The sexual health of a man is an integral part of his life, which affects the psycho-emotional state and general health. Any problems of the sexual sphere can negatively affect both the relationship with the partner and the entire social life of the person. Unfortunately, an increasing number of men all over the world complain of a decrease in libido and a weak erection, which makes it impossible to have full-fledged sexual intercourse. And doctors are increasingly diagnosed with erectile dysfunction (erectile dysfunction). In order to select an adequate treatment for impotence, it is necessary to identify the cause that was the basis of its appearance.


Psychological causes of erectile dysfunction (low potency) are common mainly among young men who have recently begun to have sex. Problems, as a rule, are connected in this case with psychological traumas received in childhood or adolescence, if the parents suggested to the child that sex is something shameful. Also, the problem of erectile dysfunction can be the result of experiences due to lack of experience, fear of being ridiculed, fear of contracting STDs, etc. Doctors say that an adult man who has enough sexual experience can cope with psychological impotence (erectile dysfunction) at that time as young people often need specialist advice. Also a significant role in this issue is played by the relationship with the partner. They can be both a cause of violations of potency (with constant ridicule, lack of spiritual intimacy, etc.), and a method of treating impotence (with emotional support).


The causes of weak erections (impotence) may be due to a lack of testosterone in the body. This condition in scientific circles is called “hypogonadism.” Most often, this type of erectile dysfunction is observed in middle-aged and elderly men, less often in young people. With a lack of testosterone, the reactions responsible for the erection are inhibited. Hormonal causes that lead to impotence also include endocrine disorders associated with excessive prolactin production. Prolactin has an antagonistic effect on testosterone.


Vascular causes of impotence in men are associated with damage to the vascular walls, which lead to impaired blood supply to the penis and reduce erection. As a rule, in this case, the problem of erectile dysfunction occurs due to the presence of other diseases, such as atherosclerosis, diabetes mellitus, diseases of the cardiovascular system. For example, in men with atherosclerosis, there is a high content of blood cholesterol, which is deposited on the inner surface of the vascular wall and contributes to the formation of atherosclerotic plaques covering the vascular lumen. The disease is reflected in all organs, the blood supply to which is carried out through these vessels, including on the penis.


Impotence in men may be associated with the consequences of stroke, diseases and injuries of peripheral nerves and the central nervous system. The reason for the weak potency (erection) in this case is the complete absence or difficulty of the passage of nerve impulses into the cavernous body. In 75% of cases, the problem of erectile dysfunction develops on the background of spinal cord injuries, in 25% of cases – in the presence of neoplasms, cerebrovascular pathologies, hernias of the intervertebral disk, multiple sclerosis, syringomyelia and other diseases.

Erectile dysfunction (impotence) can develop in men while taking medications for the treatment of other serious diseases such as gout, cardiovascular and peptic ulcers, mental disorders, etc. As a rule, after canceling or replacing a medicine with an analogue, an erection is restored. But there are cases when the cancellation or replacement of the drug is impossible, then the treatment of the disease is inextricably linked with the development of erectile dysfunction (impotence).