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Erectile dysfunction could be due to numerous factors, a few of which may be physical, although some might be psychological. Physical factors which can be recognized to cause erectile dysfunction include smoking, excessive utilization of alcohol, obesity, atherosclerosis, diabetes, hypertension, high cholesterol, certain medications, prostate or abdominal surgery and trouble for your spine or neurological system. The psychological factors which can be responsible for causing impotence include stress, guilt, anxiety, fatigue, depression, sexual boredom and unresolved issues pertaining sexual orientation. Smoking, that is one of many physical factors, has developed into a leading factor those types of causing impotence. Smoking regardless is high-risk behaviour, as we know that it can cause different cancers or heart problems. But people who smoke often don’t realize that they may be being affected by erectile problems because of the habit to smoke. Viagra could be the first anti-impotence or impotence problems drug and was manufactured by Pfizer in 1998. Viagra is blue colored, diamond shaped pill. It contains key ingredient Sildenafil Citrate, a component that works well by increasing the circulation of blood for the penis while a male sexually stimulated. The increased blood circulation makes it easier to acquire and look after an erection. Viagra takes twenty or so minutes to a hour to get involved with effect and can be effective as much as 4 hours. Due to its long-lasting proven records with very mild negative effects it became familiar house hold name. Viagra is additionally known as “Blue Pill”. I tried them basically we were camping and so they worked fine when they kicked in (that has been time during the night while half asleep). But when I attended go fill the script, the trainer told us it had not been covered on my own drug plan and would be over $15/pill. So I were required to forgo the rock solid nights I was once accustomed to as a younger guy.