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Sex-related erectile dysfunction, or impotence, is a problem identified by a male’s repeated inability to obtain or keep an erection suitable for sexual intercourse. 시알리스 구입처 Erections are handled by two various systems, the reflex, and the psychogenic erection. Reflex erections are attained by directly touching the male shaft. Psychogenic erections are attained by erotic or emotional stimuli. Sex-related erectile dysfunction can be brought on by psychological issues, tension, alcohol abuse, smoking cigarettes, hormonal shortage, or illness like diabetes and cardiovascular disease.