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    Even though a man has a strong desire to perform sexual act with a cooperative partner, he cannot perform sexual act because of looseness (absence of erection) of his phallus (penis).
   
    Even if he performs sexual act with his determined efforts he does not get erection and gets afflicted with tiredness, perspiration and frustration to perform sex.
   
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  Causes of ED
     
  Erection requires a sequence of events. Erectile dysfunction can occur when any of the events is disturbed.
    Nerve impulses in the brain,
     
    spinal column, around the penis and response in muscles,
     
    Fibrous tissues, veins, and arteries in and around the corpora cavernosa constitute this sequence of events.
     
    Injury to any of these parts which are part of this sequence (nerves, arteries, smooth muscles, fibrous tissue) can cause ED.
     
    Consumption of medicines,
       
    drugs and tobacco:
       
    Using anti-depressants,
       
    tranquilizers and antihypertensive medicines for a long time,
       
    Addiction to tobacco especially smoking, excessive consumption of alcohol, addiction to cocaine, heroin and marijuana cause erectile dysfunction.
       
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  Lowered Level of Testosterone Hormone
   
    The primary male hormone is testosterone
     
    After age 40, a man's testosterone level gradually declines.
     
    About 5% of men that doctors see for erectile dysfunction have low testosterone levels.
     
    In many of these cases, low testosterone causes lower sexual interest, not erectile dysfunction.