With these or other problems in the sexual sphere of life for every man faces. However, if isolated cases of absence or weakness of erection can be caused by stress, anxiety or other causes transitory, then the regular (25% of cases and more) inability to perform sexual intercourse necessary to speak about such disease as impotence tadalafil 60 mg. Depending on the causes of the following types of erectile dysfunction or erectile dysfunction:
Psychogenic. This type of erectile dysfunction occurs due to psychological problems: long-term stress, neurosis, depression, strained relations with sexual partners, non-compliance of qualitative and quantitative composition of the sexual life of men's needs. In cases where the impotence is caused by psychological problems, the patient retained spontaneous erections and masturbation, but weakened sharply adequate, libido disorders may occur.
Organic. This type of erectile dysfunction caused by disease or other effects on the body of negative factors (environment, bad habits). Impotence of organic nature, depending on the cause may be the following types.
Vasculogenic. This type of erectile dysfunction seen in the background of arterial and veno-occlusive disorders, as well as the development of cavernous insufficiency and associated changes in the corpus cavernosum, blood vessels and nerve endings of the penis. In this type of impotence in men gradually weakened until complete and spontaneous disappearance and adequate erection, libido thus maintained.
Hormone. This view arises from the violation of the degree of assimilation of testosterone, often a form of the disease occurs in people with diabetes mellitus, Pasqualini's syndrome, a disease-Itsengo Kushenga and other endocrinopathies men. When hormonal impotence, decreased libido gradually.
Neurogenic. This type of erectile dysfunction occurs as a result of spinal cord or brain diseases, and peripheral nerves. When "high" spontaneous spinal disorders and appear when the tactile effects of erection remain, at "low" spinal disorders suffer spontaneous and adequate erections. Libido in both cases is unaffected.
Mixed. This impotence is caused by a set of reasons why organic and psychogenic erectile dysfunction, such as a chronic disease in combination with psychological problems. Symptomatology mixed erectile dysfunction combines both types of factors.
Medication. This kind of isolated in a separate group. The disease is associated with taking antihypertensive, antipsychotics, antidepressants, anti-androgens, antihistamines, drugs. When drug impotence suffer spontaneous and adequate erections, decreased libido.