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Impotence (or erectile dysfunction) is defined as the inability to achieve or maintain an erection sufficient for sexual intercourse, and includes the inability to get an erection as a result of sexual stimulation or to lose your erection prior to ejaculation. Impotence does not generally include other symptoms such as lack of libido, inability to ejaculate or the inability to achieve orgasm.

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The risk of erectile dysfunction increases with age. It is four-fold higher in men in their 60s compared with those in their 40s according to a study published in the Journal of Urology (2000;163:460-463).

Men less educated are also more likely to experience impotence, perhaps because they tend to have less healthy lifestyles, eat a less healthy diet, drink more and exercise less. Physical exercise tends to lessen the risk of impotence.

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Impotence is a common problem among men characterized by the consistent inability to sustain an erection sufficient for sexual intercourse or the inability to achieve ejaculation, or both.

Erectile dysfunction can vary. It can involve a total inability to achieve an erection or ejaculate, an inconsistent ability to do so, or a tendency to sustain only very brief erections.

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