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One study looking at nearly 50,000 men found that over half of those who reported they were alcohol dependent had some type of sexual dysfunction, with one quarter citing ED as their main problem. Treatment of erectile dysfunction starts with an accurate diagnosis. This means your blood vessels get less good and transporting blood, you liver less good at filtering toxins, and your erectile structures less good at responding to sexual stimulation. Discuss your options with your doctor to determine the best treatment for you. Study data suggests it affects 18 million men over the age of 20 in the United States.