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The etiology and pathogenesis for ED are not yet fully understood. However, the following factors may play a role: endothelial impairment, low testosterone levels, prior surgical manipulation, and/or psychogenic components (Patel, Halls, Patel, 2024). From a clinical standpoint, occasional erectile trouble is not necessarily a cause for concern. does viagra lower testosterone Goldstein discussed the benefits of a daily dose of Viagra. Some benefits include: Reduces progression of erectile dysfunction. Taking Viagra daily in a small dose is a way to reduce the Testosterone is produced by all genders, but when there are low levels of testosterone in men or people AMAB, it can have a number of negative side effects that include: Decrease in muscle mass