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It is possible to achieve an improvement of erectile function in aging men without medication. This is slowly increased to give the patient a rigid erection for a reasonable time period, which should be no more than 90 minutes and optimally only about 45. These products are often expensive and usually have not been adequately tested for either their side effects or results. Likewise, a person diagnosed with a mental illness can experience periods of physical, mental, and social well being. The most superficial layer, immediately under the skin, is the external fascia of Colles.