Magna Rx+   dysfunction that's important we have to have a definition erectile dysfunction is the inability to get maintain an erection to complete sexual intercourse to the satisfaction of both partners this is a couple's disease it's not just a men's disease it's a couple's disease and when I see Magna Rx  patients in the office my preference is to see couples not just men who come in and their wives are at home or or their significant others who are at home it's it's it's much preferable for me to see patients and their significant others in the office I think that I think that's very important so let's look at a rectal dysfunction first of all let's understand normal erectile dysfunction because I think that's a hallmark of things I think it's important that we understand what it takes to get an erection and it makes it easier to understand why we have it blood flow.