which fatty deposits build up inside arteries, may also restriction blood glide to the penιѕ and purpose erection difficu Vandafil lties. "The small blood vessels that go to the penιѕ can grow to be diseased a great deal in advance than the [larger] vessels that visit the coronary heart," Karen Boyle, MD, a urologist at Johns Hopkins college of drugs, tells WebMD. "In younger or younger middle-aged men, ED is regularly the primary signal of atherosclerosis." For guys with ED who're susceptible to coronary heart disorder,.