Causes of Impotence

Impotence can be caused from emotional problems or stress related issues.  Before concluding that your impotence is deriving from your emotional state, check with your physician to find out if the problem could be coming from elsewhere.  Many experts believe impotence can mainly derive from physical complications.  Physical impotence can be cause by internal medical causes.  Consider these illnesses and procedures when evaluating the cause of your impotence: 

Diabetes
According to physicians, the nerves or blood vessels that control the flow of blood to the penis may become damaged when a man has diabetes. In some cases, keeping the diet and the blood sugar level under control may decrease the impotence. However, permanent damage to these nerves and vessels may result in chronic impotence.

Surgery in the Pelvic Area
Surgery to remove cancer from the prostate, bladder, or in the colon/rectal area can cause impotence. In cancer surgery, the surgeon's most important goal is to remove all of the cancer, but the nerves and blood vessels that control erections may be near the cancerous tissue. Sometimes, these tissues get damaged in the effort to remove the cancer.

Spinal Cord Injury
The spinal cord is the relay center for nerve impulses, brain messages, and blood flow. When the spinal cord is damaged in certain locations, messages cannot get through the nerves to the penis, causing impotence. Certain prescription medication for men with spinal cord injury can cause temporary impotence. Your doctor may be able to alter the prescription, but the medication should never be changed without your doctor's permission.

Medication
Some prescriptions for high blood pressure, depression, and a number of other conditions may cause impotence. The medication can interfere with impulse or blood flow to the penis. Although impotence might be a side effect of these drugs, the doctor has determined that the drugs are necessary. Sometimes the medication or the dosage may be changed to reverse the impotence, but this should never be done without your doctor's permission.

Alcoholism and Hormone Problems 
Alcoholism disrupts the hormone level and can lead to permanent nerve damage, resulting in impotence. This type of impotence may be reversible or permanent depending on the severity of the nerve damage. Hormone levels alone are rarely the cause of impotence, but certain diseases can disrupt the balance of hormones. Kidney failure and liver disease are among those diseases. 

If you’re impotence problem is strictly emotional, it is highly recommended that you seek psychological assistance or counseling to help alleviate your issue.  

Emotional Impotence
A recent situation or event can result in psychological impotence.  It is adamant when a person is able to perform in only a few circumstances.  A good example would be a person who can maintain an erection when he wakes up in the morning but not during the initiation of sexual intercourse. This is a definite indication of psychological impotence rather than physical.  It is highly recommended that a person with emotional impotence seek psychological consultation.