Erectile dysfunction (ED) is affecting many middle-aged men. The term ‘erectile dysfunction’, which was recently referred to as impotence, embraces a wide range of sexual disorders in men. It usually refers to an inability to achieve or maintain an erection and thus affecting sexual lives of many men and their partners somehow or the other.

Usually changes in erectile function occur as men progress with age. It takes more time for erections to be obtained and they may not be as stiff as before or may require more efforts and stimulation. As men progress with age their orgasms may become less intense, the ejaculate volume may decrease and refractory period between erections may have increased. Separate cases of erectile dysfunction may happen to most men, but it may not affect some psychologically.

In some cases men may experience complete and chronic erectile dysfunction. In others they achieve partial or short erections. Emotional problems and relationship drifts could be result from frequent ED, which often leads to low self confidence in both partners. Most of ED causes can be treated, which means that this is not an inevitable consequence of aging. Despite the fact that ED is more common in men older than 40 years, it may possibly occur at any age.

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Causes of impotence (or ED) could be physical, nonphysical or both.

Physical causes of erectile dysfunction:
• Age
• Excess use of alcohol and tobacco/nicotine/cigarette
• Fatigue/anxiety/stress
• Brain or spinal-cord injuries
• Low testosterone levels i.e. Hypogonadism
• Parkinson’s disease
• Radiation therapy to the testicles
• Heart stroke/s
• Some types of prostate or bladder surgery
• Hyperglycemia (high blood sugar)
• Hypertension (high blood pressure)

The Symptoms are :

Erectile dysfunction (or Impotence) can be categorized under the following patterns:

• Inability to achieve erections occasionally
• Inability to maintain erections during sexual intercourse
• Absolute inability to achieve erections