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Male Impotence

Impotence (the inability to achieve or maintain an erection) is one of the most common sexual problems for men. When men do finally make the effort they are more likely than women to seek help and treatment for sexual problems. sometimes quite simple interventions, information, reassurance, talking to someone, contraceptive advice etc, can resolve the problem.

Physical Causes

Post-surgical side effects; accidental injuries to the penis or testicles, spine or pelvic area; Vascular trauma;
Diseases & conditions e.g. Diabetes, flu, chronic renal failure, liver disease, arterial sclerosis; Parkinsons disease.
Drug abuse- Recreational use or regular chronic over use of addictive drugs such as cocaine, heroin, amphetamines.
Medication-drugs used for depression, Beta blockers for high blood pressure, diuretics.
Hormone-testosterone deficiency, prolactin secreting pituitary tumours, thyroid disorders.
Excessive alcohol consumption.

Psychological Causes

The psychological aspects of erectile dysfunction are considered to have major significance so have to be addressed when seeking treatment. Psychological issues often stem directly from physical problems but psychological factors could also be the prime reason for erectile dysfunction. The most common psychological problems can generally be related to inhibited sexual desire, anxiety, depression, mental fatigue, stress, guilt, relationship problems or lack of interest in sex by partner.


Most erectile dysfunction can be treated and it is important to seek help from a doctor or qualified therapist. If you are in a stable or regular relationship talking about the problem and deciding on the best treatment that fits comfortably with your lovemaking is, of course, going to get the best results. There is still not that much data on the effectiveness of some treatments and the long term outcomes. Depending on the cause, treatments will be either physical, psychological or a combination of the two.

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