These problems demand the greatest level of communication and openness, but often this is the very thing which is hardest to accomplish. Many men are very defensive and anxious about this matter, for unfortunately in our society sexuality has become almost identical with personhood. A man who lacks sexual drive or cannot perform sexually may feel that he is not a "real man." To compound the problem, the "macho" image may keep him from reaching out for the help he needs

No man in his right mind would admit that he’s a lousy lover. But many men are guilty of this “sin” because of impotence.

Impotence is the inability to achieve or sustain an erection when you’re having sex. It affects one in every ten men. Although it can happen to anyone, it is common in middle-aged and elderly men.

Occasional bouts of impotence are normal and shouldn’t alarm you. But it the problem persists, it can destroy your marriage. The Men’s Health Forum and the Impotence Association said one in five men suffering from impotence believe it ruined their relationship. They added that 44 percent of impotent men were depressed while 35 percent of impotent men suffered from anxiety.

The fear of impotence can cause people to do bizarre or crazy things. In Pakistan, health officials failed to immunize over 160,000 children against polio following a rumor that the vaccine causes impotence.

The $196 million vaccination campaign of the World Health Organization (WHO) did poorly in Pakistan due to the anti-vaccine scare. Local clerics told residents the whole thing was an “American conspiracy” to control the population growth of Muslims.

“In some areas immunization teams were beaten up by local people, officials said. Elsewhere parents just refused to get their children immunized,” the BBC News reported.