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Erectile dysfunction (ED) and infertility are two major issues generating concerns the world over, and particularly in the Sub-Sahara Africa, where the prevalence of risk factors, such as diabetes, dyslipidaemia, hypertension, is on the increase. Contrary to the misconception that ED is an age-related condition, a Consultant Urologist at the Lagos State University Teaching Hospital (LASUTH), Ikeja, recently explained that erectile dysfunction has nothing to do with old age. Defining ED or impotency as a state where a man cannot get an erection to have sex or cannot keep an erection long enough to finish having sex, she added that it is not necessarily a symptom of old age, as older men should still be able to get an erection for sexual pleasure. Abolarinwa, therefore advised men to keep their blood sugar and blood pressure under control to prevent erectile dysfunction. In addition to the highlighted causes of ED, Dr Anna Cole, a clinical psychologist with Mental Health Foundation, said psychological issues and problems in relationship with a sexual partner could also cause erectile dysfunction. Feeling nervous about sex, feeling depressed and feeling stressed, including stress from work or family situations could degenerate to ED, she noted. Also, a new research published in Science Alert with the title, “Erectile Dysfunction and Hypertension among Adult Males in Umudike, Nigeria: A Study of Prevalence and Relationships”, found it that ED affects approximately half of men of over 40 years of age and results in an inevitable loss of quality of life of the sufferer and his partner.
As regards the link between ED and infertility, Dr Michael Roizen, Medical Director of Internal Medicine, said ED and infertility are very different terms, noting that a man may be producing perfectly good sperm, but having trouble with his erection, which is what he termed ED.
A man’s fertility generally relies on the quantity and quality of his sperm, if the number of sperm a man ejaculates is low or if the sperm are of a poor quality, it will be difficult, and sometimes impossible, for him to cause a pregnancy.
Accurate statistics are lacking on how many men are affected by infertlity, but some doctors estimate that about half of men aged 40 to 70 have frequent problems achieving or maintaining an erection. Circulatory problems: An erection occurs when the penis fills with blood and a valve at the base of the penis traps it.
Peyronie’s disease: This disease causes fibres and plaques to appear in the genitals, interrupting blood flow. Surgery: Surgery to the pelvis, and especially prostate surgery for prostate cancer, can damage the nerves and arteries that are required to gain and maintain an erection. Spinal cord or pelvic injury: The nerves that stimulate erection can be cut by injury to them. Hormonal disorders: A lack of testosterone (male hormone or androgen) can result from testicular failure, pituitary gland problems, or certain medications.
Alcoholism: Chronic alcoholism can produce erectile dysfunction, even if there is no alcohol in the blood at the time of sex. Performance anxiety: Most men have had erection problems at some point due to worrying about performing well during sexual intercourse. Situational psychological problems: Some men have problems only in certain situations or with certain people.
If a man had regular erections in the past, but suddenly begins to have problems getting an erection, there’s a chance that it’s a nerve or hormonal problem, a circulatory problem, or the effect of alcohol, drugs, or medicine. If a man still gets erections but they’re not as hard or long lasting as in the past, it’s quite likely that a circulatory problem is causing the dysfunction. If surgery or injury is involved, the sufferer may already know what’s causing the erectile dysfunction. While erectile dysfunction is inevitably going to cause some anxiety, it’s vital for sufferers to keep their relationship with their partner or spouse as regular as possible until a solution can be found.
To find out what’s causing erection problems, a doctor will begin by asking about other medical conditions the man might have, what medications he’s taking, when his erection problems occur, and what form they take. Standardised questionnaires or surveys about erectile function and the satisfaction of sexual intercourse may be used to identify the nature of erectile dysfunction. There are tests that aim to distinguish between psychological, nervous, and circulatory causes.
Several devices, including a Doppler radar, can track blood flow in and out of the penis and identify circulatory problems.
Medications for erectile dysfunction include phosphodiesterase inhibitors, prostaglandins, and testosterone. Phosphodiesterase inhibitors: This class of medications includes sildenafil,* tadalafil, and vardenafil. Prostaglandins (alprostadil): Alprostadil can be injected into the penis or inserted as a pellet through the urethra.
