Can tramadol cause erectile problems a night after heavy use? 2nd will it be permanent?

Caution. Tramadol is an opiod pain medication and caution should taken with its use. Most opiods if taken chronically can result in endocrine system problems. Long term or heavy use of opiods can result in low testosterone levels. Its permanency remains questionable. Short term use of tramadol can cause transient erectile dysfunction, as well as seizures.