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If you have erectile dysfunction (ED), you may experience many emotions, including anger and resentment. While this is understandable, you shouldn't "shut out" your partner while dealing with the problem. Your partner is also affected by your condition. Not only is good communication essential to successful diagnosis and treatment, it can help your partner understand what you are going through. If you need viagra viagra without prescription A psychosocial examination, using an interview and a questionnaire, reveals psychological factors. A man's sexual partner may also be interviewed to determine expectations and perceptions during sexual intercourse. best drugstore where you can buy viagra canadian viagra for sale online Regardless of the etiology of ED, a psychological component is almost always associated with this disorder. The ability to achieve erection is intimately connected to a man's self-esteem and sense of worth. Pure psychogenic ED is generally evident when a man reports that he has normal erections some of the time but is unable to achieve or to maintain a full erection at other times. Once the man has doubt regarding sexual performance, he loses confidence; thus, future attempts to have sexual relations provoke anxiety. These men are desperate for help and depend on the physician's advice. In many instances, the couple needs to work together to resolve the problem, although the relationship may be responsible for the problem. Most physicians do not have the time to work with these patients and, instead, refer them to a sexual counselor. Things proceeded just as nature intended, the researchers said.