A lot of mans after 40 years old got erectile dysfunctions in the last years.Some of them are afraid that this is the end of sexual life,is not a fact. Symptoms of erectile dysfunction are:
- Inability to become erect;
- Erection is too weak to have sexual intercourse;
- Erection only takes a few moments.
Men who fail to obtain or maintain an erection (in 75% of situations in which they tried to have sex) have erectile dysfunction.
Who has erectile dysfunction? Sexual dysfunction and erectile becomes more common as you get older. The Massachusetts study of aging men, 40% of them encounter some form of erectile dysfunction at age 40 years and 70% of men have this problem 70 years. These data confirm that the sexual life of men cease as they get older. Erectile dysfunction can be treated at any age. An erection occurs when blood fills the cavernous bodies of the penis second (corpora cavernosa), leading to the expansion and strengthening of. This process is driven by impulses sent by the brain and genital nerves. Any blockage of these impulses or blood flow to the penis causing erectile dysfunction. Causes:
- Chronic diseases. The link between chronic disease and erectile dysfunction is more evident in diabetics. Nearly one in two men with diabetes has a erectile dysfunction. Other diseases that are difficult to men sexually atherosclerosis, cardiovascular disease, multiple sclerosis, kidney diseases. These may affect blood flow and nerve impulses within the body.
- Lifestyle. Activities which ultimately lead to impaired blood flow contributes to the onset including erectile dysfunction. Smoking, alcohol abuse, drug abuse destroy, in time, blood vessels and reduces blood flow to the penis. Smokers are at risk twice as likely to experience erectile dysfunction, compared with non-smokers. Obesity and lack of exercise contribute, in turn, to the installation of erectile dysfunction.
- Surgery. Surgery, including those for treating prostate cancer and bladder cancer or benign prostatic hyperplasia sometimes affects the nerves and blood vessels near the penis. In some cases, nerve damage can be permanent, so that the patient will need treatment to regain an erection. In other cases, surgery causes temporary erectile dysfunction, the patient will recover in 6-18 months.
- Medication. Sometimes erectile dysfunction can be a side effect of certain medications, especially those that regulate blood pressure, antidepressants and tranquilizers. Men should confer with your doctor in case infer such an effect of the medicines and administering them.
- Psychological factors. Stress, depression, low self esteem, anxiety can affect the process of producing an erection.
- Cycling. The researchers argue that cyclists are most affected by erectile dysfunction, compared to other athletes. The problem is that the form of certain bicycle saddle that has put pressure on the perineum (the portion of the body between the scrotum and anus).
Treatment options
Changes in lifestyle. Most men with erectile dysfunction can improve the situation by making some changes in your lifestyle. Smoking cessation, weight loss, exercise helps to improve blood circulation.
Medications. Surely you’ve heard of Viagra, but it is not just a pill. This class of drugs includes Cialis, Levitra and Staxyn. It is used generally one hour before intercourse and should not be used more than once a day. Cialis can be given even 36 hours before sexual activity. All these drugs must be recommended by your doctor.
Injections. If the pills will not improve the problem, there are solutions to inject directly into the penis. These injectables are able to dilate blood vessels.
Surgery. If you suffer a blockage in one of the arteries leading blood to the penis, surgery may resolve, often the problem. Patients receiving recommend this solution are generally younger.
Pump vacuum. In this case, the penis is inserted into a plastic tube. With a pull outside air pump tube, thus making vacuum (vacuum). The vacuum draws blood into the penis and thus erection occurs.
Penile prosthesis. Enter a cylinder permanent penis that keeps it rigid and at times when there is sexual arousal.
Hormonal treatments. Testosterone replacement therapy in men with low testosterone.
Psychotherapy. When erectile dysfunction have a psychological cause, psychotherapy may be beneficial. Your therapist can help you improve techniques to reduce anxiety and increase the intimacy between you and your life partner.
Food additives. It is better to choose only those checked. On the market there are dozens of supplements that treat erectile dysfunction. However Food and Drug Administration warns that many contain ingredients that are not specified in the prospectus and that can put your health at risk. One of the ingredients is even active substance of Viagra drug should not be used only with indication physician.
It is natural to feel embarrassed or affected when you suffer from erectile dysfunction. However, we must not forget that your partner is affected by this problem. Open discussion partner can help you better understand the diagnosis and treatment options. This days is very easy to buy pills like Viagra,which is a treatment for short time, Viagra Professional, is very strong.You can find on this site different type of Viagra and a list of prices http://edonlinestore.net, the delivery is fast,free and for every order you receive some free pills. Viagra tablets are administered orally.
Use in Adults: The recommended dose is 50 mg, taken about one hour before sexual activity. Depending on the efficacy and tolerability, the dose may be increased to 100 mg or decreased to 25 mg may be. The maximum recommended dose is 100 mg. The maximum dose frequency is once per day. If Viagra is taken with food, the onset is slower than when administered before meals .
Use in elderly patients: the elderly because of sildenafil clearance is low, the recommended starting dose is 25 mg. Based on efficacy and tolerability the dose may be increased to 50 mg or 100 mg. Use in patients with renal impairment: In patients with mild or moderate recommended the same dose as adults. Because patients with severe renal impairment clearance of sildenafil is low, the recommended starting dose is 25 mg. Based on efficacy and tolerability the dose may be increased to 50 mg or 100 mg.
Use in patients with hepatic impairment: as in patients with hepatic impairment (eg cirrhosis) sildenafil clearance is low, the recommended starting dose is 25 mg. Based on efficacy and tolerability the dose may be increased to 50 mg or 100 mg.
Use in children: Viagra is not indicated for persons under the age of 18.
Use in patients taking other drugs:
For patients treated with CYP3A4 inhibitors, except ritonavir is recommended to start dose of 25 mg .It is proved that potentiates the hypotensive effects of nitrates viagra which is consistent with its known action on horses nitrogen monoxide / cGMP . Therefore the product is contraindicated in patients who use viagra nitric oxide donors or nitrates in any form. Products for the treatment of erectile dysfunction, including sildenafil, should not be used in men for whom sexual activity is contraindicated (eg patients with severe cardiovascular disorders – unstable angina or severe heart failure).
The safety of sildenafil has not been studied in patients with these diseases associated: severe hepatic impairment, hypotension), recent history of stroke or recent heart attack hereditary degenerative, known as retinal such as retinitis pigmentosa . Using Viagra product is contraindicated in patients with known hypersensitivity to any component of the tablet.
Adverse Reactions
During clinical trials is recommended dosage regimens used, these side effects were reported at an incidence> 1%:
Cardiovascular: headache , flushing , dizziness .
Digestive: dyspepsia . Respiratory: nasal congestion.
Special senses: mild and transient changes in vision, predominantly nuanced view of color, increased perception of light or blurred vision.
During the fixed dose studies dyspepsia and changes in vision were more common when given 100 mg than with lower doses. When given dosage recommendations more common than reported extra muscle pain. After the launch of the drug have been reported cases of priapism. Adverse events were mild or moderate, increasing the incidence and severity with increasing dose.
I am self employed. General Practitioner in Melbourne, VIC. My special interest: male reproductive system.