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The authors declare no conflicting financial interests. Dr. Bartolome R. Celli, chief of pulmonary care at St. Elizabeth's Medical Center in Boston, applauded the Dutch study but called for more research. Dr. James M. Cummings, chief of the division of urology at Saint Louis University School of Medicine, said, "What is further significant is the growing body of literature linking the onset of erectile dysfunction to the symptomatic onset of coronary artery disease, thus giving clinicians a true window of opportunity to evaluate and prevent significant ischemic heart disease in a subgroup of men. Aging: There are two reasons why older men are more likely to experience erectile dysfunction than younger men. First, older men are more likely to develop diseases (such as heart attacks, angina, strokes, diabetes mellitus, and high blood pressure) that are associated with erectile dysfunction. Second, the aging process alone can cause erectile dysfunction in some men; primarily by decreasing the compliance of the tissues in the corpora cavernosa, although it has been suggested, but not proven, that there is also decreased production of nitric oxide in the nerves that innervate the corporal smooth muscle within the penis. Other causes of male infertility may include: best drugstore where you can buy viagra viagra no prescription online Licensed Pharmacy Viagra canadian viagra for sale where to buy viagra buy viagra online without prescription