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Impotence is defined as the inability to achieve or maintain an erection sufficient for sexual intercourse. Impotence occurs when an insufficient amount of blood is supplied to the penis—when the smooth muscle in the penis fails to relax or when the penis does not retain the blood that flows into it.

Impotence can be associated with physical factors, such as illness, accidents, injury, diabetes, high blood pressure, or the side effects associated with medications used in treating certain diseases. Heavy smoking and excess alcohol consumption also may contribute to impotence. About 80% of impotence has a physical cause.

Impotence can also be caused by psychological factors. These include unpleasant associations with past sexual activity, stress, depression, and anxiety. When psychological conditions such as these occur for long periods of time, they can decrease sexual desire and result in impotence.

We work with physicians to help patients with medications such as:

  • Sildenafil troches
  • BiMix injection
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