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Mental health issues can take their toll, too -- depression or stress can result in loss of libido. Many medications have impotence or sexual dysfunction listed as a side effect. In 1998, the FDA approved Viagra, the first oral treatment for erectile dysfunction, under a priority review. Erection failures may occur repeatedly in men who experience performance anxiety due to ED. Pfizer also offers significant savings coupons for the brand name product, possibly lowering your cost to a $20 out-of-pocket co-pay.

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