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Erectile dysfunction, or ED, is the most common sexual problem that men report to their doctor. It affects about 30 million men. ED is defined as problems to achieve or maintain an erection that is firm enough to have sex. Although it is not uncommon for a man to have problems with erections from time to time, Erectile dysfunction is progressive or occurs routinely. With sex it is not normal, and should be treated. ED can happen: More often when the blood flow in the penis is limited or the nerves are damaged With stress or emotional reasons. As an early warning of a more serious illness, such as: atherosclerosis (hardening or blockage of the arteries), heart disease, high blood pressure or high blood sugar due to diabetes Finding the cause (s) of your ED will help address the problem and help you with your general well-being. As a general rule, what is good for your heart's health is good for sexual health. How erections work During sexual arousal, t