Sexual dysfunction can affect men of all ages but is especially common in older men. The most common problems related to sexual dysfunction include ejaculation disorders, erectile dysfunction, and inhibited sexual desire. Physical causes for blocked or delayed ejaculation can include chronic erectile problems, side effects of medications, alcohol abuse, or surgeries. The problem can also be caused by psychological factors such as depression, anxiety, stress, or relationship problems. Tadalista Super Active is sold as a treatment for erectile dysfunction (ED). The effects of smoking on sexual function have long been known, especially in men. Smoking causes erectile dysfunction, which impairs both the initiation and maintenance of an erection.