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Impotence, also known as erectile dysfunction (ED), is the inability to achieve or maintain an erection firm enough for sexual intercourse. It can be caused by various factors, including physical conditions such as heart disease, diabetes, obesity, and low testosterone levels, as well as psychological factors such as stress, anxiety, depression, and relationship issues. Treatment options for impotence include oral medications such as sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra), and avanafil (Stendra),
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