Erectile Dysfunction (impotence) are very common, particularly in men over 40.

Most men occasionally fail to get or keep an erection. This is usually due to stress, tiredness, anxiety or drinking too much alcohol, and but it is nothing to worry about. If it happens more often, it may be caused by physical or emotional problems.

Characterised by the inability to develop or maintain an erection during sexual activity. Erectile dysfunction can have some psychological consequences as it can be tied to relationship difficulties and self-image.

The most important causes of impotence are heart disease and diabetes, and neurological problems (for example, trauma)

Impotence is where a mans erection or the ability to penetrate fails It could be psychological reasons or physical. In psychological impotence, there is a strong response to seek treatment.

Besides treating the underlying causes Erectile Dysfunction the first line of treatment of erectile dysfunction consists of a trial of sildenafil.). In some cases, treatment can involve prostaglandin tablets in the urethra, injections into the penis, a penis pump or vascular reconstructive surgery.