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Advances in suppositories, injectable medications, implants, and vacuum devices have expanded the options for men seeking treatment for ED. These advances have also helped increase the number of men seeking treatment. Gene therapy for ED is now being tested in several centers and may offer a long-lasting therapeutic approach for ED. By Martin F. Downs A detailed medical history may reveal that the disorder is due to a chronic disease such as atherosclerosis, hypertension or diabetes mellitus. Inquiry about decreased libido and symptoms of hypothyroidism or hyperthyroidism may reveal a reversible cause (Table 1).5-7 Cardiovascular disease (CVD) - studies show that erectile dysfunction often occurs two to three years before CVD. Men with ED are also more likely to suffer heart attack and stroke. online viagra without prescription viagra for sale usa Best Canadian Online Pharmacy where you can buy viagra canadian pharmacy viagra for sale Background— Erectile dysfunction (ED) is associated with coronary artery disease (CAD). In diabetic patients, CAD is often silent. Among diabetic patients with silent CAD, the prevalence of ED has never been evaluated. We investigated whether ED is associated with asymptomatic CAD in type 2 diabetic patients. generic viagra here viagra for sale

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