A man with erectile dysfunction can’t get or maintain an erection when he wants one. Poor circulation or smoking can contribute to it, but it can also be psychological. When you smoke, nicotine and carbon monoxide enter your bloodstream, causing damage to your arteries and heart. As a result, smokers suffer from a long list of serious diseases including heart attacks and strokes as well as sexual problems like impotence and erectile dysfunction (ED). If you smoke and suffer from ED, your doctor might have suggested Vidalista 10mg.