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What is erectile dysfunction? Erectile dysfunction (ED) means that erection of the male penis does not occur at all, is maintained only briefly, or is not strong enough to allow sexual intercourse. If one of the above situations is present for more than 4-6 months, this is referred to as erectile dysfunction. For a long time, it was assumed that most cases of erectile dysfunction have purely psychological causes. Today it is known that physical causes such as age, diabetes mellitus, arteriosclerosis and vascular anomalies account for more than 2/3 of cases. One out of every three men aged 60 to 70 is affected, for example. Experts assume that the number of men affected is much larger, since this topic is still associated with a great deal of shame.