“Sexual Health” is the integration of somatic, emotional, intellectual and social aspects of sexual being, in ways that are positively enriching and that enhance personality, communication and love (WHO statement, 1974).  Erectile dysfunction (ED) is only a presentation of sexual health problems, it relates to four dimensions of health in term of causes or effects, for example: chronic diseases such as cardiovascular disease, diabetes, and physical inactivity related to physical health; anxiety and depression are mental aspects which relate to ED; partner relationship is a social concern and self esteem is a spiritual aspect of health.  In medical school, ED or ...