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" There is also fallout from the erroneous belief that Viagra causes not just greater blood flow but also greater desire. The hormone testosterone is the driving force behind libido; a man with little or no testosterone will not have any desire to have sex, Viagra or no. Moreover, even with normal amounts of testosterone, "Viagra does not just instantly give a man an erection," says Abraham Morgentaler, MD, associate clinical professor of urology at Harvard Medical School and author of The Viagra Myth. "You have to be in a sexual situation, you need to have desire and intent, in order for the drug to work. " Dr. Morgentaler tells the story of a patient who was very upset because Viagra didn't do the trick for him.

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