Question by Dan:

Hello. I’m 60 years old, healthy fit man.

I’m getting married next week.

My fiance is a wonderful woman, we love each other.

The only thing that spoils our relationship is my erection problems.

Sometimes I have troubles with maintaining it long enough in order to satisfy my fiance.

She says that is abnormal condition, but I personally think that at my age it is OK to experience it sometimes.

Who’s right? And what can you recommend me for impotence treatment?

Answer:

Hello, Dan. Happy to hear about your marriage.

Regarding erectile dysfunction:

In the majority of cases it’s caused by physical (not psychological) issues.
They include:

• Heart problems
• Parkinson’s disease
• Atherosclerosis
• HBP
• Diabetes
• Metabolic syndrome
• Heavy smoking and alcohol abuse
• Multiple sclerosis
• Low testosterone level
• Obesity
• Peyronie’s disease
• Certain types of medications
• Trauma or surgeries
• Fatigue

Mental causes include:

• Depression, stress and anxiety
• Relationship problems

Usually at your age developing ED is a normal condition. Anyway I would recommend you to consult your physician for evaluation.
He might prescribe you some anti-impotence medications, such as generic Viagra 50mg or generic Cialis 20mg.

You can read more about causes of impotence here.

My best wishes.