Call Your Doctor immediately or Go to an Emergency Room If: You have an extended or painful erection, unrelated to sexual desire, lasting more than a few hours. A psychosocial examination using an interview and questionnaire may reveal psychological factors contributing to erectile dysfunction. The sexual partner also may be interviewed to determine expectations and perceptions encountered during sexual intercourse. Monitoring erections that occur during sleep (nocturnal penile tumescence) can help distinguish between erectile dysfunction of psychological and physical causes. A band is worn around the penis for two to three successive nights and it can signal intensity and duration of erections if they occur. If nocturnal erections do not occur, then the cause of erectile dysfunction is likely to be physical rather than psychological, however, tests of nocturnal erections are not completely reliable. Scientists have not standardized the tests and have not determined in whom they should be done. How Is Male Sexual Dysfunction Treated? Many cases of sexual dysfunction can be corrected by treating the underlying physical or psychological problems. Treatment strategies may include the following: Medical treatment: This involves treatment of any physical problem that may be contributing to a man's sexual dysfunction. A few causes of impotence may be iatrogenic (medically caused). Levitra from TRUSTED online pharmacies buy levitra click to enter pharmacy cialis online want to buy the tablets Viagra in an original form, ok, come and buy buy viagra online buy cialis cialis online Our viagra price out of competition buy viagra online