Erectile dysfunction, commonly referred to as impotence, is defined as the consistent inability to attain and maintain penile erection sufficient to permit satisfactory sexual intercourse. Erectile dysfunction carries the insinuation of sexual failure and is coupled with anxiety, depression, marital conflict, and even violence. Unfortunately, less than 1% of affected men seek treatment. Many men with this medical condition wrongly believe:

• Loss of erections is not a common problem, and their problem is unique
• Erectile dysfunction is a normal part of aging
• Inability to achieve erections is primarily a psychological problem and not a physical one
  A multitude of factors contributes to the erectile process, including hormones, neurotransmitters,
  and substances locally released from the endothelial or smooth muscle components of the erectile tissue.
• Recently, the principal mediator was identified as nitric oxide, released from nerve endings and vascular endothelium.
• It has been proven that herbal remedies are key in the treatment of ED.

Common Causes of Erectile Dysfunction

Systemic disorders - Arteriosclerosis, hypertension, peripheral vascular disease, diabetes, renal failure

Neurogenic disorders - Diabetes, stroke, Parkinson's disease, MS Endocrine disorders
Hypogonadism, hyperprolactinemia, hyper/hypothyroidism

Injuries - Perineal, pelvic, or nervous system trauma; radiation or surgery to the pelvis

Medications - Antihypertensives, antidepressants, antiandrogens, NSAIDs

Substances of abuse - Alcohol, tobacco, recreational drugs