Awakening with the ring intact in the morning indicates no erection during sleep. Repeat the test the next night. Three negative stamp tests probably mean that you have impaired circulation in your penis. If the doctor has ruled out physical problems as a cause of your impotence, he or she will probably refer you and your partner to a psychotherapist or family counselor. Psychological problems causing impotence are varied, but most can be helped.
Therapy often leads to improved function in other areas of life as well as in sexual function.
Psychotherapists often like to work with both partners. Therapy, like other treatments can be uncomfortable, although worthwhile. If you have concerns about your referral, ask to discuss them with your primary doctor. If you have low blood pressure to your penis or have a problem with blood flow to it, you may have several options. Drugs may also be used to get more blood to enter the penis through the arteries than leaves through the veins, producing or enhancing an erection.