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Here are the main causes: Psychological Factors Stress and anxiety Depression Relationship issues Performance Anxiety Biological Factors Cardiovascular diseases like heart disease, high BP Type 2 diabetes Obesity Hormonal imbalances like low testosterone (low T) Neurological disorders like multiple sclerosis Lifestyle Influences Poor diet Lack of exercise Smoking & drug use Excessive alcohol consumption Medications Certain prescription drugs, such as antidepressants and antihypertensives Understanding the causes of erectile dysfunction is the first step toward effective treatment

While both drugs have demonstrated profound efficacy in clinical trials, they are distinct molecules with different mechanisms of action, side effect profiles, and potential outcomes

However, further studies with a larger sample size and varying motility levels are needed

B.DrmicD.et al (2016)

The Journal of Physiology, 591, 4655-4666