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Impotence is a condition in which a man
is unable to achieve an erection or sustain an erection
long enough for sexual intercourse. Erection problems
are common and may have a physical and/or psychological
basis. Transient impotence may be caused by mild
anxiety, depression, or stress. Chronic impotence may be
due to such factors as aging, medications, chronic
disease, diabetes, alcoholism, or drug addiction.
Psychological problems such as anxiety, depression,
guilt, stress, or unresolved anger can also lead to
chronic impotence. If you are able to have erections
upon waking or with masturbation, but not with other
sexual activity, your impotence may have psychological
causes. Diagnosis of impotence begins with a thorough
history, physical examination, and lab tests.
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There are many treatment options ranging
from medications and external devices to surgical
treatments. Most men experience sexual dysfunction at
some time in their lives, although they are reluctant to
talk about it or seek help. If you are consistently
unable to have an erection or are experiencing other
sexual problems, discuss them with a physician or
urologist. |