Impotence can involve a total inability to achieve an erection or ejaculation, an inconsistent ability to do so, or a tendency to sustain only very brief erections. The risk of impotence increases with age. The inability to get an erection may be disappointing or even devastating at the time, but it's nothing to worry about unless it becomes a recurring problem. Many men also are reluctant to discuss erectile dysfunction with their doctors, and thus the condition is under-diagnosed. As many as 30 million American men are impotent, which means they consistently have trouble achieving an erection or keeping one long enough to have sex. While erectile dysfunction can occur at any age, it is uncommon among young men and more common in the elderly. According to the Massachusetts Male Aging Study, complete impotence increases from 5% among men 40 years of age to 15% among men 70 years and older. Population studies conducted in the Netherlands found that some degree of erectile dysfunction occurred in 20% of men between ages 50 to 54, and in 50% of men between ages 70 to 78.

Erectile dysfunction (ED), or impotence, occurs when a man has difficulty with either getting an erection or with keeping an erection for long enough to allow satisfactory sexual activity. It's estimated that 1 in 10 British men suffer from impotence, or erectile dysfunction, at some stage in their lives. Men with less education are also more likely to experience impotence, perhaps because they tend to have less healthy lifestyles, eat a less healthy diet, drink more and exercise less. Physical exercise tends to lessen the risk of impotence. This can mean men who are unable to get an erection at all, to those who find their erections aren't firm enough to achieve satisfactory sexual intercourse. Many men suffer for years without seeking treatment. This may be because they're too embarrassed to seek help or they're unaware that there are treatments available.

Causes of Impotence

The common Causes of Impotence :

Depression.
Alcohol Abuse and Alcoholism.
Smoking and Quitting Smoking.
Multiple Sclerosis.
High Blood Pressure.
Diabetes.
Prostate Cancer.
Kidney Failure.
Stress.

Symptoms of Impotence

Some Symptoms of Impotence :

Maintain an erection firm enough for sexual intercourse.
Have an erection at any time, either with masturbation or with a sex partner.
Maintain an erection long enough to complete sexual intercourse.

Treatment of Impotence

A device involving a plastic cylinder and pump is used to make blood rush to your penis, enlarging it in a similar way to an erection. When you remove the pump, the erection is sustained by slipping a tension ring around the base of the penis.
You or your partner will be taught by a nurse or doctor to inject a drug directly into the shaft of the penis when you want an erection. An erection usually follows within 15 minutes. The procedure is easy to learn.
This drug is taken in tablet form one hour before sexual activity. It then remains active for three to four hours. Viagra won't work without sexual stimulation. It's not an aphrodisiac and doesn't increase sexual desire.
A few cases of impotence are caused by abnormalities in blood flow in and out of the penis and can be treated with surgery.
This drug comes in tablet form and can be taken from 30 minutes before sexual activity. With sexual stimulation Cialis may be effective for up to 36 hours after taking the tablet. Like Viagra, it's not an aphrodisiac and doesn't increase sexual desire.
Only a small proportion of cases of erectile dysfunction are caused by hormone abnormalities. The most frequent hormone abnormality is a reduced level of the male sex hormone testosterone which can be restored by appropriate hormone replacement. It's unwise to take testosterone preparations unless you've had tests that confirm a deficienc.

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