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But ED drugs are so readily available, so much a jokey part of the cultural landscape, that few of us really know how they work and what the potential dangers are.This leads to misuse — not so much life-threatening as knuckleheaded. ED drugs inhibit that enzyme, allowing dilation to occur more easily and last longer.When not discussed frankly, Viagra can cause a lot of misunderstanding and hurt between couples."There is something about a hard erection that is extremely important to a man's identity," says Steven Lamm, MD, an internist in New York City and author of The Hardness Factor."And of course most couples would prefer that the man be able to have one.But there are some who may have adjusted to life without sex."You have to be in a sexual situation, you need to have desire and intent, in order for the drug to work." Dr.

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" The 10 secrets of a lasting longterm relationship. "What if I take this and things never work without the pill again? I pointed out that the label of a leading brand, Viagra, does not list physical dependence as a side effect (although it does mention headaches and an upset stomach).Which is not to say that Viagra hasn't ever led to straying—but not for the reasons women think."I've seen problems when a wife or partner objects to ED drugs on the grounds that sex should be natural and spontaneous," says Dr. So if the man is unable to have erections on his own, and the woman shoots down the idea of a pill, then the guy is really stuck.Be careful what you wish for, I think as my husband reaches again for his new toy.

Tragically, it's not a Ferrari or the latest Mac laptop — it's his Penis 2.0—the new, pharmaceutically enhanced model.

Essentially, ED drugs work like this: What gives a man an erection is blood flow to the penis. They can also diminish a man's refractory time, meaning that after orgasm he can more quickly get an erection again.

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