Impotence problems in 32 yr old male. Is it my upbringing, the girls I date, or what?

Impotence in 32 year. There are several different causes of impotence such as smoking, certain illnesses like diabetes, low testosterone, or blood flow problems to and from the penis. Very rarely are they related to upbringing, types of girls you date ie the psychological reasons. First the organic causes need to be ruled out, but psychological reasons do exist.