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Levitra offers promise in treating premature, delayed and failed ejaculations. buy metformin hcl 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. 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If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call For over 70% of men with symptoms of erectile dysfunction, who have difficulty obtaining erections that are sufficiently hard for intercourse or difficulty maintaining erections, medications such as Viagra and Cialis work well. There are a number of reasons why sildenafil (Viagra), vardenafil (Cialis), and Stendra may stop working. The most common reason is a progression of the underlying problem, atherosclerosis, worsening high blood pressure, weight gain, worsening diabetes or hormonal abnormality. In some men, low testosterone may be responsible for lack of responsiveness to medications. In these situations, addressing the underlying problem is important. This may involve weight loss, diet, better control of underlying medical problems such as high blood pressure or diabetes. Cialis, Levitra, and Viagra are oral medications used to treat erectile dysfunction (ED). 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