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Regardless of the etiology of ED, a psychological component is almost always associated with this disorder. The ability to achieve erection is intimately connected to a man's self-esteem and sense of worth. Pure psychogenic ED is generally evident when a man reports that he has normal erections some of the time but is unable to achieve or to maintain a full erection at other times. Once the man has doubt regarding sexual performance, he loses confidence; thus, future attempts to have sexual relations provoke anxiety. These men are desperate for help and depend on the physician's advice. In many instances, the couple needs to work together to resolve the problem, although the relationship may be responsible for the problem. Most physicians do not have the time to work with these patients and, instead, refer them to a sexual counselor. Do you have Erectile Dysfunction? levitra for sale canada Whether the cause of impotence is physiological or psychological, both the patient and his partner often experience a range of intense feelings and emotions. Any of these feelings can lead to a sense of hopelessness and lower self-esteem. Overall, PDE-5 inhibitors were relatively well-tolerated and associated with only mild or moderate side effects, such as headaches, flushing, upset stomach and runny nose, the authors found. Do you have Erectile Dysfunction? viagra no prescription Related News Restless legs more common than previously thought TIMOTHY L. CLENNEY, LCDR, MC, USNR,

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