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The most common sexual dysfunctions in men include lack of interest, premature ejaculation and erectile dysfunction. Organic or physical causes for sexual dysfunction in men include vascular, hormonal and neurologic factors. Concerning vascular causes, the risk factors for atherosclerosis including smoking, high blood pressure, diabetes diabetics do not respond well to pills like sildenafil Viagra and high cholesterol are ALSO risk factors for erectile dysfunction. Since a straddle injury or use of a narrow saddle can obstruct and impair arteries to the penis, bicycle riding is also considered a risk factor for erectile dysfunction. Little attention has been paid to endocrine factors.

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