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Cialis online dr. Sanos: i like Buy tretinoin online canada that you have a clear answer "i do not feel like i have an orgasm because of the pills" why do you say in your blog "i do not feel like i have an orgasm because of the pills"? does this mean something else is not a problem with my situation (or is it just that i do not think it is really a problem)? hilary: it is a question about pleasure. i think it's a good question to ask of anyone who has a chronic condition of low libido. It's a normal response, part of the human experience and it's important we understand it. The answer to this is that we don't really know. There is evidence that ED correlated with serotonin deficiency. There is lots of research into antiandrogens and how those can enhance libido. There is also evidence that some medications like Zoloft can inhibit serotonin function. So there is good research on what makes us feel happy or frustrated and the best treatment for all those symptoms is going to be very different. If we take a look at real world example, let's say an 18 year old girl who's got a problem with an ED gets prescribed Zoloft. Zoloft will likely affect her sexual drive. Let's say she is happy with what she's doing, she might be able to take her pill at online pharmacy berlin germany night and enjoy it as well most people. But what can be going on is that her body producing more Zoloft, the drug is effective, she wakes up more hungry, she's exhausted, likely to be confused by what's going on with her body. If you are a doctor prescribing Zoloft and you have your patient's history, are more likely to think it will be good and you are more likely to prescribe Zoloft. Hilary: the best approach is to talk your patient and get her informed, but of course when you're talking to a clinician, you can ask them not to prescribe Zoloft. We recommend that patients with any chronic condition like ED discuss their problem with clinician. kristina: do you think that when a patie