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At some time in their lives, most men will experience some form of erection problem. That is, they either will have trouble getting an erection, or will be unable to maintain their erection long enough to finish having sex.

It is considered normal to have this type of erection problem, also known as erectile dysfunction or male impotence, at some point. However, for some men their erection problem becomes a persistent issue and can interfere with a healthy and enjoyable sex life. Often, they seek help in the form of one of the many erectile dysfunction treatments that have brought relief and greater satisfaction to millions of men and their partners.

• There is no one single cause of erectile dysfunction. In some cases, an erection problem may be linked to a specific physical or medical condition, while in others a psychological or non-physical reason may be to blame.
• Stress, anxiety and fatigue are among the most common causes of erectile dysfunction.
• Men who suffer from certain psychological problems, including depression, may sometimes experience an erection problem as well.
• Other psychological or emotional factors can also interfere with a man’s ability to achieve and maintain an erection.
• On the physical side, alcoholism and drug abuse can contribute to an erection problem in some men.
• Certain prescription drugs, especially those which impact nerve impulses or affect the flow of blood to the penis, can cause some men to experience erectile dysfunction.
• Some disorders and diseases, including diabetes, atherosclerosis and certain heart and nerve conditions, can also lead to an erection problem.

Even though some men feel that having an erection problem is an embarrassing condition, it is always best to discuss erectile dysfunction and possible treatments with a qualified physician. A wide range of erectile dysfunction treatment options are now available, including:

1. Counseling or psychological therapy. Since erectile dysfunction is sometimes caused by non-physical factors, some men benefit from this form of non-medical intervention. Individual therapy, or counseling involving both the man and his partner, can often be an effective treatment for a man’s erection problem.
2. Hormone treatments. Some men have responded well to hormone treatments, which help increase the blood flow required to achieve and maintain an erection. A range of hormone treatment methods are available to treat erectile dysfunction including injections, suppositories and, in rare cases, hormone replacement therapy.
3. Mechanical vacuum devices are used by some men to help create an erection by drawing blood into the penis. Once a proper erection is achieved, a rubber tension ring is applied, which usually enables the man to maintain his erection long enough to finish having sex.
4. Surgery. In rare cases, a man’s erection problem may be addressed through surgery. Penile implants and vascular surgery are two such options. Either should be considered only after careful consultation with a qualified physician and surgeon, taking into account the likelihood of success for the procedure and possible side effects.