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Sports such as jogging, swimming, etc are suitable for people with erectile dysfunction. As with any muscle, it will need time to tone and strengthen. Mental health related stigma is an umbrella term that includes social stigma, self stigma , professional stigma, and cultural stigma. Another potential factor is loneliness is the institution of marriage linked to better health, or is it simply a question of living with another person. I ve seen a few documentaries on people who had their gender reassigned at birth for whatever reason.