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This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity. The result of this is improved erectile function. You and your partner will need to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction. Be aware that sexual activity carries a possible risk to patients with heart disease because it puts an extra strain on your heart. If you have a heart problem you should tell your doctor. Decreased or sudden hearing loss has been noted in some patients taking tadalafil. When dogs were treated there was reduced sperm development in the testes. A reduction in sperm was seen in some men.

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