What does impotence mean?

Impotence refers specifically to the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. This term is commonly used in medical contexts to address erectile dysfunction, where a man is unable to have or sustain an erection during sexual activity. This condition can stem from various physical or psychological factors, including hormonal imbalances, chronic illnesses, psychological issues, or other medical conditions.

While other options mention aspects related to sexual health, they do not directly reflect the definition of impotence. The inability to produce sperm pertains to fertility issues rather than erectile function. The absence of sexual desire relates to libido or sexual interest, which is distinct from impotence. Maintaining sexual health encompasses a broader range of issues, including both erectile function and overall sexual wellness, but does not solely define impotence. Thus, the correct choice clearly captures the essence of what impotence entails in terms of erectile capability.