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I think is both, but you need to checkyour medication also if you masturbate too often or what I think at 47 you start loosing it. maybe a couple of viagra will help you need to check with your doctor and remember viagra and nitroglycerin are bad combination. sometimes guys in your group age take viagra for a while and the problem get corrected, but with your heart condition this need to be done with a close supervision of a doctor. Good luck!
Yes absolutely. Depending on the type of Cardiomyopathy you have you may be fortunate to be able to attain erection at all. What has your doctor told you about your prospects for sexual activity?