The symptoms of erectile dysfunction are:

1. Unable to have erection any time, either with masturbation or during sexual intercourse.

2. Unable to maintain an erection strong enough during sexual intercourse.

3. Unable to maintain an erection sufficiently long enough to complete the process of sexual intercourse.

4. Occasional inability to obtain a full erection: Obtaining full erections at some times, such as when asleep (when the mind and psychological issues if any are less present), tends to suggest the physical structures are functionally working.

However the opposite case, a lack of nocturnal erections, does not imply the opposite, since a significant proportion of sexually functional men do not routinely get nocturnal erections or wet dreams.

5. Obtaining erections which are either not rigid or full (lazy erection), or are lost more rapidly than would be expected (often before or during penetration), can be a sign of a failure of the mechanism which keeps blood held in the penis, and may signify an underlying clinical condition, often cardiovascular in origin.

Erectile dysfunction can also be a sign of other health problems. It is better to check whether there is underlying health conditions with can lead to erectile dysfunction. Erectile dysfunction can mean that the blood vessels are clogged. It can also mean that there is damage from diabetes. Sometimes penile dysfunction leads to premature ejaculation or case of spermatorrhoea.

Depression accompanied by impotence: Severe depression sometimes signals impotence and conversely impotence might lead to depression.

It is possible that erectile dysfunction may be the main symptom in male erectile disorder. Erectile dysfunction also can be a symptom of many other disorders, like sexual dysfunction mainly due to some medical condition or due to substance-induced sexual dysfunction.

The risk of developing an erectile dysfunction increases with age.

Nearly 40% of men who are in 40s reported at least occasional problem with maintaining and erections. Nearly 52% of men who are between the ages 40 and 70 reported erectile dysfunction. Nearly 70% of the men who are in their 70s reported erectile dysfunction. Diseases and physical as well as psychological problems also may lead to increase in the risk.

Once the above symptoms are clearly diagnosed during routine medical examination, the most important thing to do is to check and treat erectile dysfunction.

It is pertinent to conduct a thorough physical examination which should include history about medical and lifestyle background.

The causes of erectile dysfunction may be psychological, neurological or due to any other medical condition. Full sexual history is also checked which includes number of sex partners, hardness, stimulation and the duration of erections.

The physician should also review medical history, surgery, and medications the patient takes. Once it is confirmed, erectile dysfunction can be treated based on its causes.

If you suffer from impotence symptoms then I highly recommend that you try some natural solutions before anything else.