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+ Physical Impotence Causes
Problems with the chemical mechanism that makes erections happen - very common in older men.
Vascular (blood vessel) disorders. Patients with arteriosclerosis , other heart or vascular diseases and high blood pressure are at greater risk of developing impotence.
Excessive drainage of blood from the penis through the veins (venous leak) – uncommon.
Diabetes often creates erection difficulties.
Smoking increases the risk of developing arteriosclerosis and, therefore, of suffering from impotence.
Side effects from certain drugs, such as some blood pressure (BP) treatments, some antidepressants and some ulcer healing drugs; antidepressants and BP drugs, in particular, do this very frequently.
Side effects of non-prescribed drugs (tobacco, alcohol, cocaine and others).
Nervous system diseases - uncommon.
Major surgery, eg prostate surgery or other abdominal operations.
Hormonal abnormalities - rare.
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