satisfactory sexual performance. It is said to be indicated when an erection is consistently difficult or impossible to produce even though arousal is at hand.
Reasons for Impotence
There are many underlying causes of impotence, some of which are treatable medical conditions. The most important organic causes are hormonal insuffiencies or hypogonadism and drug side effects are also some of the causes. Erectile dysfunction can also signal underlying risks for cardiovascular disease too.
Most often, because of impotence, some contributing and complicating and sometimes a primary Psychological impotence is where erection or penetration fails due to thoughts or feelings for psychological reasons rather than the physical impossibility. But this can often be helped.