IMPOTENCE

 

• Psychogenic.

• Endocrine:   hyperprolactinemia,   DM,   Cushing's   syndrome,  hypothyroidism or hyperthyroidism, abnormality of hypothalamic-pituitary-testicular axis.

• Vascular: arterial insufficiency, venous leakage, AV malformation, local trauma.

• Medications.

• Neurogenic: autonomic or sensory neuropathy, spinal cord trauma or tumor, CVA, multiple sclerosis, temporal lobe epilepsy.

• Systemic  illness:  renal  failure,  COPD,  cirrhosis  of liver,  myotonic dystrophy.

• Peyronie's disease.

• Prostatectomy.