At present ‘the male problem solving’ experts use the term erectile dysfunction.

In 1992 году urologists all over the word determined the term erectile dysfunction as inability to achieve and keep adequate penile erection that limit or make just impossible to have normal sexual performance.

Unfortunately, erectile dysfunction today is a widespread phenomenon which is observed in 40% of men 35-40 years of age. Same men feel embarrassed to ask an urologist for help, though lean erection or sudden fiasco during the sexual intercourse is already an impressive reason to discuss the matter with the physician.

Men unwillingness to discuss the erection problem with physicians is the problem number one for the urologists all over the world. Some think it is inconvenient to consult doctors about intimate problems. Though, modern medicine possesses a great stock of means to help such ill persons.

Very often the erection problem of organic nature provokes a psychological point that cannot disappear if even the main reason of disease is eliminated. See

Any measure aimed at organism functions normalization and improvement may be a mean of erection function recovery.

In accordance with its causes impotence can be classified as:

Organic Impotence

Organic impotence is a progressive erection function loss which provokes erection quality decrease.  The most frequently causes of it are different vascular pathology of artery or vein nature. The studies done have established fact that a healthy man can bare 4-6 erection occurrences with duration of 10 – 15 min during the night. Overall duration of spontaneous erections during the night dream makes up 20% of total dream time.

Psychological Impotence

Psychological impotence appears suddenly and usually as a result of some events in the life of the man. In this case spontaneous erections still occur at night and morning time. The erection is often induced due to visual stimulations or erotic imagination.

Differential Diagnosis of Organic and Psychological Types of Impotence

Categories	Types of Impotence
	Psychological	Organic
Beginning	sudden	gradual
Night spontaneous erection	present	absent
Sexual relation	problematic	normal libido and ejaculation
Problems appearance	in certain cases	in any cases

How to Avoid Impotence

To prevent early erectile dysfunction it is necessary :

-          To keep healthy living, regular and healthy eating; to do sports; to take care of your health;

-          No smoking; no alcohol abuse; no drugs taking;

-          No medicines taking that can provoke erection problems;

-          To keep regular sexual life without any continence and sexual luxuries;

-          Consult the urologist in cases of any pelvis damage, diabetes and hypertension diseases, etc.

 There is a variety of causes provoking the erectile dysfunction. See