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An erection occurs as a hydraulic effect due to blood entering and being retained in sponge-like bodies within the penis. The process
is most often initiated as a result of sexual arousal, when signals are transmitted from the brain to nerves in the pelvis.
Erectile dysfunction is indicated when an erection is consistently difficult or impossible to produce, despite sexual arousal. There
are various and often multiple underlying causes, some of which are treatable medical conditions. The most important organic causes
are cardiovascular disease and diabetes, neurological problems (for example, trauma from prostatectomy surgery), hormonal
insufficiencies (hypogonadism) and drug side effects. It is important to realize that erectile dysfunction can signal underlying
risk for cardiovascular disease.