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On the other hand, anxiety about reaching orgasm may be another factor.

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" Br J Urol 78 (1996): 257-61. PadmaNathan H, Steers WD, Wicker PA "Efficacy and safety of oral sildenafil in the treatment of erectile dysfunction: A double-blind, placebo-controlled study of 329 patients. " Int J Clin Pract 52 (1998): 375-9. Gilad R, Lampl Y, Eshel Y, Sadeh M "Tonic-clonic seizures in patients taking sildenafil.]