Impotence Introduction   Impotence, also referred to as erectile dysfunction, is the inability to achieve or maintain a sufficient erection of the penis for sexual intercourse.  Impotence may also describe other problems of sexual function, such as lack of sexual desire, premature ejaculation, ejaculatory failure, or inability to achieve an orgasm.  The term erectile dysfunction, or ED, more precisely defines the complete inability, or inconsistent ability, to achieve an erection.   Impotence may be caused by a variety of physiological and psychological disorders.  In most cases, impotence is due to physiological causes, such as injury, disease, or prescription drugs.  Injury or trauma to the nerves, vasculature, smooth muscles, or tissues of the male sexual organs, can also cause ED.  Surgery, such as radical prostatectomy, bladder surgery for cancer, and radiation therapy for cancer of the prostate, bladder, or rectum, can injure nerves and arteries of the penis, resulting in ED.   Diseases such as atherosclerosis (hardening of the arteries), diabetes, kidney disease, chronic alcoholism, multiple sclerosis, enlarged prostate, vascular disease, and neurologic disease are responsible for the majority of diagnosed ED cases. Atherosclerosis, or hardening of the arteries, is the most common cause of impotence, occurring in nearly half of the men over fifty who have ED.  Up to 50 percent of diabetic men over fifty may also experience ED.   A long list of prescription medications, such as antihypertensives (blood pressure drugs), antihistamines, antidepressants, tranquilizers, appetite suppressants, and other drugs, can cause ED.   Psychological factors, such as stress, anxiety in a sexual situation, sexual performance pressure, fear of sexual failure, or an emotional disorder, cause 10 to 20 percent of ED cases.  Men with ED resulting from a physiological cause may also experience these psychological problems.   Other factors that may cause impotence include long-term alcohol consumption and/or tobacco use, and hormonal problems, such a low testosterone levels [1-3].     Impotence Statistics   According to The National Kidney and Urologic Diseases Information Clearinghouse (NKUDIC), National Institute of Health [4]: Underlying diseases are responsible for 70 percent of impotence   Atherosclerosis is the most common cause of impotence in over half the men over age 50 with ED   About 15 to 30 million American men are affected by impotence   Impotence affects 5 percent of 40 year old men, and between 15 and 25 percent of 65 year old men   Between 35 and 50 percent of diabetic men over age 50 have ED   Impotence Symptoms   Impotence may have one or more of the following symptoms: A loss of sexual desire An inability to achieve or maintain and erection Premature ejaculation Failure to ejaculate An Inability to achieve orgasm   Learn More About Impotence Impotence Introduction Impotence Treatment Products helpful for Impotence   Learn More

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