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A well fitting condom should roll all the way down to the base of the penis and feel comfortable, not too tight or so loose that it risks slipping off during sex. Increased pulse rate might suggest hyperthyroidism, whereas reduced pulse rate might be evident in men with heart block , hypothyroidism or in those who use certain drugs for example, blockers. Men who are on medicines that contain nitrates such as nitroglycerine should not take oral ED medications.

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