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Erectile dysfunction (ED), also known as impotence, is the inability to achieve or sustain an erection for satisfactory sexual activity.This means even though a man has a strong desire to perform sexual act with a life partner, he cannot perform sexual act because of looseness of his penis. Even if he performs sexual act with his determined efforts he does not get erection.Erection requires a sequence of events. Erectile dysfunction can occur when any of the events is disturbed. Nerve impulses in the brain, spinal column, around the penis and response in muscles, fibrous tissues, veins, and arteries in and around the corpora cavernosa constitute this sequence of events. Injury to any of these parts which are part of this sequence (nerves, arteries, smooth muscles, fibrous tissue) can cause ED.

There are many causes of male infertility, including poor sperm quality, lack of semen, reduced sperm motility, and low sperm count. Biological and environmental factors can both cause low sperm count.There is growing evidence supporting the connection between aging and male infertility. Men under the age of 39 have fertilization rates of over 60 percent whereas males over 39 have fertilization rates of slightly over 50 percent.Sperm count is almost always temporarily reduced by physical or mental stress.Psychological issues, impotence, premature ejaculation, or issues within a relationship can affect fertilit.Male infertility is linked to several genetic factors.Issues with sexual intercourse or technique is possible in less than 1 percent of males.