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Everything from sleeping pills to analgesics to anxiety medications. If you re able to perform sexually, even with masturbation, you may feel more confident that you can get and keep an erection during sex with a partner. Is defined as the persistent or repeated inability, for a duration of at least 6 months, to attain or maintain an erection sufficient for satisfactory sexual performance. This means your blood vessels get less good and transporting blood, you liver less good at filtering toxins, and your erectile structures less good at responding to sexual stimulation. Male sexual health isn t merely the absence of disease.