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Erectile dysfunction has a significant impact on the kamagra nizagara 25 mg and psychological health of men worldwide and can also affect the quality of life of both the sufferers and their partners. Penile erection is a complex phenomenon which involves a delicate and coordinated balance between neurological, vascular and tissue compartments. This includes arterial dilation, relaxation of the trabecular smooth muscle, and activation of the corporeal veno-occlusive mechanism. The most common risk factors for erectile dysfunction include cardiovascular disease, hypertension, diabetes mellitus, hyperlipidaemia, hypogonadism, lower urinary tract symptoms, metabolic syndrome, depression and smoking. Erectile dysfunction symptoms may appear to most men as transient, but in fact, the symptomatology is persistent. It can cause a lot of frustration if not treated.

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