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If it has been some time since you were able to get or keep an erection, it may take a couple of attempts before you are able to achieve one. The most sensitive nerves in the vagina are found close to the surface, Lamm notes, and the clitoris is found on the vagina's outside.

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But a rapid or severe decrease in performance or libido can be a red flag. Please note that you should consult your doctor if any of the side effects are prolonged or severe.

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