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Experts agree. Erectile dysfunction is treatable in all age groups. It occurs when a man ejaculates before he wants to or too quickly during intercourse to satisfy his sexual partner. Impotence can have emotional causes but most often it is due to a physical problem. Cialis does not necessarily need to be concerned about when we are in a sexual relationship with another person. Cialis is unique from both Viagra and Levitra which takes a long time to work. The causes vary. Many medications are known to cause at least occasional problems with sexual health.