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             This is the
    inability in men to be able to have sexual intercourse. 
    What to look for 
    The most obvious symptom is
    the failure to have an erection. However there are some other factors to consider -  
    
      if your impotence appears
        only occasionally it is not usually a serious problem as this is quite common.  
       
      develops gradually and
        persistently, there is probably a physical cause  
       
      develops abruptly, but you
        still have early-morning erections and are able to have an erection while masturbating,
        the problem is likely to be psychological.  
       
     
    Impotence, the inability to
    attain or maintain an erection of the penis adequate for the sexual satisfaction of both
    partners, can be devastating to your self-esteem as well as your partners. It can affect
    nearly all males at some time or another. 
    Causes  
    There are a number of
    supposed causes of impotence in men. 
    The normal aging process can
    tend to slow a mans ability to sustain an erection. However, experts believe that the
    cause is more often physical. 
    The stiffness of an erection
    is caused by increased blood flow to the penis. Therefore, conditions that block the blood
    flow to the penis such as atherosclerosis or diabetes can hinder erections. Another
    vascular cause may be a faulty vein, which lets blood drain too quickly from the penis.  
    The nervous system has a
    controlling influence on the male erection, therefore certain prescription drugs which
    interfere with the nerves (or have this as a side effect) can cause impotence. Among the
    possible culprits are stimulants, sedatives, diuretics, antihistamines, and agents to
    treat high blood pressure, cancer, or depression. In addition, alcohol, tobacco, and
    illegal drugs, such as marijuana, may contribute to impotence.  
    With younger men,
    psychological problems are the likeliest reason for impotence.  
    Tension and  
	anxiety may arise from poor communication with the sexual partner
    or a difference in sexual preferences. The sexual difficulties may also be linked to a low
    self esteem,  
	depression, rejection by parents or peers, or
    sexual abuse in childhood.   
    Traditional Treatment  
    As men age it does take a
    little longer to become aroused, but if the problem you are having is persistent and
    severe, seek medical help.  
    There is a vacuum inflating
    device that is an option usually for elderly men and your doctor will inform you of the
    procedure involved. 
    Another treatment is the
    injection of testosterone but it is difficult to know how much as each man is different.
    Ask your doctor about this. 
    For blood-vessel problems,
    vascular surgery to open arteries leading to the penis benefits up to half the patients
    who opt for this treatment.  
    Men can opt for a penile
    implant however this should be after all else has failed.  
    If the cause is judged to be
    psychological, you could see a qualified counsellor to help you ascertain the underlying
    causes and help remedy your situation.  
    Alternative/Natural
    Treatments 
    Many alternative therapies
    promote the good health and relaxation needed for a satisfying sex life.  
    Aromatherapy -  
			Essential
    oils of   
			clary,   sandalwood, and   ylang-ylang encourage relaxation and feelings
    of sensuality. Add 2 drops of each to 4 tsp of massage oil or to a warm bath.  
    Chinese Herbs -  
			Practitioners
    believe that too much anxiety can cause energy stagnation in the liver. Golden chamber, a
    combination of herbs, sometimes with cibot root added, is often prescribed.  
    Herbal Therapies -  Ginkgo,   
			Damiana, and   Ginseng are sold in many formulations as sexual
    stimulants.  
    Personal Care 
    
      Try to keep your
        focus and mind off getting an erection while being intimate with your partner.
        Try to keep the pressure off yourself. 
       
      Moderate exercise helps
        relax the body, give you more energy, and stimulate sexuality.  
       
      Stress or anxiety diverts
        blood from the sexual organs. Try to relax  
         
     
    When to seek further
    professional advice  
    
						  
						  
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