What are the causes of impotence?

There are various categories of erectile dysfunction which can be:

  • Organic due to vascular, hormonal, neurogenic or local disorders
  • Psychogenic due to the blocking of the central erectile mechanism, without any physical injury
  • Mixed,a combination of organic and psychogenic factors
  • Unknown

The majority of cases have a multifactorial origen and almost all affected men have some psychological alteration. The most commonly related factors are:

  • Advanced age
  • Diabetes mellitus
  • Cardiovascular disease, arterial hipertension
  • Smoking
  • Medication
  • Drug abuse
  • Affective disorders, stress

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