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A few biochemical and hormonal parameters are of value in patients with erectile dysfunction. It can predate a diagnosis of cardiovascular disease by at least a few years, Dr Liou says. Frequent erectile dysfunction can have a serious impact on a man s confidence, emotional health, and relationship. Have a higher risk of erectile dysfunction, especially if their diabetes is not well controlled. It means seeing your doctor even if you don t have a wife to drag you in, and it means seeking ways to reduce stress and build social ties and mutually supportive relationships.