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In some cases, circumcision is done at other times of life and or for medical reasons. Thanks to the Affordable Care Act, if you have health insurance, chances are good that you ll be able to get this method with no out of pocket cost. At doses above the recommended dose range, adverse reactions were similar to those detailed in Table 1 below but generally were reported more frequently. There was no effect on sperm motility or morphology after single 100 mg oral doses of sildenafil in healthy volunteers see section 51.