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Sex therapy is unlikely to work if a man drops out of treatment after only one or two sessions. Smoking, which can lead to any of the above risk factors, is perhaps the most significant risk factor for impotence related to arteriosclerosis. viagra at canadian pharmacy viagra no prescription How is erectile dysfunction treated? Men usually experience erectile dysfunction more than three years before coronary heart disease rears it head. Diabetes, erectile dysfunction, and heart disease are all related to damage of the blood vessels caused by high blood sugar levels. Men should be aware that if the blood flow required for maintaining an erection isn't happening, this could mean even more severe consequences for the heart. buy Viagra 150mg here canadian pharmacy viagra for sale online Erectile dysfunction can be defined as the inability to achieve or maintain a penile erection sufficient for satisfactory sexual performance.1 In the face of an aging population, decreasing social stigma associated with erectile dysfunction and an increasing availability of effective oral therapy for its treatment, the number of patients presenting with this complaint has increased dramatically. Current estimates describe 2–3 million Canadian men as having significant recurring erectile difficulties. Recent reports identifying a dramatic increase in rates of diabetes, increased longevity and higher quality-of-life expectations by "baby boomers" are all believed to be factors in a projected continued expansion of the patient population requesting medical help with sexual issues in the near future.2,3 Although historically erectile dysfunction was a problem identified and treated by urologists, today primary care physicians and other specialists write 80% of the prescriptions for sildenafil, the most popular drug used to treat the condition.4