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In addition to physical and psychological causes, erectile dysfunction is occasionally caused by certain medications and substances. Many clinics also market supplements specifically for erectile dysfunction or low testosterone, but it s important to know there s not much research behind their effectiveness, Dr Patel says. We take vital signs at every office visit for the same reason because problems in these areas are not always obvious, yet if not diagnosed and treated they can cause the patient serious harm. Men with a lived experience of a mental health condition lead our peer support groups. Then you go in and lie with him, that we may preserve offspring from our father.