Impotence is a condition in which a man is unable to achieve an
erection or sustain an erection long enough for sexual intercourse.
Erection problems are common and may have a physical and/or
psychological basis. Transient impotence may be caused by mild
anxiety, depression, or stress. Chronic impotence may be due to such
factors as aging, medications, chronic disease, diabetes, alcoholism, or
drug addiction. Psychological problems such as anxiety, depression,
guilt, stress, or unresolved anger can also lead to chronic impotence. If
you are able to have erections upon waking or with masturbation, but
not with other sexual activity, your impotence may have psychological
causes. Diagnosis of impotence begins with a thorough history, physical
examination, and lab tests. There are many treatment options ranging
from medications and external devices to surgical treatments. Most
men experience sexual dysfunction at some time in their lives, although
they are reluctant to talk about it or seek help. If you are consistently
unable to have an erection or are experiencing other sexual problems,
discuss them with a physician or urologist.
