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Physical and/or mental stimulation cause nerves in the brain to send chemical messages to nerves in the penis telling the penile blood vessels to relax so that blood can flow freely into the penis. Once in the penis, high pressure traps the blood within both corpora cavernosa to sustain an erection. This causes the penis to expand, creating an erection. In treating men with erectile dysfunction, doctors worry most about heart disease. "Any form of cardiovascular disease is more likely to occur in men who have erectile dysfunction," says Ira Sharlip, MD, a urologist in San Francisco and past president of the Sexual Medicine Society of North America. canadian pharmacy no prescription required viagra pill real viagra online Herbal Remedies: Asian ginseng and Ginkgo biloba are believed to improve erectile function in some men. However, consult a doctor before taking any herbal supplements to ensure they are safe for you to take. 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