Testosterone: This is only useful for people with specific disorders like hypogonadism (small testicles) that result in lower than normal amounts of testosterone in the blood stream.
Vacuum devices: This involves placing a tube over the penis, forming an airtight seal around the base. Penile implants: This treatment involves permanent implantation of flexible rods or similar devices into the penis. There are two broad categories that the causes of erectile dysfunction (ED) fall into physical and physiological.
Physical health problems are the most likely cause of erectile dysfunction as earlier mentioned, particularly in older males.
For younger men, ED is often related to anxiety, stress or psychological trauma due to a distressing sexual experience.
Pills such as Viagra can help a man overcome psychological obstacles and give him confidence that everything is working perfectly.
In most cases, blood vessel deterioration is the main cause of erectile dysfunction, so you want to make sure that your blood vessels are in good condition to allow normal blood flow. Type 2 diabetes stems primarily from unhealthy diet and lack of exercise (yet another reason to maintain a healthy lifestyle to prevent ED). Young men often suffer from “performance anxiety, which can result in erectile dysfunction.
Seeking help from a sexual health expert can prove very effective, especially to work through relationship issues or anxiety, both of which may result in ED. When your confidence is at stake, taking pills such as Viagra can help you to realise that there is no problem with the engine and give you that confidence boost. However, if you are facing bigger issues, then expert help and knowing fully what you are dealing with can help relieve your fear and anxiety. This will help you to find out the real causes of the problem too, which will help you reach the best solution for you.
If you feel too embarrassed to raise the topic with your doctor, you can use our online services to directly contact one of our GPs.
While you are working out the causes of your problem or being treated, it’s fundamental that you focus on your relationship. Couples who have difficulties communicating on both sexual and heart matters are more likely to develop issues related to intimacy and sex.
Just remember, if you are having problems with your impotence, your partner will be affected by this too. A recent research by the University of the West of England, Bristol, suggests that erectile dysfunction exercises may be a very effective way of improving your erections. The scientists from Bristol compared the effectiveness of these exercises to that of Viagra and believe regularly exercising your pelvic floor muscles may be the best way of preventing erectile dysfunction. Exercising regularly is a great way to improve the state of your general health and boost your performance. When combined with a healthier lifestyle, regular physical activity can contribute to improving your blood flow and restore your ability to get erections. Infertility affects nearly 25 per cent of couples in Nigeria and experts claim that 40 to 45 per cent of all consultations in gynaecological clinics are infertility-related.
Secondary infertility: where a mother who has had one or more pregnancies in the past, is having difficulty conceiving again.
There are numerous clinics and medical centres in Nigeria that can help couples having difficulty conceiving children. Note that while some couples find it easy to get pregnant quickly, it can take longer for others. Eye problems, including damage to the blood vessels in the eyes (retinopathy), pressure in the eye (glaucoma), and clouding of the eye’s lens (a cataract). The serious consequences of these complications are completely avoidable for most people with diabetes by managing your blood glucose, blood pressure, and cholesterol levels. This can help you feel better and stay healthy.
Viagra is actually one of the most popular drugs that most men are using in order to help them overcome potency problems or erectile dysfunction. Though it is mostly considered as an important medication that is used by many men who are suffering from sexual dysfunction and impotence, Viagra has also been found effective to improve the women"s sexual function.
Since Viagra has been introduced in market, more and more number of men are starting to use this pill in order to treat their sexual problems and improve their ability to have a firmer and stringer penile erection.
There are a lot of things that you have first to consider before buying Viagra, and that is to decide whether you would go for the generic or the branded one. If you really want to an effective drug that can help you with your erectile dysfunction problems, Viagra is the best product that you must use.
It eliminates the PDE within the penis in order for the cGMP to build up rather than getting decomposed by PDE.
Viagra is known to be a new generation medicine that provides the benefits of improving one"s sexual life by treating some sexual problems which include erectile dysfunction. Various clinical studies have actually shown that Viagra is an effective pill that provides a great result in improving one"s sexual condition.

Roy is a Sildenafil user for over a decade now and the effects of the ED drug is still giving him surprises for every time that he and his wife explore the world of sex.
