Erectile Dysfunction (ED), which is also known as impotence, is the inability to achieve or to sustain an erection adequate for sexual intercourse. ED is a common, treatable condition affecting a huge population in the entire world. Yet, only few percent of affected men actually receive treatment. The small number who receives treatment is thought to be related to the reluctance of many men to discuss the subject with their doctor. In addition, some physicians are not comfortable addressing the topic with their patients.

Most men experience occasional erectile failures at some time during their lives, usually as a result of fatigue, temporary stress or excessive alcohol consumption. Temporary loss of erectile capability is not something to worry about; however, when the condition persists or interferes with a man's normal sexual activity, leading to high irritability and distress in relationship.

Until lately, many in the health care believed erectile dysfunction was caused by mental or emotional conflicts. Patients were often told, "It's all in your head" Today, they believe that most of the ED or Impotence may be due to physical conditions, with psychological factors.

Men with ED of a physical origin often experience a gradual onset of symptoms. Physical causes of ED include; Diabetes, Neurological disorders, After effects of medications, Hormonal imbalance, Alcoholism and drug abuse, Heavy smoking etc.

Men who experience a sudden loss of erectile capability often have a psychological origin to their condition.. Typically, whose ED is primarily psychological in nature continue to have erections while they sleep or when they get up in the morning.

Psychological causes of impotence include; stress and anxiety from work or home, worry about poor performance, depression etc.

Whether a man's erectile dysfunction is caused by physical or psychological factors, or a combination of the two, it may become a source of mental, emotional and physical stress. In addition, ED may also be a symptom of more serious conditions such as heart disease or diabetes. Hence, what can be the best treatment?

Good communication is the foundation for an enduring relationship. However, when couples encounter sexual difficulties, communication in the best of relationships can become strained or break down entirely.

Erectile dysfunction may divide and distance couples, often causing conflict and emotional pain. Couples may intentionally or unintentionally ignore or deny the condition, thus delaying treatment. Fortunately, many sexual difficulties can be improved or resolved through open communication and a mutual commitment to learn about the condition and treatment options. Overcoming erectile dysfunction is best achieved when a man and his partner openly communicate, continue to demonstrate love and affection and have a mutual desire to solve the problem by carrying out treatment options.