“I take 20 mg Cialis pill and it works as expected but after sexual intercourse I sometimes feel muscle pain in the back and fatigue. I do not know if this is because I work like a stud or it is a side effect. Anyway I am lucky that I gave it a try.”

My apologies. I did not know the items were sent separately. I received the second envelope yesterday. Thank you for your help and support.

The number of fit notes issued has been rising, with more than 11.2m approved in England last year.

Use our interactive tracker to see if treatment waits are getting better at your local hospital.

The inquiry is being held over concerns of poor care at the County Durham and Darlington trust.

The non-hormonal daily pill could benefit 500,000 women for whom HRT is not suitable.