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Late-onset hypogonadism (LOH) or testosterone deficiency syndrome (TDS) [1] [2] is a term for a condition in older men characterized by measurably low testosterone levels and clinical symptoms mostly of a sexual nature, including decreased desire for mating, fewer spontaneous erections, and erectile dysfunction. [3]
Erectile dysfunction (ED), also referred to as impotence, is a form of sexual dysfunction in males characterized by the persistent or recurring inability to achieve or maintain a penile erection with sufficient rigidity and duration for satisfactory sexual activity.
Erectile dysfunction can cause a “self-perpetuating cycle of anxiety and performance pressure,” says one expert. ... 60% of men over the age of 50 and 80% of men after their 60th birthday ...
[2] [30] [31] [5] Ordinary anxiety can cause erectile dysfunction in men without psychiatric problems, but clinically diagnosable disorders such as panic disorder commonly cause avoidance of intercourse and premature ejaculation. [32] Pain during intercourse is often a comorbidity of anxiety disorders among women. [33]
Chronic smoking causes erectile dysfunction in men due to a decrease in vasodilation of vascular endothelial tissue. [25] Alcohol dependence can lead to erectile dysfunction in mend and reduced vaginal lubrication in women. [26]
Erectile dysfunction, tied closely as it is to cultural notions of potency, success and masculinity, can have devastating psychological consequences including feelings of shame, loss or inadequacy. [27] There is a strong culture of silence and inability to discuss the matter. Around one in ten men experience recurring impotence problems at some ...
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