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Ego-dystonic sexual orientation Paraphilia Fetishism Voyeurism Sexual maturation disorder Sexual relationship disorder. In other cases, a physical examination and laboratory investigations are done to rule out more serious causes such as hypogonadism or prolactinoma. During the late 16th and 17th centuries in France, male impotence was considered a crime, as well as legal grounds for a divorce. Once inserted, an erection can begin within 10 minutes and last up to an hour. Epididymitis Spermatocele Hematocele.

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Most cases of ED of organic causes are related to changes in blood flow in the corpora cavernosa, represented by occlusive artery disease, most often of atherosclerotic origin, or due to failure of the veno-occlusive mechanism.

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Penile ultrasonography with doppler can be used to examine the penis in erected state. The study of ED within medicine is covered by andrology , a sub-field within urology. Many men do not seek treatment due to feelings of embarrassment.

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