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Most men do not feel free to treat ED but with growing awareness towards ED, more men have started taking help to treat it. ED is caused by various physical ailments like diabetes, kidney disease, chronic alcoholism, multiple sclerosis, atherosclerosis, vascular disease, or damage to nerves, arteries, smooth muscles and fibrous tissues as a result of disease. In addition, excessive alcohol intake, smoking, obesity and some psychological problems like depression, performance failure can cause ED. There are medicines and treatment options available in the market to help those men who are suffering from ED. But the physician suggest the lifestyle change like quitting smoking, reducing alcohol intake, managing body weight as the primary measure. If it does not click, men can seek sexual counseling, drug therapy, vacuum therapy and penile implant surgery. cialis europe how is viagra generic prescription viagra without purchasing viagra in cancun