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abnormal achieve alcohol arterial bladder blockage blood supply cardiovascular causes of impotence Chapter chronic impotence condition cost coverage device diabetes discussed drug dysfunction problems ejaculatory failure episodes erection examination exist experienced female partner fluid high blood pressure hormonal impotence problem impotence symptoms indicated individuals inflatable implant intercourse involve lack of desire linked to impotence male sexual dysfunction male sexual problems male urinary-genital system Masters and Johnson masturbation nerve nervous system neurological Nocturnal penile tumescence normal occur papaverine patient penile implant penile injection penis performance anxiety period Peyronie's disease physical cause physical problem physician possible premature ejaculation priapism professional attention professional help prolactin prostate infection prosthesis psychological impotence psychotherapy reason result in impotence retrograde ejaculation semirigid sex therapists sexual activities sperm surgery surgical procedure testicles testosterone treatment of impotence treatment program typically underlying urethra urine urologist urologist specializing usually vaginal penetration vascular yohimbine