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Erectile dysfunction is nowadays connected with a variety of causes that may lead to different men’s problems including inability to have and sustain an erection. All the causes of importance can be grouped as: psychological disorders, endocrine disorders, and disorders of the cardiovascular system. Impotence can produce serious psychological problems that further impact on the impotence. Performance anxiety is a very real problem for most men. They fear of being unable to perform well, they are dissatisfied with penis size and these things can provoke – failure to get an erection the thing the most men wish to avoid.