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Viagra may rarely cause a prolonged (eg, more than 4 hours) or painful erection. This could happen even when you are not having sex. If this is not treated right away, it could lead to permanent sexual problems such as impotence.

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Responses (6) I believe erection is a function of the exits for blood out of the penis being blocked or slowed. If Viagra helps to allow this blocking or constriction to occur, then an erection follows sexual stimulation.

The Patient Protection and Affordable Care Act (ACA) Annual Limit Compliance: Section 2711 of the Public Health Service Act, as added by the Patient Protection and Affordable Care Act (ACA), generally prohibits group health insurance plans from placing lifetime and annual limits on the dollar value of "essential health benefits. " HRAs are a type of account-based group health plan and by definition, an HRA imposes annual limits on essential health benefits. That is, reimbursements an HRA participant may receive during a year are limited to the balance of his or her notional HRA account. How this provision affects HRAs depends on the type of HRA offered.

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