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Okay. You want the lowdown on Erectile Dysfunction (aka "ED", "Impotence").  First off, lets get the facts straight, it's most likely a purely physical issue. Dr's used to think that it was 90% physchological however after much more research it was discovered that it was 90% physical and 10% physchological. That means that it's something else... If your a dude and you're reading this then that means you should be happy to because it's beyond your control. If you are a wife of a dude and your reading this you should be happy because it's not that he doesn't want to have wild passionate monkey love with you. He does, just somethings a little out of whack!

The three common physical reasons why men have trouble with losing their mojo (erectile dysfucnction) are:

1.) Failure to initiate (Nerve Damage)
2.) Failure to fill (Artery Damage) - I have this one....
3.) Failure to store (Veinous leakage)

Most of the time in today society Dr's immediately prescribe Viagra since it virtually always works. Viagra is pretty good but Cialis is better. What's the difference you ask? Well Cialis stays in your system for up to 3 days and Viagra is only good for 24 hours. However if you're like me you'll be researching as much as possible to really find out what's going on. That's most likely why you are reading this.....

What type of therapy did they have before these amazing drugs?

Injection Therapy which works amazing well but really, who wants to go sticking an needle in their penis before a romantic session. However one of my Dr's swears by it. Works better than Viagra or Cialis too.

Vaccum Tube Pump Therapy, but once again kind of kills the moment. :) Howev r this is probably the cheapest therapy you can get. Where the injections and pill cost $20/shot this is a one time deal. However, imagine a romantic setting camping with a new lover when the moment starts to get heated and you pull a 2 foot cylinder that you have to fasten to your member and start pumping away. Gauranteed moment killer for any young dude... I'm sure you older fellows with settled wives anything
goes!

Surgery to repair the damage arteries and/or viens. This one is where I'm at. Being somewhat of an anti drug taker I don't like the idea of having to pop a pill to have sex. They can bypass damaged arteries (up to 70% success rates) and also tie off leaky viens (30-50% success rates) but this is very costly.

Drug Therapy The Viagra and Cialis will most likely help in all of the above situations. It is possible that sometimes the Viagra and Cialis don't work and you are forced into other alternatives. Or in my case you don't want to take Viagra or Cialis because you are a super healthy young male and feel that the blue pill and 3 day super hero pill are a topper for when you are 50. Remember at $20/shot it can quickly add up over a lifetime, if you plan on having sex that long.

Am I a Dr? No. Do the majority of Urologists know what they are talking about when it comes to sexual health? NO. If you want my story you'll have to wait for the "The Majority of Urologists Suck Royal Dick" story coming out in the next few days on this site. If you have this problem though, talk about it with the girls you are with. Surprisingly when I tell girls this very very personal story they seem to bond with me even more. STRANGE. Maybe they think I'm FUCKING senstive or something. So for all you single guys with this problem, life isn't over yet.... :)

If you're tired of Dr's telling you it's in your head and really want to know what's going on from the best urologist in the world go here:  http://www.sandiegosexualmedicine.com/

Anyway good luck and keep on banging.... Erectile Dysfunction does suck but it's managable..... As one top Canadian Urologist said to me. "Just take the blue pill."