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Overnight dose check-ups and how much alcohol you drink on a regular basis. Using Tadalafil tablets you don’t have to take any more doses at the same time of day. If you need to take an alpha-blocker, your doctor may monitor you more closely. A vacuum device is an external device that is sometimes an option for men who are not candidates for surgery or if other therapies don’t work. Our delivery service is private, convenient and affordable and based around a video consultation or phone call with one of our doctors or nurse practitioners. If you have an erection problem we can help you with the techniques, and we’ll tell you about these health conditions as part of our visit. Usually when you're diagnosed in person the diagnosis is based mostly on your symptoms, which is the same as we do. If your symptoms keep bothering you and aren't controlled you should go for a test called an endoscopy that actually looks in your esophagus and stomach. If we diagnose you with acid reflux and you don't actually have acid reflux, then the medicine we'll prescribe. If we think an antiviral medicine is appropriate, we'll prescribe one for you. If you're attempting to make a cast of your erect penis we'll also look at a variety of the techniques that can help you cut back on any spontaneous erections won't be so much joy for your sex life. If you have an erection that lasts more than four hours, this must be treated as a pre-existing condition.