Erectile dysfunction (ED) is a common problem. vidalista 40 affects more than 12 million men in the United States, and vascular, neurologic, or psychological issues can cause it. Hormones, medications, and lifestyle habits can also trigger it.

A doctor may order tests to determine what is causing your ED, such as an ultrasound of your penis or blood pressure checks. He may also prescribe testosterone to improve erections caused by low male hormone levels.

Many health conditions can cause ED, including heart disease, diabetes, and high blood pressure. These can clog or narrow the arteries in your penis, preventing blood from getting into the area and making it difficult to get an erection.

You may need to take a drug before you have sex, such as sildenafil (Viagra), tadalafil (Cialis), or vardenafil (Levitra). vidalista 20 increases blood flow in your penis so you can get an erection when you're sexually excited.