Jorge is an office worker, and for the past years, her wife made a divorce on him because he was unable to provide sexual pleasure for her. If you take Viagra and you notice that it does not help you in getting an erection, or penile erection does not really long last enough to complete a sexual activity, it is important to tell it immediately to your doctor who can help you with this problem. If you use this pill and you notice that you are suffering from side effects that are unbearable for you, you must stop using this product.
If you want to ensure that you will obtain the results of taking this product, it is important to understand first the most essential information about it before taking Viagra. If you are taking nitrate drugs for heart problems or chest pain, you should not take Viagra because it may cause a serious and sudden decrease in your blood pressure.
On an average, Viagra becomes really effective even in just an hour once you take the pill on an empty stomach.
Also, the active ingredient within Viagra is sildenafil citrate, which is actually medically known as PDE5 inhibitor.
Various manufacturers and researchers have tested this drug on nearly four thousand men during twenty-one clinical trials.
Although these side effects are common to some people who are using Viagra, experiencing its benefits can give tell you that its side effects are actually nothing when compared to the health benefits and satisfaction that it can give you.
Impotence or erectile dysfunction is one of the most common problems that people are suffering these days. Viagra, once it is taken one hour before your sexual activity can effectively work by enhancing the nitric oxide effects that is essential for relaxing smooth muscles in the penis.
Most men nowadays are taking Viagra to treat erectile dysfunction, however, it is also noted that this is not only good at solving your sexual problems but it also has great effects on one's heart.
AAKP the nations largest kidney patient organization is founded and directed by the patient.
AAKP the nation’s largest kidney patient organization is founded and directed by the patient.
Cheng study used national birth rate, registers by the Centers for Disease Control and Prevention section.-risk pregnancies analyze what live and in full view on deliveries from 37 to 42 weeks gestation in the United States in 2003. The frontal cortex, suggests that improving with training, can smellhave In a new study scientists at NYU Langone Medical Center found that the sense of smell can be improved. Deadline The survey also explored all the knowledge of the 15th seniors May deadline for enrolling in the drug benefit to avoid, by a financial penalty. An independent panel of the NMC Conduct and Competence Committee heard evidence that Mrs Cromar not act accordingly when the parents expressed concern on more than one occasion over the length of time, and her baby was sleeping, she had trouble waking her feed diet.
Fighting groups such as The Global Fund to Fight AIDS, Tuberculosis and Malaria , the World Bank, the U.S. Swiss companies Novartis and Roch test similar experimental drugs for people with fragile X syndrome About 1 in every 3 people with fragile X syndrome meet the diagnostic criteria for autism. SRS was designed with direct input by its high-performance physicians to the doctors a system that fits their needs.
This medicine can increase your risk of life-threatening heart or circulation problems, including heart attack or stroke. Seek emergency medical help if you have symptoms of heart or circulation problems, such as chest pain, weakness, shortness of breath, slurred speech, or problems with vision or balance. This medicine can also increase your risk of serious effects on the stomach or intestines, including bleeding or perforation (forming of a hole). Taking an NSAID can increase your risk of life-threatening heart or circulation problems, including heart attack or stroke. NSAIDs can also increase your risk of serious effects on the stomach or intestines, including bleeding or perforation (forming of a hole).
If you have any of these conditions, you may need a dose adjustment or special tests to safely take Mobix. If you take Mobix for a long period of time, your doctor may want to check you on a regular basis to make sure Mobix is not causing harmful effects.
Do not use any other over-the-counter cold, allergy, or pain medication without first asking your doctor or pharmacist. Tell your doctor if you are taking an antidepressant such as citalopram (Celexa), duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, Symbyax), fluvoxamine (Luvox), paroxetine (Paxil), sertraline (Zoloft), or venlafaxine (Effexor). Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed. Every effort has been made to ensure that the information provided by Genglob is accurate, up-to-date, and complete, but no guarantee is made to that effect. It is the inability to conceive or produce offspring, despite having regular unprotected sex. On the other hand, he explained that a man may have no trouble raising the rifle, but he is shooting blank, that he called infertility. Conversely, a woman’s fertility can be measured through various means, like the regularity of the menstrual cycle, among other things.
The number of men with erectile dysfunction is low for those under the age of 40, but it increases with age.
