PHYSICAL AND EMOTIONAL FACTORS
Firstly, the age factor . Men when they grow older their testosterone production diminishes but remains high enough to maintain some libido and erectile function unless there is some other cause for their impotence. Resorting to to testosterone supplements are not well advised.
Secondly, the psychological factors. In 20 percent of cases the problem is psychological and 80 percent physical.Everyone has to evaluate if the erectile dysfunction is emotional or physical.
MEDICATION IMPACT
Thirdly, medication. Sex and most drugs don't mix. Medications account for at least 25 percent of all cases of impotence as it is the case of a variety of high-blood pressure drugs or, in case of diabetes, the pills taken to lower sugar.
Fourthly, vascular disease. When the arteries feeding the penis are obstructed to reduce ts blood supply, the best efforts will not produce an erection. Plaques in the arteries to the penis are the price to pay for a lifetime of eating fat-rich diet, of untreated high blood pressure, of smoking, and of poorly controlled diabetes. Those factors are more significant than the testosterone level.
Fifthly , nerve disorders, diabetes and other causes. The nervous system has to be intact for successful erections, almost 50 percent of diabetic males have erectile dysfunction. Other illnesses are also associated with impotence: multiple sclerosis, strokes, kidney disease, alcoholism, smoking...
The good side is that impotence is no longer permanent. Many treatment options are now available. The treatment of impotence depends on its cause. If the testosterone level is low , hormonal supplements may solve the problem. Quitting smoking and cutting out the booze may help. Millions of Viagra pills are being sold with a success rate between 60 and 70 percent. Other natural options are also available and there are other promising treatments on the horizon within the next year or two. Get the help you need to live a better life for women or men