Impotence is a condition that affects over 10 million men in the United States. It is usually attributed to physical causes. However, psychological factors such as stress, anxiety, guilt, depression, low self-esteem, and fear of sexual failure are believed to be linked to many cases of impotence both directly as causes of such a condition, or indirectly as reactions to underlying physical causes. Impotence may also be caused by other factors such as smoking, which affects blood flow in veins and arteries, and hormonal abnormalities, such as insufficient testosterone.

Healthy men have involuntary erections during sleep. If such nocturnal erections do not occur, then the cause of impotence may be physical rather than psychological although this test may not always be completely accurate. Whatever the cause, impotence is regarded as a treatable condition. While treatment options are several, hypnotherapy is an effective tool in treating the psychological causes of impotence.

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