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Sexual health is an integral part of overall health, and an active and healthy ****ual life is an essential aspect of a good life quality. Cardiovascular disease and ****ual health share common risk factors (arterial hypertension, diabetes mellitus, dyslipidemia, obesity, and smoking) and common mediating mechanisms (endothelial dysfunction, subclinical inflammation, and atherosclerosis). This generated a shift of thinking about the pathophysiology and subsequently the management of ****ual dysfunction. The introduction of phosphodiestera