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Others may experience feelings of guilt about having sex, or worries about engaging in certain types of sexual activity. The medicine is quickly absorbed into the penis to cause an erection, usually within minutes. Many things can cause ED, including stress, depression, relationship issues, abnormally low testosterone, damage from urological surgery, and even cholesterol clogged arteries. Last week, we discussed the myths and facts about female orgasms. Phimosis is classified as physiological and pathological.