The cause and/or contributing factors vary as does the age when symptoms present. While there may be significant differences in etiology, there are common factors shared by all men. ED is an unwelcome issue that strikes at the core and challenges a man's self-perception. Inability to achieve erections satisfactory for intimacy can threaten our self-esteem, relationships and quality of life. Unlike other medical conditions, most men are not comfortable discussing their " downstairs dilemmas " while tennis elbow or high cholesterol are fair game. Because of this, it is essential to provide a safe and professional environment where men can ask questions and feel confident in the information they receive. It is equally important that patients understand how closely we work with their physicians to find the best solution to their condition...from dose adjustments to therapeutic changes...they have a "care team" in their corner.