Sex might get your heart rate up, but regular exercise can help your sexual performance by keeping your heart in shape. There are plenty of male enhancement pills on the market, but there are many simple ways to stay firmer and last longer without having to visit the pharmacy. "PDE5Is cannot yet be legally sold over the counter in this country," Terlecki said. And many of these products contain traces of an ingredient used in drugs like Viagra that can be dangerous to men with certain health problems, the researchers added.
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"The small blood vessels that go to the penis can become diseased much earlier than the vessels that go to the heart," Karen Boyle, MD, a urologist at Johns Hopkins School of Medicine, tells WebMD. "In younger or younger middle-aged men, ED is often the first sign of atherosclerosis." Richard, a mechanic from upstate New York, is a muscular, athletic guy. He has a loving wife who has always enjoyed their sex life. But ever since he was a young boy, Richard couldn't get over the feeling that his penis was too small.
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