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Erectile dysfunction (ED) is a common problem among middle-aged males and men often do not talk about ****ual problems with their primary care physicians (PCPs). We hypothesised that many Japanese men who meet the criteria for ED would not recognise their condition based on responses to an internationally validated scale. Our secondary aims were to examine potential barriers to seeking treatment for ED by their PCPs. We sought to elucidate their perspectives about male ****ual dysfunction qualitatively. Through merging of the quantitative