Many urologists have a leaning considering erectile dysfunction in youngs and middle-aged people to be more a psychological problem since that is what they know best. They are right in many cases excepting those situations when impotence is caused by several physical problem, such as diabetes, hypertension or heart disease. When a psychological cause is suggested, going to a professional who will do a complete evaluation could be a very good option.

With older people, things are a little bit more complicated. The erection pills have made men more likely to talk about erectile dysfunctions with their doctors. That's a good point because the inability to achieve or maintain an erection (impotence, erectile dysfunction) is not a problem treatable by the sufferer himself.

The general picture was that people in their fifties and sixties are more preoccupied with careers and jobs than with sexual pleasure. Viagra and the other erectile pills opened a new perspective, revealing those people interested to be capable of sexual performing and still attracted by sexual pleasure and improving their sexual confidence and self-esteem. That means specialists must reconsider the entire stage of life, by redefining this group of elderly male population still active from sexual point of view.