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However, most men with ED have a combination of psychological and physical causes, with one affecting the other. As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Based on previous studies about the distributions of penis length and circumference, the average American erect penis length was estimated as 6 inches 152 cm and circumference as 5 inches 127 cm. No one kind of penis miraculously leaves a person with perfect body image, and no one kind of penis is going to equal 100 sexual satisfaction for any sex partner you have all by itself. The arteries relax and open up to let more blood flow in at the same time, the veins close up.

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