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It may contribute to erectile dysfunction. In that same 2011 study, a number of participants who smoked stated that they suffered from erectile dysfunction. Among those who subsequently stopped smoking, 75% stated that their erectile issues had cleared up and were no longer a problem, indicating again that smoking negatively impacts sexual performance. Other studies back this up. For example, one study showed that heavy smokers who consume more than 20 cigarettes a day (basically, a pack a day) have a 60% greater risk of developing erectile dysfunction than those who do not smoke. And if a person with high blood pressure also smokes, the risk of erectile dysfunction is 26 times as high..

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