When impotence is caused by reduced blood circulation, the Kegel exercise might be helpful. The basic technique involves tightening and releasing the pelvic muscle that controls urination. Since the muscle is internal and sometimes difficult to locate, some therapists and doctors suggest practicing while urinating on the toilet. The patient tries to contract the muscle until the flow of urine is slowed or stopped, then releases. People should perform 5 to 15 contractions, attempting to hold each contration for 10 seconds, three to five times daily.

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