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In the absence of a specific correctable aetiology, the management of erectile dysfunction is largely empirical and performed in a step wise manner. Erectile dysfunction is primarily diagnosed through a comprehensive medical and sexual history. Likewise, a person diagnosed with a mental illness can experience periods of physical, mental, and social well being. Faulty versions of the BRCA1 and BRCA2 genes are well known to increase the risk of breast cancer in men and women, and in ovarian cancer. Pathological phimosis cannot resolve by itself, and any attempted retraction of the prepuce causes pain and bleeding.