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Some things that may reduce blood flow to the penis include: health conditions that affect blood flow, such as atherosclerosis, or hardening of the arteries, heart disease, high blood pressure, or diabetes stress or emotional responses taking certain medications smoking tobacco products Other factors can also contribute to ED, including nerve damage to the genital area, cancer treatments, and mental health conditions such as anxiety and depression

People with mental health disorders like anxiety, depression, or untreated mental health conditions may use crack to cope with their symptoms

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