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This is more common in people with existing cardiovascular diseases, which is why men with cardiovascular disease must be assessed before being prescribed sildenafil. Brotto’s lab website describes the disorder as being characterized by “absent or diminished feelings of sexual interest or desire, absent sexual thoughts or fantasies and a lack of responsive desire. If you have any queries with regards to where and how to use viagra online, you can get in touch with us at our own site. Nonhormonal variables that affect sexual desire, according to some of Brotto’s research, include developmental history (significant life experiences as a child and adolescent), psychosexual history, psychiatric history and current status, history of sexual abuse, current relationship factors, and medical factors.