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Before you are given any of these tests, your doctor will explain what is involved. If you have any questions, do not hesitate to ask your doctor. From the Division of Urology, Faculty of Medicine and Dentistry, University of Western Ontario, London, Ont. brand viagra sale Call your doctor immediately or go to an emergency room if medication for erection problems give you an unwanted erection that lasts more than 4 hours. Permanent impotence or other lasting damage to your penis may result from this condition. A Randomized Controlled Trial Health Tip: Why You May Have Erectile Dysfunction Impotence Can Foreshadow Coronary Artery Disease Hey, I know news sites are looking to monetize stuff and there’s that whole debate about people expecting news for free when they should pay. But give me a frigging break. In an emergency, that’s what news sites do. You get the news out first and worry about the monetization later. That’s your job. Make up the money in other ways. brand viagra online sale Your doctor will probably start by asking you some questions and doing a physical exam. Samples of your blood and urine may be tested for diseases and disorders. Other tests may also be needed. Your doctor will determine which tests are right for you. Erectile dysfunction (ED, "male impotence") is a sexual dysfunction characterized by the inability to develop or maintain an erection of the penis sufficient for satisfactory sexual performance. After accounting for differences due to age, smoking and heart disease – all risk factors for ED – Chew and colleagues found that drinkers experienced rates of impotence 25% to 30% below those of teetotallers. Depression Atherosclerosis (hardening of the arteries from plaque) More drastically, inflatable or rigid penile implants may be fitted surgically. Implants are irreversible and costly. Inexpensive Need to take medication every day There is often a contributing and complicating and sometimes a primary psychological or relational problem. Psychological impotence is where erection or penetration fails due to thoughts or feelings (psychological reasons) rather than physical impossibility; this can often be helped. Notably in psychological impotence, there is a strong response to placebo treatment. Erectile dysfunction, tied closely as it is to cultural notions of potency, success and masculinity, can have severe psychological consequences. There is a strong culture of silence and inability to discuss the matter. In reality, it has been estimated that around 1 in 10 men will experience recurring impotence problems at some point in their lives. "We saw that adjusting for age and Framingham [Heart Study] risk factors, men with erectile function still had a 40 percent increased risk," said Andre Araujo, director of epidemiology at New England Research Institutes and lead author of a report published online Jan. 19 in the Journal of the American College of Cardiology . Lipid profile: This blood test measures the level of lipids (fats), like cholesterol. High levels may indicate atherosclerosis (hardening of the arteries), which can affect blood circulation in the penis.