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Although multiple pathways probably have to fail for an animal to develop ED, only a single pathway has to be compensated for restoration of erectile function. If you have ED and ride a bike for more than three hours a week, your doctor may recommend you try a period without cycling to see if this helps improve things. These are signs of Peyronie s Disease which can be treated but calls for an expert in urology to assess and manage. Penile prostheses are very effective, and most patients who have a prosthesis placed are satisfied with the prosthesis.