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Another common physical cause of ED is type 2 diabetes, which can damage your arteries and nervous system. This doesn t mean growing older is the end of your sex life. Left untreated, ED can contribute to worsened stress and anxiety as well as low self esteem, relationship issues and a reduced quality of life. A trim waistline is one good defense a man with a 42 inch waist is 50 more likely to have ED than one with a 32 inch waist. Teen guys should have testicular exams every year at their regular checkup.