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Psychological impotence is where erection or penetration fails due to thoughts or feelings (psychological reasons) rather than physical impossibility; this is somewhat less frequent but can often be helped. Notably in psychological impotence, there is a strong response to placebo treatment. Erectile dysfunction can have severe psychological consequences as it can be tied to relationship difficulties and masculine self-image. Besides treating the underlying causes such as potassium deficiency or arsenic contamination of drinking water, the first line treatment of erectile dysfunction consists of a trial of PDE5 inhibitor drugs (the first of which was sildenafil or Viagra). In some cases, treatment can involve prostaglandin tablets in the urethra, injections into the penis, a penile prosthesis, a penis pump or vascular reconstructive surgery. The Latin term impotentia coeundi describes simple inability to insert the penis into the vagina; it is now mostly replaced by more precise terms, such as erectile dysfunction (ED). The study of erectile dysfunction within medicine is covered by andrology, a sub-field within urology. Research indicates that erectile dysfunction is common, and it is suggested that approximately 40% of males suffer from erectile dysfunction or impotence, at least occasionally. Signs and symptoms Erectile dysfunction is characterized by the regular or repeated inability to obtain or maintain an erection. It is analyzed in several ways: • Obtaining full erections at some times, such as nocturnal penile tumescence when asleep (when the mind and psychological issues, if any, are less present), tends to suggest that the physical structures are functionally working. • Other factors leading to erectile dysfunction are diabetes mellitus (causing neuropathy). Causes • Drugs (anti-depressants (SSRIs) and nicotine are most common) • Neurogenic disorders • Cavernosal disorders (Peyronie's disease) • Psychological causes: performance anxiety, stress, and mental disorders • Surgery • Aging. It is four times more common in men aged in their 60s than those in their 40s. • Kidney failure Read Full Article : https://en.wikipedia.org/wiki/Erectile_dysfunction Disclaimer: The information contained on Health Educare is provided for general and educational purposes only and does not constitute any legal, medical, or other professional advice on any subject matter. This information contained therein has not been evaluated by the FDA and is not intended to diagnose, treat, or cure any disease. Seek the advice of your physician or other qualified health providers prior to starting any treatment and with any questions, you may have regarding a medical condition. 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