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As a result of this, many men start to experience symptoms of low testosterone, such as weaker erections and a reduced level of interest in sex, as they enter their 30s, 40s or 50s. If you care about the brand name of sildenafil citrate, this may be the option for you. Research in stem cell therapy and gene therapy for erectile dysfunction is also ongoing. Being overweight can cause or worsen erectile dysfunction. A mental health assessment is part of our routine evaluation we recommend for everyone with ED.