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31 years
Is Energa/Ciales for penis erection safe? I've never taken them. Energa claims that it is 100% herbal. What are the side effects? I don't take medicine and I had blood pressure in the past.
Feb 17, 2015

Dr. Fadi Dalati Urology
Erectile dysfunction is a multifactorial intity, involving organic, behavioral, psychological and nutritional factors.

Off-label medications and herbal additives are very wide, and can be harmful on the long run if taken randomly. PDE-5 inhibitors can help by their vasodilating effects; there are different types and regimes that are tailored to specific needs.

A full history and physical check up by your urologist is needed to determine the main factor causing your erectile dysfunction, bear in mind that obesity, smoking, excessive alcohol intake and sedentary lifestyle can have disastrous effects on sexual life.
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