Erectile dysfunction stems from aging, psychology, diabetes, and prostate cancer. Viagra works and doesn't require shame. When it's complicated, expand what sex means beyond penetration.
Erectile dysfunction is something that is often a problem for older men. It can be caused simply by age, it can be psychological, it can be medical, from diabetes to prostate cancer to all sorts of things. The problem can be, uh, obviated to a certain extent by medical means, and you should not shy away from using Viagra. It's not a reflection on anything, uh, and it can be taken quite discreetly an hour before you need it, um, and can really help in lots of ways to get around these problems. If the problem is more serious, then you should consider also how penetrative sex is not the only way to have sex, um, that there are lots of different ways of being involved in sexual pleasure, and you should experiment to find out what they are for you.
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