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And in the decade since Viagra (sildenafil citrate) hit the shelves, and other medications, including Cialis (tadalafil) and Levitra (vardenafil), joined the ranks, they8217;ve caused a sexu-pharmaceutical revolution by offering men who have erectile dysfunction (ED) a chance to get busy between the sheets. These medications relax the muscles in the penis, allowing for greater blood flow, which, upon arousal, produces an erection. Men who are impotent can take a pill and have their masculinity restored8217;practically before their eyes. But while these drugs may bring back sexual function, experts warn they can create other issues in a relationship. Here are a few of the problems that can, um, pop up8217;and some solutions: Sex therapist Heide McConkey says she has treated a number of couples who have found these medications to be anything but helpful. 8216; A lot of men take Viagra without consulting their partners ,8217; explains McConkey, 8216;and this creates trust issues.

Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours.]