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Durante la fase de iniciación el pene esta flácido y es cuando el organismo detecta la intención de obtener la erección ya sea a través del pensamiento, del tacto o una combinación de los dos. En efecto, éstas son muy difíciles de reconocer, aunque ocurra a menudo.
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Imágenes guiadas: esta práctica consiste en calmar tu mente y ralentizar tu respiración mientras creas imágenes pacíficas en tu cabeza. En algunos casos el interrogatorio y la exploración física pueden ser suficientes para establecer un diagnóstico El principal síntoma es sin duda la falta de erección o de una erección correcta para poder mantener un coito exitoso, pero a éste, se le suman otros sintomas de impotencia que puedes o no sufrirlos y te ayudarán a identificar tu problema y la intensidad del mismo. El efecto se alcanza a los 30-120 min viéndose retrasado por la ingestión de alimentos, por lo que se toma 1 h o más antes de la actividad sexual en dosis única. Se ha reportado muy rara vez una asociación temporal con el uso de inhibidores de la fosfodiesterasa-5, de neuropatía óptica isquémica no arterítica, que causa disminución de la visión permanente o transitoria.
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