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Erectile dysfunction is a serious problem that affects 300 millions of men around the World.
One feature that Viagra, Levitra and Cialis (see: Cialis versus Viagra online) have in common is that they require sexual stimulation to be present in the men that take them before they can work effectively.
Viagra - This ED drugs is ingested approximately an hour prior to having sex and the effects normally continue for as long as five hours.
Levitra - Levitra should be ingested 20 to 25 minutes prior to having sex and its effects endure for as little as 25 minutes to as much as five hours. Cialis Taken approximately half an hour before sex, Cialis provides the longest lasting results with erections lasting as much as 36 hours.
Many men experience problems with achieving and keeping erections adequate enough to have sexual intercourse that is satisfying and fulfilling.
Although erectile dysfunction is not usually serious, it can sometimes be an early symptom of disease in the cardiovascular system which requires immediate treatment. There are a variety of reasons for why men experience erectile dysfunction due to the interaction of numerous bodily systems including blood circulation, nerve interaction, hormonal release and mental awareness.
Physically, problems with the circulatory system are the most common reason for men experiencing ED. Join tens of thousands of doctors, health professionals and patients who receive our newsletters.
Since the discovery that the drug sildenafil (Viagra) - originally a heart drug - had an effect on men's penile erections, most people have become aware of erectile dysfunction as a medical condition. Men who have a problem with their sexual performance may be reluctant to talk to their doctor, seeing it as an embarrassing issue. Doctors are used to dealing with potentially embarrassing issues in private consultations, and not only is erectile dysfunction now more clearly understood, there is also often a solution for the condition. Communication difficulties and relationship stresses can lead to problems initiating or maintaining an erection.
Most men have occasionally experienced some difficulty with their penis becoming hard or staying firm, but this is not normally cause for a diagnosis of erectile dysfunction.
Broadly, two forms of erectile dysfunction can affect men's sex lives - the main cause is either medical or psychosocial. Here, psychosocial refers to the psychological effects - including the effects of social relationships - on sexual performance. Erectile dysfunction used to be known more widely as 'impotence' before the causes became better understood and successful treatments came into use. Erectile dysfunction is defined as persistent difficulty achieving and maintaining an erection sufficient to have sex. Organic causes are usually the result of an underlying medical condition affecting the blood vessels or nerves supplying the penis.
Numerous prescription drugs, recreational drugs, alcohol and smoking can all cause erectile dysfunction.
Diagnosis, with the help of a doctor, can identify the likely cause by taking a history, discussing symptoms, performing blood tests to establish the presence of conditions such as diabetes and heart disease, and physical examination.
Typical first-line treatment of erectile dysfunction involves the use of medications called PDE-5 inhibitors, including the well-known drug sildenafil (Viagra).
To understand the causes of erectile dysfunction, it helps to understand how an erection happens physically. Relaxation of muscle (in parts of the penis and the walls of the arteries supplying it) allows blood to rush into the cylinder-shaped spongy tissue of the erection chambers, creating increased tissue pressure and an erection. A healthy lifestyle can prevent erectile dysfunction since the problem can be caused by preventable conditions such as diabetes and vascular disease. Reducing well-established risk factors for diabetes and atherosclerosis - including poor diet, lack of physical activity and other lifestyle factors such as smoking - could also prevent erectile dysfunction. Erectile dysfunction can be caused by atherosclerosis - the thickening of the walls of the arteries that causes them to narrow and lose elasticity, restricting blood flow. The smaller arteries in the penis are usually first affected by atherosclerosis - damage to the lining of the arteries (medically known as endothelial dysfunction) - as even a small amount of narrowing in these arteries can affect circulation.


