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Derry FA, Dinsmore WW, Fraser M et al: Efficacy and safety of oral sildenafil (Viagra) in men with erectile dysfunction caused by spinal cord injury. Neurology 1998; 51: 1629.   Impotence (Erectile Dysfunction) Eye Victorian government portal for older people, with information about government and community services and programs. Malleable implants are a pair of bendable rods placed inside the penis. You manually move your penis, and therefore rods, into a position suitable for sex. Such implants do not affect penis size. Factors That Can Cause Erectile Dysfunction Facial Hair Removal Cream > Jose Luis Pelaez/Blend Images Slideshow: A Visual Guide to Low Testosterone Health Categories Reasoning Behind NTT Residency & Fellowship Opportunities (HDVCH) Advice columns seem to have a These factors include:  Penile_pain 5 1.80% 48.00% 14.06% Pregnancy is an essential phase in every woman's life. 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Feeling nervous about sex, perhaps because of a bad experience or because of a previous episode of impotence. There are, as you listen to all of the advertisements, if your erection lasts for more than four hours, there are very, very unusual cases where that can happen. There are very rare cases of visual problems. There are even rarer cases of hearing problems. But with every medication, there always a potential downside. But the absolute contraindication is an unstable medical condition, an unstable cardiovascular condition, being on nitrates. Proctocolectomy Cigarette smoking (which constricts the blood vessels leading to the penis) When Do I Consult a Doctor? Depression in Children and Teens How much alcohol do you drink? Men taking Cialis for daily use can experience a worrisome drop in blood pressure if they drink too much. 331. Goldstein I, Jones LA, Belkoff LH et al: Avanafil for the treatment of erectile dysfunction: a multicenter, randomized, double-blind study in men with diabetes mellitus. 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