The inability to maintain or obtain an erection is called impotence. It is an extremely important factor in maintaining sexual arousal, attraction and sexual satisfaction in both partners. It creates the appearance of serious problems with the self-esteem of the man, as well as the woman, which appears to be the main problem for the birth of a healthy and fulfilling relationship. Until a few years ago, it was believed that stress and normal aging processes were the only possibilities for the development of impotence and all types of erectile dysfunction. Nowadays, there is a far wider range and view of the therapeutic overview of impotence and erection problems, which leads to the appearance of other hypotheses tied to further diagnostics and medical consultations. Urologists believe that 50% of erection problems are due to physiological disorders. Since erection is a vascular process, it is not surprising that the most common reasons for the appearance of a problematic erection in correlation with a man’s age may be diseases that disrupt the blood supply to the penis. Such typical diseases affecting the peripheral circulation on a significant scale are atherosclerosis and diabetes. Another possible cause could be a defect in the wall of the penile venous system, which allows blood to drain from the penis too quickly. The other most common physiological problems are disturbances in hormonal production and previous operations leading to disturbances in blood circulation and disturbances in the ability to achieve an erection. The vascular processes leading to an erection are under the neurological control of the brain. The side effects of some medications can lead to its disturbed activity. Also, the problem can be provoked by the action of certain stimulants, sedatives, diuretics, antihistamines, antihypertensive drugs, cancer or depression. Other factors for erectile dysfunction may be excessive smoking, regular intake of large amounts of alcohol and drugs. It has long been known that alcohol can affect blood circulation through vasodilation in arterial and venous vessels. This, in turn, has a positive effect on erection, but especially often, with excessive use, it can cause subsequent arteriospasm, which disrupts the blood supply to the penis. The combined effect of vasodilatation in the venous system and arteriospasm is often decisive and definitely and definitively impairs the possibility of obtaining an erection, due to the inability of the penis to retain the incoming blood in its cavernous bodies, as well as insufficient blood supply due to the progressive arteriospasm. In younger boys, however, the most common and most likely cause of erectile problems is psychological disturbance. Due to impaired communication with the sexual partner or different sexual desires and expectations, this can lead to stress in the young organism, which affects the erection.It is not by chance that the excessive consumption of erotic films from the television screen is considered the main factor for the development of sexual disorders in the modern life of young boys. Psychologically, the boy compares himself to the well-trained porn actor and aspires to his methods and capabilities for stamina and size. This leads to progressive frustration and stress, which affects the basic behavioral function of the organism, with which it responds to contact with a member of the opposite sex or with an object of sexual interest. 1. What is the clinical picture of sexual impotence? Characteristic of the state of impotence is the inability to obtain or maintain an erection without ejaculation, which is already subject to the problems associated with the premature release of seminal fluid. Problems can be characterized by a transient or occasional erection, which is not a serious problem in practice. The condition is called an impotence crisis, and almost every adult man has experienced a disturbance in his erection during intercourse. The other conditions are associated with the appearance of progressive weakness in the erectile ability of the male penis. In these conditions, it is about chronic impotence, which is subject to medical consultation and the appointment of therapy, according to the original source. There is another option for the appearance of impotence. These are the cases where men still get their characteristic morning erection, get a good enough sexual arousal and erection during masturbation, but cannot reach the apical levels of their arousal during intercourse. In these conditions, it is a definite psychological phenomenon that affects a man’s sexual function. The problem should be presented to a specialist in sexual medicine or a psychologist to help the man deal with the problem. 2. What therapy is offered for these diseases? With a view to safety and efficacy, in recent years specialists in urology and venereal diseases have recommended the use of vacuum pumps in the first place for chronic impotence. It draws blood into the penis under negative pressure, after which an elastic band is placed at the root of the penis to keep the blood in the penis. After half an hour, the elastic bandage is removed to restore blood circulation. NEWS_MORE_BOX In some cases, specialists recommend injecting papaverine or prostaglandin into the muscular system immediately before intercourse. These two medications have a definite effect and affect erection problems for a long time. Another form of therapy is the injection of intramuscular testosterone, although there is currently no clear evidence of the plasma concentration of the hormones and their effect on erectile function. In some cases, it may be necessary to take the drugs pentoxifylline and yohimbine, which have a vasodilating effect and control the blood supply in the genital organ.In other cases of non-definite impotence, penile implants can be placed, semi-rigid, without the possibility of folding during intercourse, which are inflated with a pump brought out through the scrotum. And another option for the treatment of impotence can be the consultation with a psychologist or other sexual health specialist, who will lead the victim out of the state of mental depression and psychological suppression of the means of erection. Herbal treatment can also be used with particular success. The herbs ginkgo and Asian ginseng can be found on the market today, which have a highly positive effect on male erection and help the appearance of strong potency. This is because they have a strong aphrodisiac effect.