It happens to all guys, sure, but not being able to perform in bed has left many men feeling like they could die of shame. But it turns out, that sensation is not actually shame – it is probably just a heart attack! Okay, it’s a heart attack with a side of shame.

In a totally uncalled for addition of grave injury to demeaning insult, a recent study by German researchers indicates that erectile dysfunction may be more than just an embarrassing problem in the bedroom. Men who suffer from ED are twice as likely as their more virile counterparts to die of heart attacks or cardiovascular disease. They also have a slightly increased risk of stroke, just for good measure. All of which just seems kind of shitty and unfair to dudes who have enough problems already, but there you have it.