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Esto significa que cuanto más ansioso es un hombre por ser capaz de rendir, menos capaz es de hacerlo, y más ansioso se vuelve, y así sucesivamente, causando una espiral de deterioro. Como se ha explicado, en la mayoría de los casos de disfunción eréctil, existe una causa orgánica de fondo.

Una persona mayor y completamente saludable sin medicamentos es plenamente capaz de conseguir erecciones satisfactorias en la mayoría de los casos. Otras causas son medicamentos determinados cómo Neuro-bloguero.