What is Impotence? Impotence or erectile dysfunction is the consistent inability to achieve or maintain an erection. While it is quite normal to struggle to sustain an erection from time to time, it can become a problem when this becomes a regular occurrence. Impotence is very common and approximately 10 to 15 million American men are trying to cope with this type of sexual dysfunction. Men who suffer from impotence may either be unable to achieve an erection at all, may have difficulty maintaining it for more than a brief period of time, or their ability to sustain an erection can be variable, being able to on certain occasions and on other occasions not all. Impotence is largely due to a lack of blood flow ( poor circulation) to the penis that results in the inability to achieve or maintain an erection leading to poor or unachievable sexual performance. This condition is often very difficult and embarrassing for men to discuss because their sexual performance is usually considered an indication of their virility. It can also affect personal relationships, especially those with your partner, and can lead to a loss of intimacy, conflict, anxiety, added stress and even anger. An erection usually occurs as a result of sensory or mental sexual stimulation but it may also occur spontaneously, often at night during erotic dreams. When a man is sexually stimulated, nerve signals trigger the flow of blood from the arteries into the spongy tissue of the penis. The blood creates pressure causing the penis to expand and become erect. When the penis muscles contract to stop the inflow of blood and open outflow channels, the erection subsides. If there is any interference with the nerve signals or blood flow responsible for activating erections, impotence may occur. Symptoms and Signs of Impotence The symptoms of impotence may range from mild to severe. Men with mild symptoms of impotence may achieve an erection occasionally. They may have difficulty engaging in intercourse because the erection cannot be sustained. Very often the erect penis is not long, hard or elevated enough for penetration. Some men may stop having erections during sleep or upon awakening. Others with low testosterone levels may develop enlarged breasts, raised voice pitch, shrinking testes, loss of energy and muscle mass. Men suffering from severe impotence are rarely able to achieve an erection. What Causes Impotence? There are many physical and psychological factors that may contribute to impotence. Physical factors include disorders that decrease blood flow or narrow arteries, cause neurological damage and reduced energy levels. Physical factors include: * Arteriosclerosis * Blood clot * Diabetes * Heart and vascular disease * Kidney disease * Spinal disease * Multiple sclerosis * Peripheral nerve disorders * Stroke * Low levels of testosterone * Alcoholism * Drug abuse * Fatigue * Stress * Obesity * Certain prescription or recreational drugs * Physical inactivity Psychological factors : * Depression * Performance anxiety * Guilt * Fear of intimacy * Previous sexual abuse or rape * Ambivalence about sexual orientation
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