Impotence Affects Almost All Men

Almost all men have been affected by impotence – the old term for erection difficulties – at some time in their lives. It may not be an on-going problem, but most men can relate to episodes of impotence when:

  • You want an erectionand you’re not getting one
  • You lose an erectionat an embarrassing point

Men Experience Impotence Different Ways

However the way male impotence is experienced can be be very different. As pioneer sex therapist Bernie Zilbergeld notes in 

The New Male Sexuality, some impotent men:

  • Have problems getting or maintaining erectionsat the beginning of a relationship, but as they become more comfortable with their partner their erections become more reliable
  • Have problems getting an erection with a long term partner, butcan be sexually excited by a new woman
  • Regularly have problemsattaining erections
  • Get erections but have troublemaintaining erections
  • Consider their erectionsaren’t as hard as they like
  • Get no erectionsat all, regardless of stimulation

Impotence as Devastating as Job Loss

Impotence is devastating to a man’s sense of worth, says Zilbergeld, a US sex therapist who worked with impotent men for over thirty years.

“Nothing except the loss of a job can make a man feel less like a manNothing generates more concern, anxiety, shame, and even terror as an inability to get or maintain erections,” he says.

The good news is there are a wide range of impotence treatments available and there is almost certainly an impotence cure for you.

Impotence Affects Women Too

Female impotence is also a wide spread problem, but it is much easier for women to conceal their difficulties.

If a woman has:

  • Lost interest in sex 
  • Never experienced orgasm 
  • Been prevented from enjoying sex by physical pain or other organic problems 
  • Or thinks up excuses to not have sex because she feels inadequate

she is suffering from the same problems as men who are impotent.

Some of the solutions for female impotence are different from male treatments, but there are a range of treatment options for female impotence as well.

Treatment Options for Impotent Men

Many urologists now suggest 90 per cent of impotence has physical causes usually related to:

  • Interference with penile blood flow
  • Interference with penile nerve response
  • Low testosterone levels

However sex therapists who see more of the psychological and relational side of sexual health suggest more men are impotent because of a combination of physical and emotional issues than is generally recognised.

Impotent men have three possible treatment options:

  1. Oral pills or mechanical interventions – best for impotence from physical causes
  2. Sex therapy – best for impotence from emotional or psychological causes
  3. Combination of the two – if you have relationship issues a pill may not be enough


Although most men would rather have a tooth out than talk about being impotent, it’s a great idea to be honest about impotence difficulties with your partner, even if you don’t feel the need for a qualified therapist.

However if you think therapy would help you, Impotence Australia has a low cost counselling clinic in Sydney for couples dealing with sexual health issues. Impotence treatment is far more likely to be successful if a man’s partner understands what is going on and wants to share in a happy sex life.

Diagnosing Impotence - Five Questions to Ask

Impotent  Question 1

What chemicals are you putting in your body?

A host of drugs – legal and illegal - contribute to impotence:

  • Prescription drugs(over 200 medications for a range of chronic health problems)
  • Recreational drugs(opiates, stimulants, psychedelics, nitrous oxide, marijuana)
  • Alcohol -social drinking inflames desire but kills erections
    • Long term alcoholism
    • Destroys testicular cells              
    • Lowers testosteroneproduction
    • Increases female hormones
  • Nicotine
    • Research backs up direct cause and effectrelationship between smoking and impotence

Impotent  Question 2

Do you desire sex with your partner, yourself or anyone?

If your desire for sex is low or non-existent:

  • You don’t fantasize about sex
  • You don’t want tomasturbate
  • You don’tnotice attractive women
  • You don’t want sex with a partner

Impotence is likely to be the result of:

  • Low Testosterone– get hormone levels checked
  • Depression–  find a med that doesn’t affect erections and desire will likely return

Impotent  Question 3

Are you getting erections under some conditions but not others?

If you have erections firm enough for vaginal insertion but not necessarily hard as a rock:

  • By yourselfbut not with a partner
  • Withone partner but not another
  • On vacation but not at home

Impotence is very likely not primarily physical but has more to do with your feelings about your potential partners or levels of stress

Impotent  Question 4

Do you never get or keep erections under any circumstances?

If you get no erections at all

  • Not when sleeping
  • No morning erections
  • Not with partner stimulation

Impotence is very likely to be from physical causes or be the result of a medication side effect.

Impotent  Question 5

Do you get erections but usually can’t maintain them?

Impotence in these circumstances may be either physical or psychological:

Physical Impotence: If you find nothing has changed in your relationship, and you’re not under major stress, but your erections come and then fade you may have a physical cause. 
One possible reason: Blood is initially getting through to the penis, but then leaking faster than can be replenished.*

Psychological Impotence:  If you find erections fail when vaginal insertion is attempted but are fine otherwise, you may have deeper underlying issues.