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If you have both premature ejaculation and trouble getting or maintaining an erection, your doctor might order blood tests to check your male hormone (testosterone) levels or Delayed Ejaculation Articles – House Call, MDNitric oxide does this by stimulating an enzyme that makes a substance called cGMP, which helps to produce a penile erection. Viagra, Levitra, and Cialis are all PDE-5 inhibitors meaning they block the enzyme (phosphodiesterase) that breaks down cGMP (making it inactive). When you take one of these medications, Viagra, Paxil Help Premature Ejaculation – WebMDMay 29, 2002 — Once again, Viagra comes to the rescue. A new study shows that Viagra in combination with Paxil helps premature ejaculators who have not improved with standard treatment. 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