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[1, 2, 3, 4, 5]

Erectile Dysfunction
Chapter 3

3. Past failure in attaining an erection. Anxiety over having been unable to perform sexually, perhaps as a result of one of the above, often has unwelcome consequences. Often a belief that one will be unable to attain an erection turns into a self -fulfilling prophesy. This fear (and resulting effect) can be compounded when combined with another factor, say a new partner for example. This is one of the most difficult situations to deal with and I am certain is responsible for millions of dollars in drug sales annually.

4. Lifestyle. Cigarette smoking, obesity, and general poor cardio-vascular health are all major contributing factors in someone's inability to attain and maintain an erection. So what is it that you do? Question your lifestyle choices and alter behavior accordingly - or take the quick fix in pill form? In light of North American sensibilities and the corresponding desire for instant gratification, is it any surprise that drug makers are reaping the rewards associated with the ill-health resulting from couch borne entropy? I think not.

5. Dissatisfaction with your partner. While this would seem to be fairly obvious, many people seem to discount this factor. Let me first clarify what I mean by dissatisfaction - certainly there is the physical element, does she still turn you on? Beyond that however, are you angry with her? Does she irritate you? Is she a shrew? Does she question your masculinity as a result of past failure? These and many other factors figure large in the ability to attain erection for many. After all, if you are with the wrong person - perhaps your body is telling you something. Usually however, this is not the case and your difficulty just a temporary setback and sorts itself out in due course once you have dealt with the underlying issues.

There are of course many more common causes of temporary impotence, but I think that you are starting to get the idea.

The above does not attempt to negate the fact that Erectile Dysfunction is a true medical condition for which there are several causes and equally numerous treatment options available. The rough breakdown of physiological causality according to the 1998 study undertaken by the Clinical Diabetes Journal is as follows:

  • Vascular - 40%
  • Diabetes Mellitus - 30%
  • Impotence following radical surgery (such as prostate) - 13%
  • Spinal cord injury and other traumas - 8%
  • Other endocrine problems - 6%
  • Multiple Sclerosis - 3%

So as you can see the problem is definitely real, but certainly not as common as the drug companies would have us believe.

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