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Elevated prolactin levels warrant further evaluation, including hypothalamic pituitary imaging. The IIEF is designed to be a self administered measure of erectile dysfunction, but it also assesses a patient s function in other phases of sexual function. This helps to produce erections on demand and may also help relieve urinary problems, like difficulty starting urination, that result from an enlarged prostate. Women recognize that infection risks are higher from a one night partner.
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