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Generic sildenafil. It releases Nitric Oxide from the nerve endings and endothelium which leads to the relaxing of the smooth muscles, hence the penile erection. It does not cause an instant erection, however it does allow an erection to occur whenever there is an appropriate sexual stimulation. ED or Erectile dysfunction is the inability to initiate or sustain an erection for an adequate period of time in order to consummate and reach sexual gratification. The causes of ED can be several; it can range from arterial or muscular, hormonal, and even psychological. Also, there are diseases that are directly linked to ED and they are depression, thrombosis, and Diabetes. Exercise. Physical activity levels have been found in men with ED. Psychosocial activity includes intake of healthy foods, such as fish and fortified cereals. None of these factors had a significant impact on ED. Slow sex and the ability to have an erection firm enough for satisfying sexual activity. If you frequently have problems with erectile function, make sure you tell your doctor about any heart and blood pressure problems.

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