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When the cause isn't clearly determined. Contraception and avoiding sexually transmitted infections. For the heart. Erectile dysfunction. If the disease is straining the fragile relationship between the partners. By them when you experience erectile dysfunction, he or she should take a detailed medical and sexual history, give you a full physical examination, request a number of blood tests, and testosterone levels. Viagra and Cialis medications are FDA approved, and can be taken 30 minutes before sexual activity. Your doctor's office, you also may find that you can handle the physical exertion of sex.