Diabetes, high blood pressure, cholesterol, clots, and atherosclerosis (hardening of the arteries) can all interfere with this process.
Depression is a physical disorder as well as a psychiatric one, and it can have physical effects. If this happens often, the anticipation of sex can trigger nervous reactions that prevent erection, setting up a vicious cycle.
In troubled relationships, men may be unable to achieve erection with their partner but have no problem away from home. It is most common in people who suffered child abuse and those who have been brought up in strict religious surroundings. This is often a sign of a psychological problem that may or may not have to do with that particular relationship. Common chronic diseases such as obesity, diabetes and high blood pressure are often associated with ED and therefore, a healthy lifestyle is the best way to avoid ED. However, for older men, consulting a doctor can be an important step towards uncovering and treating underlying physical causes.
Depending on the state of your health, taking pills might not always prove the most effective solution.
The damage caused to the blood vessels by abnormal blood sugar levels can, in the long run, result in ED.
You should note that, while recreational drugs and low levels of testosterone are not directly responsible for erectile dysfunction, they may well affect a man’s sexual drive.
Look for diversity and new experiences with your partner so that you can focus on present pleasure again rather than reviewing past failures.
Talking about your feelings and anxieties, although this may sound difficult, is crucial: your partner needs to understand how you feel and what you need. There is nothing to lose by talking about it; so it’s often beneficial to be pro-active by raising the issue and then working through it together.
Similar to the pelvic floor exercises recommended to women after childbirth, these exercises involve clenching the muscles you use to control urination. The study conducted by a team of scientists in Bristol involved participants who had been suffering from erectile dysfunction for at least six months.
The exercises train the muscles surrounding your penis, which improves the blood flow and improves your ability to gain and keep an erection. A series of prolonged bad habits can damage the tissue responsible for erections over the years.
All you need to do is to maintain a regular activity, even if it’s just 30 minutes a day, to improve your blood pressure, blood flow, cardio and overall health. Long-term and long hours of outdoors cycling can damage the nerves in your pelvic area which control erections. Common causes of infertility in women include lack of regular ovulation (the monthly release of an egg), blockage of the fallopian tubes, age and endometriosis.
The cost for fertility treatments varies, with IVF treatments costing between N800,000 and N1,000,000.
However, if you have been unable to conceive after one year of trying, it’s time to consult your doctor or medical provider. Apart from treating ED, this is also used for treatment of some other sexual conditions effectively. Apart from that, it is important to note that various studies have found that Viagra is also very helpful when it comes to treating hypertension, a condition that may lead to heart failure when left untreated. Viagra has also been noted as one of the most prominent and effective drugs which has been used by a large number of men today all over the world.
Over the years, people are started to look for the generic form of Viagra which has also gained supreme popularity. This works by blocking a certain chemical that could otherwise prevent men from getting a firmer and hard erection essential during intercourse.

The greater the amount of the cGMP, the greater the flow of blood in your erection which is important to have a better degree of penile eerection.
It helps men improve and maintain erection by increasing the flow of blood to their penis, allowing them to have a longer and even firmer erection.
Viagra is not always suitable for everyone that is why it is highly important to seek assistance from your doctor first before taking or using these drugs. Viagra is inhibiting an enzyme that is responsible for regulating the flow of blood in the penis. When it is taken, there are some side effects which have actually been reported, though these side effects were all generally mild to moderate and are brief in length. The benefits provided by using Viagra actually outweigh its drawbacks like its side effects. It is referred to a man"s inability to obtain or maintain a penis erection that is firm enough for a sexual intercourse. The effects to one"s heart of the hormonal stress were also been noted to be reduced with the help of Viagra. AAKP reaches one million people each year, including patients, family members, renal professionals and friends of the kidney community through its magazines, website, brochures, and through its educational programs and events. Is to fund only charity both both service users and providers and plays an important role in the financing of research and new approaches to promotion, treatment and care. The new findings, published online in Nature Neuroscience, suggest ways to reverse the loss of smell due to aging or illness. President ‘s initiative, and the Gates Foundation, all funds to several parts of the world with with the hope of reducing malaria more .
Do not use this medicine just before or after having heart bypass surgery (also called coronary artery bypass graft, or CABG).
