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Even when erectile dysfunction has a clear physical cause, psychological problems sometimes contribute to erectile failure. During sexual arousal, nerves release chemicals that increase blood flow into the penis. It may also help to learn more about others' experiences with ED. Focus on ways to solve ED, rather than how ED affects your relationship. If you are diagnosed with erectile dysfunction, feelings of anger and resentment that you may naturally experience may harm your relationship with your partner unless you find a way to communicate them. In prescribing sildenafil, a doctor considers the age, general health status, and other medication(s) the patient is taking.

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Cialis blocks enzymes called phosphodiesterase-5, or PDE-5, resulting in the expansion and relaxation of smooth muscles in the penis causing an erection. The process is triggered by nerve impulses from the brain and genital area. Some men with erectile dysfunction choose to treat their condition with alternative medicines or techniques. When sexually stimulated there is a release of a chemical, nitric oxide (NO) in the blood vessels of the corpus cavernosum. Contact your doctor if you experience curving of the penis with pain during an erection, an erection that lasts four to six hours with pain, swelling of or pain in the testes, dizziness, faintness, pelvic pain, or flulike symptoms. Once inserted, there is no maintenance required for the pump and can remain in place for a lifetime.

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