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Your stomach needs room to work, and a massive meal plus slowed motility equals misery

Neurological & Structural Causes Spinal cord injury or nerve damage Multiple sclerosis, Parkinson's disease Pelvic surgery (prostatectomy, colorectal surgery) Pelvic radiation therapy Peyronie's disease (scar tissue in the penis) Psychological Causes Performance Anxiety The most common psychological cause, creating a self-reinforcing cycle where fear of failure leads to failure

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Pinch technique: Pinch a fold of skin between thumb and forefinger [11]

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For older adults, slower titration is often appropriate