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What's more, self medicating with recreational and illicit drugs from alcohol, through to marijuana and cocaine can all have a bend marijuana delivery similar negative effect on your erection quality.As far as physical causes are concerned, hormonal imbalances and restricted circulation to the penis are the two most likely culprits - but both can again be caused by a host of underlying physical causes.Hormone imbalances such as lowered testosterone can result from many things including lack of sleep, being overweight, age related decline or even damage to the pituitary gland caused by a minor knock to the head (the one above your neck).Because of its relatively small size, the cavernous artery which supplies the penis with blood is also often the first victim of Atherosclerosis - the process whereby arteries become gradually clogged with fatty deposits. The first step your doctor is likely to take is to give you a full physical to check your cardiovascular health and screen for hormonal imbalances. If you're on one of the many anti-depressant or high blood pressure medications that list weak erections as a side effect, these can be substituted or doses changed for something more erection friendly. Many psychotherapists claim that counselling can be effective where there's an underlying psychological cause - particularly for those suffering from 'performance anxiety'. But before you go down the psychotherapy root, it's of course important to rule out physical causes - there's little benefit in feeling great from psychotherapy if you're about to die from a heart attack.The most proactive thing you can do as an individual to improve the quality of your erections is to improve the quality of your lifestyle. The improvements to both your emotional and cardiovascular health from regular exercise can have a massive erection boosting effect. Similarly, if you smoke...stop. A recent study into the relationship between ED and cigarettes suggests that up to 1 in 5 cases can be linked directly to the habit. Limiting the amount of saturated fats in your diet is another no brainer for keeping the arteries to the penis clear of fatty deposits, whilst vitamin C supplementation helps to maintain the integrity of arterial walls. Linus Pauling, a Nobel Prize winning scientist, was a firm believer in the powers of vitamin C to keep the arteries free from disease - suggesting that 500-1000mg taken twice a day could have strong protective effects.Always remember...anything that's good for the arteries is also good for the penis too.Symptom: Your little man is...erm...too little...Cause: Unless your erect penis length measures less than 7cm (2.75 inches) you won't be classified in the medical sense at least, as having an abnormally small penis. The 0.6 percent of men who do fall into this category are termed to suffer from a condition called 'micropenis' which is believed to be caused by a hormonal imbalance in the womb during the later stages of foetal development.According to experts, those who fall within the 'average' size range but who nevertheless experience extreme anxiety or low self-esteem regarding their penile size could well be suffering from a recognised psychological disorder called penile dysmorphophobia (also known by the slightly less verbose name of 'small penis syndrome').