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Viagra for men and similar ED drugs like Cialis (tadalafil) and Levitra (vardenafil) work by helping to relax muscles and arteries inside the penis, which helps more blood reach the penis. When aroused — and only when aroused — the combination of relaxation and increased blood flow helps fill the penis with blood.
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The best approach is just to say, "I think I may have ED." It's unlikely your doctor will feel uncomfortable. If they have trouble talking about sexual issues with you, ask them to refer you to a urologist. The doctor will start by asking about your medical history.
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Poor control of high blood pressure, high cholesterol, poor control of diabetes, and weight gain are some of the common causes of why tadalafil (Cialis) may stop working well. Addressing underlying problems is important not only for sexual health but also for heart health.
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Effectiveness of all PDE5 inhibitors is similar; although reported effectiveness of Viagra, at 84% is slightly higher than that of Cialis at 81%. However, more men prefer Cialis because of its longer duration of effect.
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