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Each of the main (three) sexual disorder treatments for ED are working. Yes, smoking is one of the biggest factors in relation to ED. No, physical issues are not always the problem, but emotional and mental issues come into play. Every day stress, depression, any illnesses, diseases and how healthy one is will all play a part in getting any ED corrected. Even sleep disorders can be related to ED. Keep in mind that if one takes the medication on a regular basis, the side effects will fade away the longer it is taken. Call the ER or a doctor if there are any problems and the symptoms do not leave.