Injury to the Testicles
Nature has done a fairly good job of protecting the testicles despite their somewhat vulnerable location. Simply getting bumped or bruised in the groin will not usually cause any permanent damage to these sexually vital organs—although it can be excruciatingly painful. But severe injury to the testicles, which results in significant swelling, bleeding and bruising, can permanently damage these organs and impair their ability to manufacture testosterone. Luckily, nature has given men some protection by providing testicles in pairs; if just one testicle is injured, the other will almost always produce enough testosterone to keep the body running properly. For potency to be affected, both testicles must be impaired.
Testosterone: Pills or Shots?
Your doctor can prescribe testosterone in pill form, or give you injections. Because the pills aren’t absorbed efficiently in the body, and may cause liver damage, we favor taking any needed testosterone by shot. The slight inconvenience of the needle seems outweighed by the increased effectiveness and safety of the drug. (Usually, the shots must be given about every three weeks.)
Nerve Diseases
Any disease or injury that damages the nervous system can cause erection problems. Multiple sclerosis, spinal cord injuries and other back problems, epilepsy, stroke and Parkinson’s disease are among the most common causes of nervous system-linked potency problems, a few of which are discussed below.
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