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A Review and Update. The mean time typically spent watching sexually explicit material weekly was min for the CSB group and 29 min for the control group. Mechanisms of penile erection and basis for pharmacological treatment of erectile dysfunction. Traditionally, ED has been seen as an age-dependent problem [ 2 ], and studies investigating ED risk factors in men under 40 have often failed to identify the factors commonly associated with ED in older men, such as smoking, alcoholism, obesity, sedentary life, diabetes, hypertension, cardiovascular disease, and hyperlipidemia [ 16 ]. This review 1 considers data from multiple domains, e.