Related article: veteran reported that he lost his virginity at age 21. Dr. J.B. stated that although the veteran had adequate erectile function, he Tadacip Price felt that he was not able to have erections on command. His primary complaint was that he only had nocturnal emissions and otherwise could not achieve ejaculation through intercourse. The veteran was being treated with Viagra. He was diagnosed with ejaculatory dysfunction, erectile dysfunction, and sexual dysfunction. Diagnostic tests were completed subsequent to examination. On a December 2002 follow-up examination, the veteran was referred to a Buy Cheap Tadacip sexual therapist. The veteran was being treated with Viagra at that time. Dr. J.B. stated at that time, that he would presume that the veteran did have some vascular disease given that his testosterone level was Cheap Tadacip completely normal. The Board requested a VA opinion in November 2006 to determine if the veteran's had erectile dysfunction that was incurred in or aggravated by service. A VA examination was completed in conjunction with a review of the claims file in May 2007. The examiner indicated that erectile dysfunction had its onset in 2000 and was manifested by an inability to get an erection. The examiner indicated that erectile dysfunction had Tadacip Cipla progressively worsened since onset. The Generic Tadacip veteran was treated with Cialis the time of the examination. The examiner opined that the most likely etiology of the veteran's erectile dysfunction was a psychological condition. The veteran was treated with oral medication, however vaginal penetration was not possible and medication was not effective in allowing intercourse. The veteran had an absence of ejaculation with etiology unknown. The examiner noted in the veteran's history that Tadacip 20 Cipla he was prescribed injections of Alprostadil in February 2000. Physical examination was normal. Testosterone testing was normal. The Tadacip Uk examiner stated that the veteran alleged that the Alprostadil injections may have contributed to erectile dysfunction, but the examiner found no evidence of any damage Tadacip 20 to his penis that would support this. The examiner opined that the veteran's erectile dysfunction first occurred in service and that it was due to psychological problems. The rational for the examiner's opinion was that the veteran was able to have erections with intercourse for five minutes while in service, but before separation in 2001 he was unable to have Cipla Tadacip an erection which would enter the vagina. The examiner stated that that the present time, even with Cialis, the veteran was unable to have vaginal intercourse. He did not have ejaculations either. The Board notes that although the VA examiner indicated that the veteran's erectile dysfunction had its onset around 2000, service medical records did reflect a Order Tadacip diagnosis of erectile dysfunction in October 1996. The VA examiner also noted that the veteran was prescribed injections of Alprostadil in February 2000; however, service medical records show that this treatment was completed in November 1999. Cipla Tadacip 20 The presumption of soundness is applicable to this Tadacip Tablets case. Although a January 1998 consultation request notes that the veteran had been seen prior to entry to service for inability to achieve erection, the record Buy Tadacip does not contain other medical evidence to Tadacip 20 Mg support Buy Tadacip Online this Order Tadacip Online finding. The veteran Tadacip Online reported during his June 2006 Board hearing that he was not sexually active prior to service, and that he was not seen for erectile dysfunction prior to service. Service medical records and post-service medical records show that the veteran first became sexually active at age 21 while in the military. Medical evidence of record does show that the veteran reported that he had never experienced an orgasm prior to service; however, there is no indication of diagnosed erectile dysfunction prior to Tadacip 20mg service. The Board finds that the January 1998 note and the veteran's reports of inability to attain an orgasm prior to service are not enough to rebut the presumption of soundness. Pre-service treatment or diagnosis of erectile dysfunction has not been established by medical evidence of record. The earliest diagnosis of