However, for one in ten, impotence becomes a chronic condition. It has been estimated that 10 million men in the U.S. are impotent. Erection problems can be caused by illness, drugs, depression, or a vicious cycle of stress and anxiety. Whatever the cause, erection problems can undermine a man's self-confidence and erode his relationship with his partner. The first step a couple can take to restoring a pleasurable sex life is to seek professional help.
Diagnosis begins with a thorough history, physical examination and laboratory tests.
The physical causes of impotence are numerous. Medically prescribed drugs are the most common physical cause and include cardiac medications, antihypertensives, sedatives and peptic ulcer drugs. There are common medical conditions that often cause impotence. About half of impotence is cause by or aggravated by psychological problems, including depression, stress and performance anxiety. It is important to realize that almost all impotence can be treated successfully.