If this occurs, you might need to get medical attention. A prolonged erectile dysfunction can occasionally be painful and require extra treatments. Penis, testicles, and breast examinations should be included of a physical exam. The vaginal feeling as well as the femoral and pedal pulses should be tested. To check your testosterone level in the morning and rule out any hypogonadism, Tadarise 20 may be beneficial. It is also possible to employ a complete blood count, fasting glucose, and creatinine values.