The myth among people about impotence is that it is considered as a psychological or mental problem, but medically impotence is caused by more physiological factors and less psychological.
In some instances though, impotence could be the result of low self confidence and self esteem. In this case impotence is more related to psychological factors rather then physiological.
Causes of Impotence
Physiological causes - Many people with diabetes, hypertension (high blood pressure), high cholesterol, prostate problems, history of heart attacks and strokes, hormonal imbalance, abdominal injury or surgery suffers a higher risk of impotence. Lifestyle choices like smoking, drugs and drinking can also increase the physiological risk of a person developing impotence.
Psychological causes - Most psychological causes are closely related to life style and living habits like work pressure, stress, anxiety, depression, tension, side effects of medicines or sleeping disorders like insomnia.
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