Disorders most frequently cited are those which can be reduced erection of short duration, rare or absent, and the ejaculation which can be: early, late or absent. These two major problems associated fracvent meet men with impotence.

Impotence was classified into: sexual impotence organic and psychogenic impotence sexual functioning.

1. Organic sexual impotence

Can be:

a: neurological origin: Is caused by damage or hipotalasmus sex center of the spinal cord lesions centripetal or centrifugal driving routes, local inervaţiei lesions.

b: vascular origin: Occurs due to vascular irrigation of the penis after aortic lesions and aortic bifurcation.

c: endocrine origin: If a failure occurs in the testicular endocrine, congenital or acquired, sauhiperfuncţia pituitary insufficiency in tiroidană failure in mixed in moderate hyperthyroidism in corticosuprarenalei secretion disorder in hipersimpaticotonie, părecum and able to parasimpatocotonie, thus indicating the importance of system balance nervous.

d: other origins: Genitourinary origin due to lesions of the glans, urethra disorders, prostate, corpus cavernosum or spongy, of metabolic origin, is intaleşte in patients with cirrhosis, liver failure, diabetes mellitus is affected primarily erection after ajaculare occurring disorders.

e: due to general causes: Can occur in patients with heart disease, bronhopatii, pulmonary sclerosis, asthma, nefroptii, chronic colitis, chronic poisoning, alcoholism, etc..

The substance that may promote secondary sexual impotence mention drinking. Have fought the wrong view that alcohol increases sexual potency, it actually decreased by a disorder of secretion, ejaculation, libido, sexual behavior.

2. Sexual impotence psychogenic

It is more common than the organic and was classified as follows:

a: Impotence or sexual debut for adolescents. It meets in adolescents, who either had autoerotismul practicing heterosexual relationships, whether they have failed to make an intercourse, which led to the installation of sexual inhibition.

b: Sexual impotence at first sexual contact with a new partner. Meets in some cases in men who have contacts with a new partner, when, although they are attracted to a female condition, sexual abnormalities in the absence of erection or premature ejaculation, although not previously had such problems. That matter can help to decompensation neurotic character. In many cases, premature ejaculation is caused by a hiperemotivitate the man in the new partner.

c: Neuro-psychiatric secondary sexual impotence. Occurs suddenly or over time in men who previously had a normal sexual life, this occurring after a psychological trauma, with the different etiologies. An important partner is that in case of failure of male sex, aggressiveness and his impolitic behavior, afecţiue and patience, may aggravate impotence or conversely, a sympathetic attitude can promote healing.

d: Sexual impotence primary psychogenic: Meets the men who experienced sexual life, or even whether they knew enough not characteristic of adult sexuality, remaining in infant stages. Assigning partner a protective role in cases that are married, wife is coming exclusively maternal role.

e: Sexual impotence in patients with neuroses. Is encountered quite frequently in males with neurosis, characterized by symptoms rather complex, consisting of: asthenia, irritability, headache, insomnia, loss of appetite, weight loss, palpitations, fear, etc. fixed ideas. This form of impotence meets in asthenic neurosis or neurasthenia, which are common disorders in the erection and premature ejaculation, in psihastenie or obsessive neurosis fobică, mainly fixed ideas, neancrederea in sexual possibilities, because the prevalence of the Center subcorticali.

This form of impotence, and some forms of organic lesion is curable if beneficiează specialized medical treatment carried out on time.