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Also, men with liver diseases or a disease of the retina, such as macular degeneration or retinitis pigmentosa, may not be able to take these medications, or may need to take the lowest dosage. Most ageing men manage to get erections, but to do so requires more stimulation. Is erectile dysfunction a reliable proxy of general male health status. Treatment should begin quickly as permanent corporal fibrosis can occur with delayed therapy. In 1974, at the age of 33, an Icelandic history teacher named Sigur ur Hjartarson was given a penis.

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