Erectile dysfunction is the result of a single, or more commonly a combination of multiple factors.
Some of the many causes of impotence include, diabetes, high blood pressure, heart and vascular disease, stress, hormone problems, pelvic surgery, trauma, venous leak, and side effects of frequently prescribed medications. No matter what the cause, most men have a secondary psychological reaction that can worsen the situation. Feelings of performance anxiety, guilt, and low self-esteem are common. For many years impotence was a problem that was not talked about because of its personal nature. Men suffering from this condition often do not know about the various treatment options availible to them and do not seek help.