Impotence has long been a cause of worry for million of men across the world and the wonder drug "Viagra" have seemed to decrease the difficulty for men. While Viagra is the major drug used for treatment against impotence, there are many other drugs that are successfully launched in the market are giving good results as well. These drugs have been approved by the FDA and are sold on various local as well as online pharmacies.

Erectile dysfunction, commonly called impotence, is the inability in a man to get or keep an erection enough during a sexual intercourse. It is very common to experience this disorder but if it becomes a frequent problem then it needs particular attention from a doctor or a physician. Most men experience an episode of impotence some time in their lives. Impotence can be either physical or psychological in origin.

Physical Factors

• Poor overall health of the body
  
• History of Diabetes
  
• undergone any Prostrate surgery
  
• Hormonal imbalances
  
• Any kind of Spinal cord damage
  
• Hardening of the arteries
  
• Blocked blood vessels that no longer allow flow of blood into the penis.
  

Psychological Factors

• Anxiety & Depression
  
• Stress and Anger
  
• Fear of intimacy or failure
  
• Lack of desire
  

Impotence can also be caused due to some side effects of drugs and medicines like tranquilizers, blood pressure medications, certain antidepressants, alcohol, marijuana, and nicotine.

Many of the above factors can cause erectile dysfunction- impotence because they interfere with the flow of the blood or transmission of the nerve impulses to and from the penis. This disorder becomes more common as men get older (sixty and above). Nevertheless, some men can still have a good sexual life in their late eighties.

Diagnosis and Treatment

Erectile dysfunction (ED) can be treated and cured by different methods starting with determining the cause of ED with the help of a physician. In some cases the treatment is as simple as discontinuing, changing or adjusting the dosage of other drugs that are being used and have side effects related to erectile dysfunction.

A complete physical examination and hormonal testing is absolutely necessary. This will help in determining whether the origin of the dysfunction is a physical one -blockage in the blood vessels that serve the penis or a hormonal defect. Again the origin of the dysfunction will determine the specific treatment that should be used. And consequently proper medications advised to the patient to recover from ED.

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