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While you are being treated for ED, it is important to be patient with your progress and keep in mind that everybody is different and that a treatment that might work for one person may not work or be appropriate for you. It is also important to know that the treatment you choose may not work the first time or may not work every time. Stress and Erectile Dysfunction: - Stress is a contributing factor for hypertension, heart disease, diabetes and depression all of which are in turn causal factors for erectile dysfunction. Additionally, the penis needs an ample blood supply in order to achieve an erection. Stress constricts the blood vessels in the extremities, including the penis, prevent adequate blood flow. Emotional symptoms of excessive stress are impatience, irritability, and deterioration in personal hygiene and appearance. 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Erectile Dysfunction (ED or "male impotence") is a sexual dysfunction characterized by the inability to develop or maintain an erection of the penis.An erection occurs due to blood entering and being retained in sponge-like bodies within the penis. Overweight or obesity Yohimbine improves erections for a small percentage of men. It stimulates the parasympathetic nervous system, which is linked to erection, and may increase libido. It is necessary to take the medication for 6 to 8 weeks before determining whether it will work or not. viagra online For example, television advertisements for Cialis, Levitra and Viagra have changed the perception of what it is to be a normal, healthy man, Metzl said. In that way, male sexual performance has been "medicalized." Medications can be injected directly into the corpora cavernosa to attain and maintain erections. 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