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Obtaining full erections occasionally, such as nocturnal penile tumescence when asleep , tends to suggest that the physical structures are functionally working. Similarly, performance with manual stimulation, as well as any performance anxiety or acute situational ED, may indicate a psychogenic component to ED. Mayo Clinic does not endorse companies or products.Male Peak Ultra Offers Testosterone isn't approved by the FDA for sexual dysfunction in women, but sometimes it's prescribed off-label to help lift a lagging libido. The use of testosterone in women is controversial. Taking it can cause acne, excess body hair, and mood or personality changes. Estrogen is available in many forms, including pills, patches, sprays and gels.

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