<prompt> unaweza kugeuza matini haya ya swahilikwa kiingereza?haifanyiki kwa sababu mwanamume havutii au hana uwezo wa kufanya ngono, lakini kuna sababu za kiafya kama ugonjwa wa kisukari, cholesterol nyingi, shinikizo la damu na ugonjwa wa moyo wa ischemic ihd, unyogovu n.k., ambayo husababisha ed.  <response>: it doesnt happen because the man is not interested or is unable to have sex, but there are medical reasons like diabetes, high cholesterol, high blood pressure, and ischemic heart disease ihd, depression, etc., which lead to erectile dysfunction, he said. 