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You might also mention that you re concerned about erectile dysfunction being an early indicator of a more severe problem like cardiovascular disease or diabetes. 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. The pulses in your legs will normally be assessed and the nerve reflexes involving your legs, and your penis or anus. No cleansing of the penis with cotton swabs or antiseptics is necessary. As you know, original penis size is largely a matter of genetics so it pays to know whether your ancestors gave you a lottery ticket or a booby prize.