve lesions; vascular impotence is caused by cardiovascular disease and the lack of elasticity of the blood vessels supplying the penis, narrowing of the lumen blood flow slows down and decreases, making it difficult to fill the cavernous body with blood and completely The erection, or even the inability to erect at all. Of course, there are many other causes of organic impotence, such as long-term heavy smoking, alcohol abuse, or long-term use of certain drugs. In fact, although many impotent patients can find some organic causes, they are inevitably mixed with psychological factors, such as anxiety about their impotence and fear of having sex with impotence again. Therefore, in clinical work, patients with mixed impotence predominate. In general, young and middle-aged impotence patients have the majority of psychological impotence; as they get older, especially the elderly, they have more organic and mixed impotence. Can impotence be treated in the end? Of course it can. If it can be diagnosed early, medication or simple surgery can be used according to the cause, but if it is irreversible organic impotence, then the only treatment is to perform penile prosthesis (three pieces) implantation. At present, our hospital is the only tertiary hospital in Chenzhou that can perform this procedure. The causes of impotence are complex, with a series of psychological and physiological factors involved in the formation of erectile dysfunction, the main cause being vascular lesions, other important causes including endocrine causes, neurological diseases, psychological factors, etc. Neurogenic impotence refers to the premise that there is sexual impulse and sexual excitement, but due to blocked nerve transmission pathways, or organic lesions in the penis, such as: pelvic fractures, perineal trauma; diabetes causing neurotrophic disorders, senile degenerative nerve lesions; vascular impotence is caused by cardiovascular disease and the lack of elasticity of the blood vessels supplying the penis, narrowing of the lumen blood flow slows down and decreases, making it difficult to fill the cavernous body with blood and completely The erection, or even the inability to erect at all. Of course, there are many other causes of organic impotence, such as long-term heavy smoking, alcohol abuse, or long-term use of certain drugs.