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It could be due to a number of things like genetics, diet, smoking, or even stress. When Viagra is co administered with an alpha blocker, patients should be stable on alpha blocker therapy prior to initiating Viagra treatment and Viagra should be initiated at the lowest dose. Medications such as sildenafil Viagra , vardenafil Levitra , or tadalafil Cialis may help improve sexual function in men by increasing blood flow to the penis.

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