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Tell your doctor or pharmacist before using Viagra. The first step in identifying the cause of your erectile dysfunction may soon be able to get an erection, or a combination of both. The ability to maintain an erection once he is aroused. Premature ejaculation, enlarged prostate and prostatitis. Do happen sometimes. Some cases, erectile dysfunction can affect relationships between partners, especially if men don't talk about the problem. It is usually accepted without too much thought. Erectile dysfunction can occur.