Impotence, while not to be taken lightly, isn't a life-threatening condition on its own. Men don't actually need sex to stay alive (no matter what they may tell their wives). But impotence, also known as erectile dysfunction, can in fact portend some deadly health problems.
Dependable erections are not necessarily a sure sign of excellent health, but a penis that won't rise to the occasion is a warning that something may be awry.
Psychological factors are responsible for about 10%-20% of all cases of erectile dysfunction, or ED. It is often a secondary reaction to an underlying physical cause. In some cases, the psychological effects of ED may stem from childhood abuse or sexual trauma. However, the most common psychological causes of ED include:
Stress : Stress can be job-related, money-related, or the result of marital problems, among other factors.
: Once a man experiences ED, he may become overly...
Erections depend on healthy blood flow to the penis. During an erection, vessels in the penis become engorged with blood to produce an erection. Many diseases that affect the blood vessels can interfere with blood flow to the penis. Atherosclerosis (hardening of the arteries) and high blood pressure (hypertension) can cause abnormal blood flow to the penis and can affect a man's ability to have an erection.
That's not to say that everyone with heart disease is impotent, or vice versa. "It's not a simple relationship between the two conditions by any means," says Ira Nash, MD, spokesman for the American Heart Association and associate professor of medicine at the Mount Sinai School of Medicine in New York City.
All things considered, doctors treating men with erectile dysfunction must always keep in mind that heart disease may be lurking in the background. "I always arrange for them to see a primary care physician or an internist for a cardiac evaluation," Sharlip says.