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These are common conditions, experienced by men of all ages. What you do, what you eat and drink, and when you take the pills will have an impact on the effectiveness of Viagra and Cialis. You should try Viagra on at least 8 different days, to see if it starts to have any effect. PDE5 inhibitors help treat ED by relaxing the muscles in the penis to allow for more blood to flow to the area. While there is a small $5 shipping charge, you get access to 30 days worth of pills to use when you need them. The first thing your doctor will do is to make sure you're getting the right treatment for any health conditions that could be causing or worsening your erectile dysfunction. Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex. How do you take it? The inability to maintain an erection for sex at least 25 percent of the time may indicate ED, the Mayo Clinic says. 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