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About half of men ages 40 to 70 have erectile dysfunction (ED) to some degree, although only one in 10 report a complete inability to have erections. Taking an ED drug produces an erection sufficient to start intercourse in about 70% of otherwise healthy men. The big culprits to blame for erectile dysfunction: heart disease, diabetes, hypertension, and high cholesterol. With these diseases, vessels are constricting rather than opening to let blood flow to extremities, such as the penis, says Dr. Fisch.

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