• Psychological causes
• Anxiousness about whether you can 'perform' will almost certainly make it impossible to get an erection.
• Problems in a relationship may affect potency.
• Impotence may be caused by depression.
• Recent loss of a loved one is notorious for causing Impotency impotence.
• Tiredness, Stress.
• Injuries on the penis.
• Hang-ups - for instance, guilt about anything,over done of sexual partners before.
• Unresolved gay feelings.
• Having an unattractive partner !! to your liking.
• Physical causes of impotency.
• 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.
• Diabetes often creates erection difficulties,sonner or later.
  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 treatment, some antidepressants and some ulcer healing drugs; BP drugs, also can be treated.
• Side effects of non-prescribed drugs (tobacco, alcohol, cocaine and others).
• Nervous system diseases - too nervous over the issue or others.
• Major surgery, eg prostate surgery or other abdominal operations.
• Hormonal inbalance, or yin and yang of the liver imbalance,after given birth or miscarriage - rare but still there.

Erectile Dysfunction, sometimes is also call "impotence" is the repeated inability to get or keep an erection firm enough for sexual intercourse. The word "impotence" may also be used to describe other problems that interfere with sexual intercourse and reproduction, such as lack of sexual desire and problems with ejaculation or orgasm. Using the term erectile dysfunction makes it clear that those other problems are not involved.

Impotency - Erectile Dysfunction, can be a total inability to achieve erection, an inconsistent ability to do so, or a tendency to sustain only brief erections. These variations make defining ED and estimating its incidence difficult. Estimates range from 15 million to 30 million, depending on the definition used. According to the National Ambulatory Medicine Care Survey (NAMCS), for every 1,000 men in the United States, 7.7 physician office visits were made for Erectile dysfunction in 1985. By 1999, that rate had nearly tripled to 22.3. The suspected figures in Malaysia is much higher.

In older men, Erectile Dysfunction usually has a physical cause, such as disease, injury, or side effects of drugs. Any disorder that causes injury to the nerves or impairs blood flow in the penis has the potential to cause Erectile Dysfunction. But it is not an inevitable part of aging. WAY of mantainence with herbs can help to prelong your sexual activity until 90's of age.

The penis contains two chambers called the corpora cavernosa, which run the length of the organ. A spongy tissue fills the chambers. The corpora cavernosa are surrounded by a membrane, called the tunica albuginea. The spongy tissue contains smooth muscles, fibrous tissues, spaces, veins, and arteries. The urethra, which is the channel for urine and ejaculate, runs along the underside of the corpora cavernosa.

Erection starts with sensory or mental stimulation, or both. Impulses from the brain and local nerves cause the muscles of the corpora cavernosa to relax, allowing blood to flow in and fill the spaces. The blood creates pressure in the corpora cavernosa, making the penis expand. The tunica albuginea helps trap the blood in the corpora cavernosa, thereby sustaining erection. When muscles in the penis contract to stop the inflow of blood and open outflow channels, erection is reversed.

The Qi flow is know to be high during erection and if you total Qi lever is low you will find that in-sufficient erection occurs.In order to achieve full erection you need to mantain you total Qi lever high and also strong kidney and smooth liver conditions.

Medicine way of Impothence Treatment in KL Kuala Lumpur Malaysia