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Causes of Dysfunction & Impotence results from a wide variety of problems. As with any other ailment, when a person begins having this problem repeatedly, he needs to see a doctor. The doctor will want to rule out the possibility of disease, injury, or side effects from medicine.

There are three basic causes of impotence or performance related problems: Effects related to physically related diseases (Drugs and Diabetes). It is estimated that 50-60% of diabetic men have erectile dysfunction. Psychological, these can range from anxiety, feelings of failure of being intimate and adequate. In addition long term use of certain blood pressure medicine, antidepressants as well as certain antacid and stomach acid blockers can have a major impact on the libido and performance of both sex's.

For diabetics, attention must be paid to a diabetic neuropathy- the loss of vibratory sensations of the lower extremities. Bladder dysfunction is correlated with erectile dysfunction. Parkinson's disease and temporal lobe abnormalities are contributing factors too. Men suffering from stroke and alcoholism are at very high risk because of damage to the testicles in chronic alcoholism and the loss of testosterone. Aging is a tremendous factor in erectile dysfunction, often related to a decrease in male hormones.
Chronic renal insufficiency is another potential cause. Many drugs used to treat high blood pressure that comes with chronic renal insufficiency can cause erectile dysfunction, and many drugs by themselves cause it. Recreational drugs are a major cause of erection problems.
The number one drug is tobacco. Experiments show that even two cigarettes will markedly decrease the blood flow to the penis if smoked before sex.

Marijuana and alcohol are also big causes of erection problems. Prescription drugs are also a big culprit, especially those used for treatment of high blood pressure.
The major problem drugs include:
Estrogen: for men with prostate cancer.
Anti androgens (flutamide): for men with prostate cancer.
Lupron: prostate cancer drug.
Proscar: for men with enlarged prostates, can decrease the volume of ejaculate.
Diuretics: for men with heart disease and hypertension.
Methyldopa: older treatment for blood pressure.
Beta blockers: for heart disease and hypertension. Calcium Channel Blockers: new treatments for hypertension.
Cimetidine: a drug for ulcers
Digoxin- a drug for heart failure.
Tranquilizers. Decongestants. Seizure Medications. Drugs to lower Cholesterol. .

Note: DO NOT DISCONTINUE use of prescription drugs without first verifying

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