Some men with PAIS may experience sexual dysfunction including impotence and anejaculation. Its use has diminished since the development of oral impotence medications. Trujillo's character struggles with aging and the physical problems of incontinence and impotence. She also reported how people would come to her looking for a cure for impotence. The apparent impotence of medical knowledge against the disease prompted critical examination. In addition, atrophy of the testes and impotence may occur. He resents others for his impotence, particularly women. Nurbanu accused Safiyye and her retainers of causing Murad's impotence with witchcraft. This served to exacerbate Congress's impotence. After twenty, they are not considered adults if they show signs of impotence. Then she abandons him, introducing the themes of emotional and financial impotence. The condition is also on occasion called "phallic impotence". Painfully aware of his own poverty and impotence, his thoughts return to his idea. Henry's alleged "permanent impotence" only affected his relations with Blanche. Frank Harris also suspected Carlyle of impotence.