We already know COVID can cause a plethora of mysterious symptoms—itchy hands and feet, lack of taste and smell, swelling of the tongue and hallucinations—but could it somehow affect your penis, too? Tough news, everyone: It looks like it’s possible to acquire erectile dysfunction from COVID-19, according to a new study published in the World Journal of Men’s Health.

Researchers from the University of Miami collected penile tissue from a small sample of four men who were already undergoing surgery for penis implants—a treatment for severe erectile dysfunction (ED)—including two who were previously diagnosed with COVID and two who weren’t. In the tissue of the men who had faced COVID, they found viral particles and viral RNA. Translation: COVID can hang around in your penis long after you contract it, potentially causing issues like ED.

Researchers also analyzed the men’s blood samples to look for issues with the endothelial cells, which line blood vessels throughout the