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  ED typically refers to erectile dysfunction, which is a condition in which a man has difficulty achieving or maintaining an erection sufficient for sexual intercourse. ED can have physical or psychological causes, and it can be a symptom of an underlying medical condition, such as heart disease or diabetes. Treatment for ED may include lifestyle changes, such as exercise and a healthy diet, as well as medication, therapy, or devices such as a vacuum pump or penile implant. It is important for individuals with ED to consult with a healthcare provider to determine the underlying cause and appropriate treatment options. What cause ED? Erectile dysfunction (ED) can occur due to a variety of factors, both physical and psychological. Some common causes of ED include: Physical causes: These include medical conditions that affect blood flow to the penis or damage nerves responsible for sexual arousal. Examples include diabetes, high blood pressure, heart disease, atherosclerosis (narrowing