The patient (and partner) histories are the key toward the successful diagnosis of male ED. ED is highly prevalent in men with a variety of medical diseases, including depression, and is often confused with ejaculatory disorders. The clinician should have a high index of suspicion when evaluating men with these medical diseases for ED. The clinician must also be aware of the psychologic aspects of male ED, with a referral to a sex or marital therapist indicated as necessary. Finally, there is an evolving paradigm that ED may be a predictor/
marker of cardiovascular disease. This topic is covered elsewhere in this textbook.
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How to increase your staying power to extend your pleasure-and hers. There are many techniques, exercises and even devices, aids, and drugs to help you last longer in the bedroom. However, in most cases, the main reason most guys don't last long is due to what's going on in their minds, not their bodies.