Young Male with Erectile Dysfunction

Patient : About a year ago I was put on Tramadol for a bone spur in my leg and noticed immediately I had difficulty achieving and maintaining an erection. It went away when I stopped taking the pills but about two weeks ago it came back. I have noticed some slight pain in my testicles and also in my penis itself but it is very random. I am 25 years old and in good health. I never had a problem with this until I took the tramadol but I have been off of it for over 6 months. Just trying to find out what it could be and how to fix it.
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