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Erectile dysfunction can also be a sign of other illnesses such as heart disease or diabetes, so it is important that you seek medical advice. It can predate a diagnosis of cardiovascular disease by at least a few years, Dr Liou says. 75Fenwick PB, Mercer S, Grant R, Wheeler M, Nanjee N, Toone B, Brown D Nocturnal penile tumescence and serum testosterone levels. PSA Test Prostate specific antigen is a protein that is found in the semen. Take the time to clean the area with another alcohol wipe.