Do you suffer from impotence or erectile dysfunction? Don't worry, you're not alone. Learn about the causes and treatment options available from Dr Tan and Partners @Novena.

Impotence or Erectile Dysfunction Causes and Treat By Dr Tan and Partners @Novena

Impotence or erectile dysfunction (ED) is the inability to develop or maintain an erection for satisfactory sexual activity. It can be devastating to the self-esteem of a man and his partner.

Some men are able to achieve an erection but are not able to maintain it. ED can occur at any age, but it is more common in men older than 65.

ED is more common in men with cardiovascular disease, diabetes, or high cholesterol. It can also be a side effect of certain medications, such as beta blockers and diuretics.

ED can be treated with medication, lifestyle changes, or surgery.


The most common cause of ED is vascular disease. This occurs when the blood vessels supplying the penis become damaged or blocked.

Other common causes include:

  • Diabetes
  • High cholesterol
  • High blood pressure
  • Obesity
  • Smoking
  • Substance abuse
  • Side effects of certain medications
  • Psychological conditions, such as anxiety, depression, or stress
  • Relationship problems


The treatment for ED will depend on the underlying cause.

In some cases, such as vascular disease, medications may be required. These can include:

  • Phosphodiesterase type 5 inhibitors (PDE5 inhibitors), such as sildenafil (Viagra), vardenafil (Levitra), or tadalafil (Cialis)
  • Alpha-blockers, such as terazosin (Hytrin) or tamsulosin (Flomax)
  • Injections of alprostadil (Caverject, Edex, or MUSE)

If the underlying cause is psychological, counseling may be effective.

In some cases, surgery may be required. This can include:

  • Penile implants
  • Vascular surgery

Some lifestyle changes that may be helpful include:

  • Losing weight
  • Exercising
  • Quitting smoking
  • Reducing stress