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If a patient is getting proper erection with

Sildenafil/ Tedalafil, then is he required to consult

a Sexual health specialist? Why?The very fact that a

person is getting erections with Sildenafil etc shows

that he has no vasculogenic cause and has mostly

psychological factors. This is a major reason for

the patient to be referred to a Sexual health

consultant.Long term usage of Sildenafil etc,

reduces sex-drive and fertility .The reason is in

most cases of failure of fertility in coitus is due

to performance anxiety. And with passage of

time fear of failure only increases, which ultimately

raises blood Prolactin, lowers DHEAS and

Testosterone resulting in loss of libido

and fertility.Sexual counseling is requires for every patient.

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