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But we now know that physical causes are more likely, and the most common of these is disease of the blood vessels which supply blood to the penis. You can take tadalafil up to 36 hours before sexual activity. When you are ready to find treatment for ED, let your partner know that you will support them. Depending on the circumstances, testing may be used for screening, diagnosis, and monitoring. It is located in the superficial perineal pouchof the pelvic floor, and is not visible externally.