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 Impotence is a  typical  problem that affects about 30 million men in the  USA. This is caused by a breakdown of  sychronisation between the nerves,  capillary,  and also muscles, which is  required for erections. The cause of this  problem isn't  constantly clear, but it's  usually a symptom of a  larger  trouble. Certain chronic  health problems  and also medications can  trigger this  problem. Prostate  cancer cells  therapies,  as an example, can  bring about erectile dysfunction.  On top of that,  emotional  problems can play a role in  virtually every  situation.