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After testosterone, prolactin is the most commonly altered hormone in men with sexual dysfunction its main effect is to inhibit gonadotropin secretion to induce hypogonadism. This encourages blood to flow into your penis, and you can then place a constriction ring at the base of the penis to help maintain the erection. Finding and treating the reason for ED is a vital first step. Because of culture stigma, underrepresented persons are left to find mental health treatment and support alone, if at all. Fig 5 Phimosis of the penis, where the foreskin cannot be retracted.