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Some of the most common organic or physical causes of erectile dysfunction include: narrowing of blood vessels heart disease high blood pressure diabetes high cholesterol metabolic syndrome and obesity multiple sclerosis Parkinson's disease hormonal disorders such as testosterone deficiency and thyroid conditions anatomical or structural disorder of the penis, like Peyronie disease substance abuse, alcoholism, and smoking prostate disease treatment surgical complications radiation therapy to the pelvic region injuries to the spinal cord or pelvic area Erectile dysfunction is often caused when there is an issue with the flow of blood, and atherosclerosis is one of the most common causes of it

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