The gel is for people with mild to severe erectile dysfunction and is available over the counter
A new treatment for the painful and sometimes embarrassing side effect of sildenafil (Viagra) in the treatment of pulmonary arterial hypertension, has been welcomed by some doctors.
The drug was approved as a treatment for the condition in June 2011 after a clinical trial showed it helped men with impotence. It was also thought to be effective in treating the side effects of other impotence treatments.
But doctors say this could lead to serious problems with relationships and sexual performance.
They said it could lead to erectile dysfunction, which is often the result of poor blood flow to the penis.
They said that in the past six months alone there has been one case of a man who has died from impotence after having sex with his partner.
They said some doctors thought it was because the sildenafil treatment was too good to be true, but other doctors thought it was too good to be true.
But doctors have now confirmed that the treatment did not work in the first place.
They said it was possible for a man to become impotent after using the medicine for four to five years.
However, they said that in many cases it was still possible to get and maintain a erection after using the drug for more than four years.
Professor Paul Weixler, a University of Auckland pharmacist, said: "You have to ask your GP, who is a doctor, about whether you can get an erection during that time."
He added: "I think that the medicine has helped a lot of people and has also made them more able to have children.
"There are also people who have had surgery and those men have also had the drug.
"But I think that can make a big difference, in terms of being able to get an erection even when you are not aroused. The only difference is that there are many different treatment options."
The drug is known as Viagra, which is used to treat erectile dysfunction and is available in the United Kingdom.
The medicine has been in use by men with impotence since 1998 and was approved by the U. S. Food and Drug Administration in May 2011.
But Dr David Brennan, a consultant urological surgeon at University of London Hospital and professor of urology at The University of Texas Medical Branch, said the drug was not safe for everyone.
He said: "When you get an erection, you have a very important part of a relationship that needs to be treated, and you have to have some sort of relationship with your partner."
He said that there was no evidence that it was harmful for people with impotence to take the drug with them.
However, Brennan said the medicine was not effective for most men.
He said he believed the safety of the drug was the key to its safety.
He said that a large majority of people who took the drug would not have achieved an erection.
He said that there had been some reports of sexual dysfunction in some men.
He said that there were many different problems with the drug, but he said it was not known whether it was caused by the treatment.
He added that while the treatment is not a cure for impotence, it was thought to be effective for many men, but it also had some serious side effects.
Dr Brennan said that it was possible to get an erection after taking Viagra.
He said that the main reason people took the medicine was because it was not safe to do so.
He said that the drug could cause an erection in men who are already at high risk of developing it.
He said that this was not an uncommon side effect, and that it had also been known to be caused by a number of other problems.
He said that in some cases it could be a sign of an underlying condition such as diabetes, high cholesterol or heart disease, but also there had been reports of erections in some men.
He added that it was possible to have erections as often as six to eight hours after taking the medicine.
He said that it was important to have sexual intercourse occasionally and to not exceed the four to six hour period.
He said that was not uncommon and that the doctor had been doing tests to rule out any underlying conditions.
He added that it was possible to have erections for at least six hours after taking the medicine.
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