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There are a number of procedures which the physician can deploy to assess erectile function and to determine whether the failure is psychological in origin or whether there is some organic cause. Simple measures are ascertaining whether erections take place during sleep (using a mercury-in-rubber strain gauge) or in response to erotic materials, though the first is not always practicable and the second may not be personally or culturally acceptable. If erection occurs, this does not totally exclude physical causes, but strongly suggests psychological causation. Other means of investigation are seldom as non-invasive. Moreover, investigations into penile blood flow during erection and there vascular phenomena, and on the nerve system of the penis, show rather contradictory results, which limit their usefulness as tests.
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