{"The small blood vessels that go to the penis can {become|turn out to be|turn into} diseased {much|a lot} {earlier than|sooner than} the vessels that go to {the heart|the guts|the center}," Karen Boyle, MD, a urologist at Johns Hopkins School of Medicine, tells WebMD. "In {younger|youthful} or {younger|youthful} {middle|center}-aged {men|males}, ED {is often|is usually|is commonly} {the first|the primary} {sign|signal} of atherosclerosis."|Instead, {talk|speak|discuss} to your {doctor|physician} {before|earlier than} {trying|making an attempt|attempting} any new {strategies|methods} {to increase|to extend} your penis {size|measurement|dimension}.