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Men who are unable to achieve a firm erection with Cenforce 100 are affected by erectile dysfunction (ED). This condition is sometimes referred to as impotence, and it may be the result of underlying health conditions or medications. The symptoms may last for up to three months and can often be treated through medical tests. These tests may include a physical examination and health history. They may also include additional tests such as a rectal exam to detect problems with the prostate. While there are numerous causes of erectile dysfunction with Vigora 100 and Vilitra 20 the most common ones are physical conditions. These include hormonal imbalance, high prolactin levels, and thyroid problems. However, psychological problems can also contribute to erectile dysfunction. Lastly, there are structural causes of erectile dysfunction, such as micropenis or congenital penile curvature. Erectile dysfunction with Zenegra can also be caused by pelvic surgeries. Prostate cancer surgery, for example, can damage the nerves controlling erection. Fortunately, there are nerve-sparing procedures that can restore sexual function in these men. However, these procedures usually take a year or two to work.