Erectile dysfunction (ED, male impotence) is a violation of the male sexual function, which is expressed in the impossibility of achieving or maintaining the penile erection necessary for the normal course of the sexual act1. The word impotence or impotence can also describe other problems related to sexual act and reproduction such as lack of sexual desire or ejaculation or orgasm problems. The risk of erectile dysfunction increases with age. It is 4 times higher in males at 60 years of age than in 40 years, according to a study by the Journal of Urology2.