The early damage of atherosclerosis prevents the arteries to the penis from dilating (widening) properly, in turn preventing the penis from filling with blood and so becoming hard. Men tend to worry about anything affecting sexual performance - and penis size is a key concern for many men, but do their partners care about genital dimensions?
While the downside to atherosclerosis is a reduced ability to get an erection, the upside is that erectile dysfunction can be an early warning sign of arterial disease. Erectile dysfunction can also be caused by another cardiovascular risk factor - hypertension. It is always worth consulting a physician about persistent erection problems as the cause of erectile dysfunction could be any one of a number of serious medical conditions. Prostate treatments, including treatments for cancer, and for benign prostatic hypertrophy (such as 5?-reductase inhibitors). In rare cases, erectile dysfunction has always been present, with a man never having achieved an erection. Psychological factors are the cause of most cases of problems reaching climax - ejaculation occurring too soon, too late, or not at all.
Other relationship problems such as pressure from a sex partner - for example, because expectations make sex a task instead of a pleasure. Drinking two to three cups of coffee every day could lower a man's risk of erectile dysfunction. Some research has raised concerns that men who regularly cycle for long hours could have a higher risk of erectile dysfunction, in addition to other men's health issues such as infertility and prostate cancer. Treatment of prostate cancer can cause erectile dysfunction, although the cancer itself does not cause the problem. This is because of trauma to the delicate nerves and blood vessels that are necessary for erections.
On the next page we look at tests and diagnosis and the available treatments for erectile dysfunction. An observational study of erectile dysfunction, infertility, and prostate cancer in regular cyclists: Cycling for Health UK study. Please use one of the following formats to cite this article in your essay, paper or report:MLAMacGill, Markus.
For any corrections of factual information, or to contact our editorial team, please see our contact page.
Please note: Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a health care professional.
Many men suffering erectile dysfunction and prescribed oral treatment, such as Viagra, experience side effects including dizziness, severe headaches and blurred vision. The views expressed in the contents above are those of our users and do not necessarily reflect the views of MailOnline. As someone currently in nursing school, here are five  tips that have helped my fellow nursing students and I make it through our first semester. Know your “hard stop”, or the time before bed when you are definitely closing your textbook.  You can’t study ALL the time and you do need to sleep right? While C’s get degrees,  the right kind of R & R can help you do more than just pass your classes. You sold yourself on going to nursing school with a desire to do something great for others.  Remembering that patient care is not about you goes a long way. Our job is to make the patient feel safe, comfortable and to work toward a better quality of life.  Keeping that mindset will help you get through situations that you may not have thought you could handle. Viagra pill for sale cheapest of pills order generic viagra professional 100mg, generic viagra 50mg.. King, Buy Viagra online whose scorching guitar licks and heartfelt vocals made him the idol of generations of musicians Cheap Sildenafil . Not only is ED frustrating sexually for both partners, but it can have grave consequences on relationships.
Without a desire to perform sex (Top ED Pharmacy), these drugs will not provide the desired results. This disorder is known as erectile dysfunction and it occurs more commonly as men grow older. However, most people with ED can be effectively treated by orally taking Viagra, Levitra, or Cialis.
These problems can sometimes be serious, stemming from cardiovascular disease, multiple sclerosis, high blood pressure, atherosclerosis, diabetes, or stroke. Impotency can be the result of depression, anxiety, insecurity, discomfort, jealousy, or relationship issues.


Some kinds of medications, smoking cigarettes and drinking alcohol are three of the most common substances known to promote impotency. No statements have been evaluated by the FDA and should not replace the professional medical advice.
However, modern medicine has revealed numerous medical and psychological explanations for erectile dysfunction, including the possibility of serious underlying conditions that it is important to address. If you or someone close to you has a problem with getting or maintaining an erection, this article offers helpful information.
This condition is only considered a concern if satisfactory sexual performance has been impossible on a persistent number of occasions for some time. Medical conditions can also affect psychological wellbeing, meaning that, while the primary cause of sexual impotence is typically either medical or psychological, there is often overlap between the two. Patients experiencing occasional erectile dysfunction and who do not respond to medical treatment may be candidates for surgery to fit a penile implant.
Diabetic neuropathy is a common neurological cause of erectile dysfunction, as is nerve damage resulting from various types of surgery around the pelvis. This means that a person can seek early treatment and prevention of heart problems while also treating sexual dysfunction. Whether the cause is simple or serious, a proper diagnosis can help to address any underlying medical issues and can help resolve sexual difficulties. But a new study suggests eating more foods rich in flavonoids - such as blueberries, strawberries, blackberries and citrus fruits - could reduce the risk of erectile dysfunction for middle-aged men by more than a fifth. London, UK: National Institute for Health and Care Excellence, Clinical Knowledge Summaries.
Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Bethesda, Maryland, US: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases. Men in the UK are the first in the world to have access to the new cream, which contains the drug alprostadil. However the majority of those men, 68 per cent, continued with their treatment just so they can continue to achieve an erection.As the cream is applied directly to the genitals these generalised side effects are considered unlikey, experts say.
Even though your head can’t been seen out of a textbook unless its to eat, sleep, or excrete like some kind of textbook turtle, you still need a mental break to let the people in your life know you still appreciate them.
NCLEX books – If you don’t have any, go get some!  These books not only provide additional material (which helps reinforce what you have learned in your textbook), but also have questions to further gauge your knowledge and prepare you. Share – Remind each other of deadlines and share new information or new study tools.  As a class, you are all invested in the success of one another.
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Luckily, there are several medications designed to treat ED and restore sexual fulfillment and couple happiness. Although all three are effective treatments for erectile dysfunction, studies conducted by independent entities have clearly shown that they are different in the manner in which they work as well as the side effects experienced by users. Viagra, invented by Pfizer Inc, was approved in 1998 and became the bestseller on the market. Around 10 percent of males aged 40 to 49 experience ED while that percentage jumps to as high as 35 percent in men over 65 years old.
A decrease in potency can also be the result neurological disease, injuries to the spinal cord, or prostate surgery or radiation therapy. Causes of a new and persistent problem are usually physical; less commonly, psychological factors cause or contribute to erectile dysfunction, with such factors ranging from treatable mental health illnesses, to everyday emotional states that most people experience at some time or another. Article published online at MedlinePlus, US National Library of Medicine, accessed 10th September 2014. Guidelines published online in 2005 and last validated in 2011; accessed 10th September 2014. Boston, Massachusetts, US: Boston University School of Medicine, Center for Sexual Medicine.
Many people often discover the best ED medication to use by trying each one to see which provides the best results. Erectile dysfunction can also occur in younger males under 40 years old, but the causes are usually different.



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