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[DOI] [PMC free article] [PubMed] [Google Scholar] 43.Marletta A.S., Massarotti A., Orsomando G., Magni G., Rizzi M., Garavaglia S

Some common causes include: 20% of people over the age of 70 experience peripheral artery disease Nerve damage (neuropathy): This often stems from diabetes

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When to See a Doctor Its important to consult a clinician if you experience: New or worsening sexual dysfunction Erectile failure lasting more than 46 weeks Suddenly, severe sexual side effects after dose changes Reduced quality of life or distress about sexual performance A doctor can help confirm whether symptoms are caused by fluoxetine itself or an anxiety-related pattern better addressed with agents like Buspirone and ED: The medication The underlying depression Stress Relationship issues Physical health conditions like high blood pressure, diabetes, or heart disease Sexual side effects are one of the top reasons people stop antidepressant treatment