If the problem is psychological, it may be from stress, depression, or anxiety over family, financial or job difficulties. Medical care is important to determine the cause and find a treatment. Your doctor will probably take a medical, sexual and psychological history. A physical examination is needed to check the blood vessels, nerves and tissue of the sexual organs. Sleep monitoring is another possible test.
Most males have erections periodically throughout the night.
If you are not having erections, the problem is probably physical. Impotence can be a very frustrating experience. Talking about the problem with your partner and seeking help from a medical professional is usually the best way of handling the situation. For more information about impotence, talk with your doctor. This information is not a tool for self-diagnosis or a substitute for professional care.