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So, even if the nerves or blood vessels going to your penis are not working so well, a tablet can cause the blood flow to increase in your penis and cause an erection. Taking care of your body by reducing stress and improving sleep quality is critical. Excessive outflow of blood from the penis through the veins. Treatment of men with erectile dysfunction with transurethral alprostadil Medicated Urethral System for Erection Study Group. Among Black men, there was a 1 in 20 lifetime risk, compared to a 1 in 132 lifetime risk for white men.