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Erectile dysfunction is also commonly referred to as impotence. ED is a disorder that is not sexually transmitted, and that increases with age. It is felt that ED affects less than 5% of sexually active men in their fourth decade and climbs to approximately 60% of men in their seventh decade of life. When ED occurs in young men, there is frequently a strong psychological component to its origin. Psychologically related ED may be more prevalent in young gay/homosexual men who are coming to terms with their sexuality.