The statistics about what causes impotence most often – psychological or organic – are contradictory. According to some statistics, in 20-25% of men, impotence has an organic basis. Scientists estimate that almost half of the cases of impotence are caused by organic prines. Some American sex therapists believe that up to 75% of all cases of impotence are caused by organic causes, while others believe that they are not well examined psychologically, and 90% of them suffer from functional impotence for psychological rather than organic reasons.

Some foreign sex therapists expand the scope of the concept of “impotence”.

So, according to S. Schnabl, a man is considered impotent if he is incapable of:

1. Sexually attracted to a woman

2. To achieve a sufficient erection as a result of sexual desire

3. Insert the penis into the vagina after an erection

4. Perform frictional movements for the required time

5. Achieve ejaculation as a result of frictional movements

6. Survive the state of orgasm in such a situation and with a woman with whom most men are able to have sexual intercourse.

Potency impairment may relate to any of the six items listed. And the earlier the disorder manifests itself, the more serious the consequences will be, since the violation in the previous phase entails deviations in all other phases. For example, if libido does not develop, then an erection does not occur, and so on. However, the presence of libido does not exclude erectile dysfunction, which is the most frequent sexual disorder in men.

W. Masters and W. Johnson object to considering ejaculation disorders as a form of impotence. They believe that premature ejaculation can not be identified with impotence, because it does not violate either an erection, or the ability to fertilize, or experiencing an orgasm. The complete absence of ejaculation should also not be considered impotence, since an erection is not disturbed, namely, the absence of an erection is psychologically the most painful violation for a man.

Currently, most sex therapists attribute only erection dysfunction to impotence, and the remaining disorders are considered as isolated disorders. They can be combined with erection dysfunction, but can exist in isolated form.

The form of erectile dysfunction can be in the form of three options:

1. A complete lack of erection when trying to have sexual intercourse.

2. Partial erection, making it difficult or impossible to insert the penis into the vagina.

3. Normal erection before sexual intercourse, disappearing during intercourse, after the introduction of the penis into the vagina, and therefore the continuation of intercourse becomes impossible.

These forms very often pass one into another, for example, a partial erection in its complete absence, and can also manifest themselves in various combinations with early and premature ejaculation.

Fears of being powerless prompt many men to constantly change sexual partners in order to “test themselves.” By this, they seem to assert themselves, proving to themselves and to all those around them that they are “real men”.

However, the well-known law of dialectics, which states that “quantity passes into quality,” does not apply to such cases. The fact that a man has many mistresses and is not able to hold on to any of them, just says the opposite, about his weakness as a sexual partner. A temperamental woman will not let go of a good lover.

And a man who has a long list of “mistresses for one night” most often chooses inexperienced women as partners who are not able to appreciate his “masculine qualities”. And women who have sufficient sexual experience, he is panicky afraid.

In order to avoid impotence, there is absolutely no need to “prove” to everyone and to yourself your viability, constantly changing lovers. Frequent change of sexual partners is just one of the causes of sexual violations in men – each woman has her own requirements and needs, and in a short period of time a man does not have time to adapt to a new partner. A man and a woman need at least ten sexual contacts in order to at least in general terms learn about each other’s needs. The risk of failure with a new sexual partner increases.

So that a man does not lose his potency, he must not forget the main principle of medicine – any disease is easier to prevent than to treat it for a long time. It is for this reason that the causes that cause impotence are so detailed here. Therefore, a man should never strive for sexual intercourse if he is tired physically or mentally, if he is weakened by an illness, if he feels bad or has something to hurt, if he has troubles or a bad mood, if he is hungry or vice versa, ate if he “went through” alcohol, if he does not have a strong sexual desire for a partner, or if his constant partner insists on intimacy, and he doesn’t want it today. In addition, a man should not allow long breaks in his sexual life.

Insecure, indecisive men can be advised to avoid imperious and oppressive sexual partners, tactless behavior of which can cause erectile dysfunction, even if the man’s potency is generally in order. In such men, even episodic failure can be fixed and persistent impotence can form.

And all men can be recommended to choose partners feminine and tender. A good sexual partner and regular full-fledged sexual relations are the best prevention of impotence. The last tip, of course, is the most difficult to implement, although the most effective.

Unfortunately, modern women are overly keen on their emancipation and independence and forget about femininity, tenderness, tact, sensitivity and the need to adapt to the life partner. And this, perhaps, lies one of the reasons for the frequency of impotence of many modern men.