Depending on the causes of impotence, texts of ayurveda defines 4 types of impotence. This helps ayurveda doctors to form a right diagnosis and suggest the best line of treatment.
Texts of Ayurveda have laid much more importance to sexual function of males, as this is an important factor in reproduction and birth of healthy children. Impotence or Erectile dysfunction is inability to perform sexual function with partner. This is known as claibya or napumsakata in Ayurveda. Ayurveda scholar Charakacharya explains the causes of erectile dysfunction or klaibya in chikitsa sthana or treatment part of Charaka Samhita. He also explains different types of Impotence based on causative factors.
Types of Impotence or erectile dysfunction According to Ayurveda
When quality and quantity of semen or shukra dhatu is reduced , it causes Bijopaghataja Klaibya . When there is a low supply of nutrition to male reproductive parts and tissues, the quality of shukra dhatu suffers leading to shukra kshaya or diminishing of shukra dhatu.
This type of impotence is experienced whenever male reproductive tissues experience degeneration or trauma. Causes for this type of impotence are long standing diseases, lack of nutrition, damage to penile tissues like pyronies disease, trauma etc.
Many experience erectile dysfunction in old age. This is known as jaraja klaibya. Age related causes like tissue degeneration, reduced quality and quantity of shukra dhatu (testosterone and semen), diseases, medications, lack of nutrition etc cause this type of erectile dysfunction.
Shukra kshayaja Klaibya
Semen gets exhausted when it is ejaculated more frequently. This decreases quantity of shukra dhatu. Reduced quantity and quality of shukra dhatu causes Shukra kshayaja Klaibya .
Acharya Charaka recommends Ayurveda Vajikarana Therapy to fight these types of impotence. Vajikarana Herbs which are included in preparations of Vajikarana Therapy, help to restore the normal sexual function.
Types of Impotence according to Modern Theory
Apart from these modern medical system also describes types of erectile dysfunction or impotence. Hayden Eck explains them as follows.
Impotence, also known as, erectile dysfunction is a common sexual problem that affects millions of men across the world. Men suffering from impotence face a consistent inability to achieve or maintain an erection that is sufficient enough to complete sexual intercourse. Impotence is treatable and men suffering from this condition can lead a normal sexual life. Depending on the cause of impotence, medical experts have defined 6 types of impotence. This helps doctors to form a right diagnosis and suggest the best line of treatment.
Arteriogenic impotence occurs when arteries supplying blood to the penis become narrow. The penis is therefore not able to receive enough blood required for erection. Arteriogenic impotence is noticed more in elderly people, especially those suffering from diabetes or high blood pressure. Bicycle riders may also report this type of impotence as they frequently sustain friction in the arterial region, which causes a clot-like formation to develop in the artery.
Also known as hormonal impotence, Endocrinologic impotence occurs because of imbalance or insufficiency of sex hormones – testosterone and estrogen – in the blood stream. It accounts for nearly 5 to 10% of all organic impotence.
Impotence from diabetes mellitus
Impotence is very common among diabetics. In fact, around 50% of all diabetics are patients of male impotence. Men suffering from diabetic erectile dysfunction should make efforts to control their blood sugar levels by changing their lifestyle and eating habits and must also get their blood sugar levels monitored on a monthly basis.
The nerve supply to the penis is very delicate and complicated. Erection is achieved or maintained because of the impulses conducted along the nerves in the penis; since, they control the arteries and veins, which change the blood flow within the penis. An injury to the back especially those involving the vertebral column and the spinal cord or other nerves related to the penis, besides injury to other nerves in the penis may also cause neurogenic impotence. As a result, surgeries on the rectum prostate, urethra, spine and urinary bladder may be performed to help treat impotence.
Impotence may also occur because of psychological reasons. Men suffering from psychogenic impotence do not have any of the physical problems that otherwise cause impotence. Depression, stress and relationship problems are some of the factors that may cause psychogenic impotence.
During erection, the veins lock down almost entirely to prevent the blood from going out of the penis. However, in some men the veins leak blood, and because of this reason, the penis fails to maintain an erection causing venogenic impotence. This type of impotence is also quite common and accounts for almost 30-70% of all impotence cases.
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