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A thorough medical history, detailed sexual history, and physical examination are required before embarking upon any treatment or further investigations. All of the treatments for ED are used as needed for sex and then wear off. These are life long obligations to decrease the risk of heart disease. This can place men at an increased risk of taking their own lives the greatest risk factor for suicide is untreated depression. They are structurally different from the skeletal muscles in your biceps and other body parts.