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T.DamblonC.et al (2021)

Associated neuroendocrine changes, including elevated cortisol and reduced growth hormone, further compromise erectile physiology [24]

However, the virus then remains in the nerves and can reactivate as shingles, causing a rash which is limited to the area of skin (dermatome) supplied by the nerve where the virus has lain dormant, usually for many years (see image 1)