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Though the ads have become increasingly pervasive in the five years since Viagra was approved, the drug simply isn't prescribed enough, several doctors told the science writer's conference on Sexual Dysfunction, held last month in New York and funded by several drug companies (Viagra's maker, Pfizer, was not among them). Erectile dysfunction affects about 30% of all men, reporters were informed, and less than 1% are getting Viagra. But things can be more complicated than the prescription of a costly ($10) pill. Erectile dysfunction could be caused by hypertension, obesity, smoking, high cholesterol, and diabetes, said Irwin Goldstein, MD, director of Boston University's Institute of Sexual Medicine. Penis Patches independent review Loss of libido You can also take a break for a period of time, without diminishing the final result. Refraining from using the SizeGenetics does not result in "loosing" part of the enlargement already gained. 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Of the approximately 70 women who have used the ointment (a 2 percent testosterone solution, applied to the external genitals), about half noticed a significant increase in their sex drive.