What causes impotence?

Erectile dysfunction, sometimes called "impotence," is the repeated inability to get or keep an erection firm enough for sexual intercourse. The word "impotence" may also be used to describe other problems that interfere with sexual intercourse and reproduction, such as lack of sexual desire and problems with ejaculation or orgasm. Using the term erectile dysfunction makes it clear that those other problems are not involved.

Erectile dysfunction, or ED, can be a total inability to achieve erection, an inconsistent ability to do so, or a tendency to sustain only brief erections. These variations make defining ED and estimating its incidence difficult. Estimates range from 15 million to 30 million, depending on the definition used. According to the National Ambulatory Medical Care Survey (NAMCS), for every 1,000 men in the United States, 7.7 physician office visits were made for ED in 1985. By 1999, that rate had nearly tripled to 22.3. The increase happened gradually, presumably as treatments such as vacuum devices and injectable drugs became more widely available and discussing erectile function became accepted. Perhaps the most publicized advance was the introduction of the oral drug sildenafil citrate (VIAGRA) in March 1998. NAMCS data on new drugs show an estimated 2.6 million mentions of VIAGRA at physician office visits in 1999, and one-third of those mentions occurred during visits for a diagnosis other than ED.

In older men, ED usually has a physical cause, such as disease, injury, or side effects of drugs. Any disorder that causes injury to the nerves or impairs blood flow in the penis has the potential to cause ED. Incidence increases with age: About 5 percent of 40-year-old men and between 15 and 25 percent of 65-year-old men experience ED. But it is not an inevitable part of aging.

ED is treatable at any age, and awareness of this fact has been growing. More men have been seeking help and returning to normal sexual activity because of improved, successful treatments for ED. Urologists, who specialize in problems of the urinary tract, have traditionally treated ED; however, urologists accounted for only 25 percent of VIAGRA mentions in 1999.

being with ugly women

There are many "causes" for impotence. Vague notions like stress, not enough exercise, not enough sun light etc are all true in that they usually lead to the same thing...

Low testosterone levels - men's number one health problem....

A low free testosterone : estrogen ratio.

Yes one of the main reasons you get impotent is that you get more womanly.

Don't worry it can be reversed. You can regain all your manliness.

Impotence is only a symptom that you have a low testosterone problem. Using Viagra only covers the symptom. So while you are humping and pumping away (well sort off since you wont have the energy) you may be asking for a heart attack.

Yes testosterone is needed for your heart! And bones. And mind. And memory. Amongst others

So it is safe to say losing testosterone means you are about to lose all those other things.

Best indication is when you cry over the beers when you over drink!

Find out about testosterone here http://www.1888menshealth.com/testostero... and how you need it to live.

You have to get your body to produce more testosterone. Traditionally in Malaysia they use a root called Tongkat Ali. That's why in Malaysia you regularly see men in their 50s to 80s fathering babies with nubile women young enough to be their daughters!

More info on Tongkat Ali and how it re-makes you a man again can found here: http://www.1888menshealth.com/tongkatali...

Best of luck!