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    The most common sexual dysfunctions in men include lack of interest, premature ejaculation and erectile dysfunction. The latter affects 52% of men between the ages of 40 and 70, including mild, moderate and complete forms of ED. Organic or physical causes for sexual dysfunction in men include vascular, hormonal and neurologic factors. Concerning vascular causes, the risk factors for atherosclerosis (including smoking, high blood pressure, diabetes (diabetics do not respond well to pills like sildenafil (Viagra)) and high cholesterol are ALSO risk factors for erectile dysfunction. Since a straddle injury or use of a narrow saddle can obstruct and impair arteries to the penis, bicycle riding is also considered a risk factor for erectile dysfunction. Little attention has been paid to endocrine factors. Testosterone modulates desire, arousal and orgasmic function. buy retin a cream australia I am often asked which is the best of the three most common erectile dysfunction treatments: Viagra, Levitra or Cialis. Viagra is the most well-known of the three as it has been around for over 15 years. There is no simple answer to this question, as some men find one treatment works better for them than the others. This means that a lot is known about its effects and side effects. It works within an hour of taking a tablet, and is best taken on an empty stomach. The effects of Viagra will last for four to six hours. Viagra was developed and originally marketed by the pharmaceutical company Pfizer, and until 2013 Pfizer was the only company allowed to sell it. When Pfizer’s patent on Viagra expired, the market was open for other companies to produce the medicine, albeit under its generic name Sildenafil, rather than the brand name Viagra. Sildenafil contains exactly the same active ingredient as Viagra (sildenafil citrate), and works in the same way.

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