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We know that sometimes a problem seems less serious when it is considered through the bottom of a glass (except, for these purposes, remember that excessive drinking can be a cause of your problems with erection). But Russian courage is not required to get you through this door for your first consultation. We are demystifying the whole process for you so that you can approach the entire exercise with more confidence.

Now let’s stay calm. It’s a problem of time and fairness. The practice administrators who schedule appointments guess how much time each patient is likely to need with the doctor. This may be as little as five minutes for what appear to be routine matters. When you booked your appointment, just what did you say was wrong with you? We’re not telling you to be completely honest with whoever makes the appointments. The moral of this story is to make sure you book enough time with the doctor for that first appointment. Only then can you guarantee that you will get everything you need.

There is one other small matter to mention. The practice administrators have years of experience. When patients do not say exactly what is wrong, there is a short list of likely problems. Get over it. No-one employed there really knows you or is likely to have a reason for wanting further information. They’ve all got more important things to worry about. You have to trust the system to protect you and find you the best treatment. In most cases, this will simply be a prescription for Viagra, Cialis or Levitra. That means going to a pharmacy. If you find that trip to the pharmacy a bridge too far, there is always an online pharmacy where you can buy online. In some things, there can be the appearance of greater privacy. But who are these people in the online pharmacy? And will the delivery guy not suspect what is in the plain package? Paranoia about reputation, particularly as it affects sexual performance, is understandable. But you have to live your life with your eye on the most important truths.Control of fear brings relief.

In our inner voice, we’ve already gone through that door and the doctor knows that we’ve got ED. So how will the doctor react? Well, even though this repeats the same old line, you have to get over yourself. You do not have a unique problem. Hundreds have gone through the same door you’re standing outside. After initial words of reassurance, the doctor’s next words may be, “I think we need another appointment.”

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