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In the past, erectile dysfunction was commonly believed to be caused by psychological problems. In other cases, medications or other direct treatments might be needed. These conditions can cause damages to the blood vessels, build up of plaque inside the arteries , thickening of the blood, slower bloodflow, and reduced production of nitric oxide, testosterone, and dopamine. Erectile dysfunction is defined as an inability to obtain or maintain an erection sufficient for penetration and for the satisfaction of both sexual partners. This is mainly because the blood flow to the penis is blocked, or blood flows too fast through the veins in the penis region, making the erectile tissue work incorrectly.