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Not being able to get an erection during the sensual communication with the lady Not being able to maintain an erection during the sensual communication with the lady Poor sensual satisfaction. low Sensual Desire a decrease in libido. Anxiety Around Sensual Communication performance anxiety,

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Strained Relationships Difficulty in the bedroom emotional distance in romantic relationships.

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Physical causes: Diabetes, hypertension, cardiovascular disease, obesity, high cholesterol, and hormonal imbalances. Psychological causes: Stress, anxiety, depression, and relationship issues. Lifestyle factors: Smoking, excessive alcohol use, lack of exercise, and poor diet. Medication side effects

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