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  • hormonal conditions such as a change in your hormone levels, for example, as a result of an overactive thyroid, an underactive thyroid, cushing�s syndrome or hypogonadism can all result in impotence.
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  • ed may be caused by underlying vascular disease. if you have vascual disease and have not spoken to your gp about your ed, we would recommend you do.
  • fatal reaction:  there can be a fatal reaction between ed tablets and nitrate medications such as gtn spray. you must not take or purchase ed medication from us if you take nicorandil, a gtn spray, tablets, patch, gel or cream or any nitrate tablets (usually for heart conditions).

you should not take cialis if you 

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  • premature ejaculation
  • women's health
  • treatments & prices

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  • snoring
  • weight loss
  • treatments & prices

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    • lifestyle changes
    • complementary therapies
    • pelvic floor muscle exercises
    • psychological therapies: cognitive behavioural therapy
    • psychosexual therapy, sensate focus, counselling
    • medication: viagra, cialis, levitra and alprostadil
    • a vacuum pump
    • hormone therapy
    • surgery

    how to treat erectile dysfunction with lifestyles changes

    you can often improve the erectile problems by switching to live a healthier lifestyle.

    some changes that you can make yourself include:

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  • sleeping aids
  • malaria tablets
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