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Physical erectile dysfunction happens over a period of months or years, and is often a gradual loss of function. In contrast to the findings of Masters and Johnson,4 our images did not show an increase in the size of the uterus during sexual arousal. It all depends on when he enters puberty and his hormones start doing their thing. Now, take a couple of deep breaths, check to make sure you re lined up correctly and quickly push the needle through the skin till you see it poking through the other side at least a centimeter or two.