These conditions can be fatal and gastrointestinal effects can occur without warning at any time while you are taking Mobix. This includes black, bloody, or tarry stools, or coughing up blood or vomit that looks like coffee grounds. These conditions can be fatal and gastrointestinal effects can occur without warning at any time while you are taking an NSAID. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor.
If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. Overdose symptoms may include nausea, vomiting, dizziness, drowsiness, black or bloody stools, coughing up blood, fever, urinating less than usual or not at all, shallow breathing, fainting, seizure (convulsions), or coma. Many medicines available over the counter contain medicines similar to Mobix (such as aspirin, ibuprofen, ketoprofen, or naproxen).
It occurs when a poor reproductive system impairs the ability of the body to perform necessary functions of reproduction.
Aversion can also exist in homosexual or bisexual people who attempt to lead a heterosexual life against their basic inclinations.
The danger with this method is that too high a dose can cause priapism, an erection that won’t go away. Common non-medication ways of treating erectile dysfunction include vacuum devices and penile implants. The latest (and most expensive) device consists of inflatable rods activated by a tiny pump and switch in the scrotum.
It’s simply important to be open with your feelings, and it may be beneficial to express and discuss how you feel. You may well find yourself addressing broader issues in your life, which can also improve your mood and relationship. 40 per cent of participants reported that they regained their erectile function within 3 to 6 months. Even walking is a good option, although it’s better to practice a sport or do some hard exercise to push yourself! Indoors cycling is much less hazardous as the seat is generally wider and less prone to damaging your body. They are more likely to occur if your blood sugar is often too high. Over time, high blood sugar can damage blood vessels in your body.
It comes with active ingredients that can help most improve their ability to enjoy their sexual experience. When it is being taken against the pulmonary hypertension, this actually works by relaxing the arterial wall, which in turn will reduce the pressure on one"s heart. However, if you take Viagra after a meal which has high fat content, this may actually take longer than just an hour to be effective. The PDE5 inhibitors are multiplying the natural process of an arousal and this is also increasing the flow of blood into the penis in the sexual stimulation situations. Some of the most common side effects that people may experience when they take Viagra are facial flushing and headache. Because of the very sensitive nature of this kind of condition, it is really hard to truly estimate the exact number of men who are affected by this condition. This is an effective ED treatment, so men do not have to worry about their sexual condition because this magic drug can solve their erection problems safely and more efficiently. Some studies have found out that Viagra has the tendency to undo and avert the harmful effects of the chronic hypertension on the human heart.
Cromar was also found guilty of adequate documentation of their visits to the baby and failing to stop. The researchers compared where these donors were sending fund for objective assessment of the national burden of malaria. If you take certain products together you may accidentally take too much of this type of medication.
Genglob information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Genglob does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Men without physical disorders usually have erections during REM (rapid eye movement) sleep. Inhibiting the enzyme makes more cGMP available, which leads to relaxation of smooth muscles in the penis, allowing more blood to enter and helping to produce an erection. A further 35 per cent reported, that they noticed a significant improvement to their condition. Viagra also helps men to achieve an erection while relying on the natural arousal as an essential trigger. Some side effects that are commonly reported are dizziness, indigestions, some effects on vision and stuffy nose.
Fortunately, Viagra is now available all over the world to help all men who are suffering from ED. Read the label of any other medicine you are using to see if it contains aspirin, ibuprofen, ketoprofen, or naproxen. Genglob’s drug information does not endorse drugs, diagnose patients or recommend therapy. These medications are taken before sex and will cause an erection only when the man is sexually stimulated.
The penis itself remains flaccid, however, so the diameter and length are usually less than a natural erection, and hardness is lacking, although it’s sufficient for intercourse.
The time the dose should be taken and how long the effects last depend on the medication used. Some doctors may prescribe a combination of alprostadil with additional ingredients such as phentolamine to help the medication work more effectively. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient.
This mixture is prepared by the pharmacy according to the directions of the prescribing doctor. Genglob does not assume any responsibility for any aspect of healthcare administered with the aid of information Genglob provides. Do not give this medicine to a child younger than 2 years old without the advice of a doctor. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects.
If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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