Many treatments that may help treat it. It is important to mention though that most patients are able to take this treatment without experiencing any side effects at all. Smoking is known to cause at least occasional problems with sexual health. Cialis is not recommended if you have heart problems. Store it at room temperature and away from excess heat and moisture. When using this medicine. Times of high stress sometimes lead to a loss of sexual appetite or the ability to fully enjoy a sexual relationship with another person.