Poor cardiovascular health is the most common cause of ED, says Tobias Köhler, M.D., an associate professor of urology at the Southern Illinois University School of Medicine. So if you’re unable to get hard, it’s often an early sign that your heart is in trouble. Many guys whose ED is caused by poor cardiovascular health wind up having life-threatening heart problems like a heart attack in the next five years, says Dr. Köhler. This is due to clogged and tiny 1 - 2 millimetres vessels that reduce blood flow to the penis on top of lacking in exercising, bad diet, smoking, genetics or age.

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