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Answer: all the brands selected by our review team offer a refund policy. In case you are not satisfied with the medicine which means you find no improvements in sex performances like harder erection, delayed ejaculation, successful & long lasting penetration, increased drive & stamina, enhanced desire for sex, able to get repeated orgasms for your partner etc, you can return the empty bottle and the company will refund your purchase cost 100%.

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Sildenafil is a solid treatment option, as well. It works reliably, and many doctors recommend it and prescribe it with great efficacy. Vardenafil is nearly identical to sildenafil and makes a good choice for the few men who don’t have success with the latter.
Circulate Capital Asia MD Regula Schegg discusses the investment case for opportunities across South and Southeast Asia's plastics value chain. She speaks with Haslinda Amin and Rishaad Salamat on "Bloomberg Markets: Asia".

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The inability to achieve an erection is a symptom of an underlying health problem or a result of lifestyle factors that aren’t allowing the physiological mechanisms of an erection to unfold. For some men, this is only an occasional problem, which may be the result of increased stress, drinking alcohol or fatigue. But for men who experience erectile dysfunction more than 50 percent of the time when they are trying to engage in sexual activity, this may indicate that there’s a bigger health problem that needs to be addressed.
Natural remedies that can aid with erectile dysfunction (ED) involve simple lifestyle changes that work to improve one’s overall physical and emotional well-being.

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Pomegranate juice. Drinking antioxidant-rich pomegranate juice has been shown to have numerous health benefits, including a reduced risk for heart disease and high blood pressure. Does pomegranate juice also protect against ED? No proof exists, but results of a study published in 2007 were promising. The authors of this small-scale pilot study called for additional research, saying that larger-scale studies might prove pomegranate juice's effectiveness against erectile dysfunction. "I tell my patients to drink it," says Espinosa. "It could help ED, and even if it doesn't, it has other health benefits."

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    Problems faced by urologists at all stages when returning to surgery after a prolonged absence

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    Ginger is a wonderful spice that is beneficial for sexual life. It boosts up the testosterone levels, and it is good for the health of arteries and help in improving the blood flow.

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    heart problems (chest pain, a heart rhythm disorder, heart attack);high or low blood pressure;blood circulation problems;retinitis pigmentosa (an inherited condition of the eye);blindness in one or both eyes;bleeding problems;a stomach ulcer;pulmonary veno-occlusive disease (PVOD);liver or kidney disease;a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;a physical deformity of the penis (such as Peyronie's disease); orif you have been told you should not have sexual intercourse for health reasons.

    Niacin, or vitamin B3, is a natural vasodilator that helps to improve blood flow. Taking 250 milligrams of niacin three times daily may help men with erectile dysfunction to achieve and maintain an erection. Plus, niacin is also known to help improve brain function, improve diabetes symptoms and lower the risk of cardiovascular disease — all health conditions that commonly contribute to erectile dysfunction.
    Surgery provides the only true cure, but men typically want to explore other, less invasive options first.

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    The treatment of erectile dysfunction depends on the underlying cause. If an underlying physical cause is found (such as diabetes), treatments will be needed to manage these. Other treatments, such as cognitive behavioural therapy (CBT), may be offered for any related mental health disorders including anxiety and depression. Irrespective of the contributing causes, psychosexual counselling may be recommended to help with the effects of impotence on sexual relationships.

    Clinicians should be aware of these possible detrimental effects of TRT and the possible contraindications, and to prescribe and monitor in an appropriate manner, which may vary from patient to patient.
    Certain street drugs such as "poppers" also can cause serious problems if taken with PDE5i medications. These poppers are often types of nitrates and can cause severe drops in blood pressure. Ecstasy is another street drug that may increase sexual desire but interferes with performance. This has prompted some men to combine ecstasy with PDE5i medications. This mixture (a combination sometimes called "sextasy") can improve erection ability but also causes severe headache and priapism. (Priapism is an abnormally prolonged erection that becomes extremely painful and may result in permanent damage to the erection mechanism.) There are also potentially dangerous effects to your heart from mixing PDE5i medications with various other street drugs.

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    Doctors also recommend changing your lifestyle to deal with ED. Some of the proposed lifestyle changes include weight loss, quitting smoking, reducing alcohol intake and exercising.

    Avanafil has been demonstrated to be effective in treating ED in men of various ages and is effective in men with ED related to diabetes mellitus.
    In recent years, there has been more and more research pertaining to the rise of pornography-related sexual dysfunction. Researchers believe that the unique properties of internet pornography, including its easy accessibility, limitlessness, variety and format, may be conditioning younger men’s sexual arousal to aspects of sexuality that do not easily transition to their real-life partners. It’s possible that for men who are constantly exposed to internet pornography, sexual activity with their real-life partners often doesn’t meet their expectations, which can lead to arousal declines.

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https://www.webmd.com/erectile-dysfunction/features/erectile-disfunction#1https://www.health.harvard.edu/newsletter_article/What_to_do_if_Viagra_wont_dohttps://www.medicalnewstoday.com/articles/316291.phphttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3607492/https://restorativemedicine.org/journal/erectile-dysfunction-review-comprehensive-treatment-options-optimal-outcome/https://www.healthline.com/health/erectile-dysfunction/l-arginine

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A small percentage of erectile dysfunction cases are related to surgery for prostate cancer. After the operation to remove the prostate, 15 percent to 60 percent of men can have erectile dysfunction, even when newer “nerve sparing” surgery is performed. Often, this side effect is temporary, and improvement can be seen up to one year after surgery.

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