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What is erectile dysfunction (ED)?Erectile dysfunction (ED) occurs when a man has repeated problems achieving or sustaining an erection.
To provide even greater transparency and choice, we are working on a number of other cookie-related enhancements. Wow Willy is the first penis enlargement traction device to be made available to buy in the high street. Penile corrective surgery is just one option available to alter the appearance of your penis either for cosmetic reasons or to correct an abnormality.
The UK media has reported that Viagra will now be available to buy over the counter in high street chemists and pharmacies such as Boots without a prescription.
The initial reports were not strictly true – although there are some selected Boots branches that will be selling Viagra over the counter this will be only to isolated cases and only after a strict medical examination has taken place.
It is impossible to buy legitimate Viagra over the counter anywhere in the UK unless you have a prescription. There are several alternatives that have been introduced to the market ove the last few years that have really highlighted the fact that viagra is starting to show its age. Viagra (Sildenafil citrate) is the single most popular and best known treatment for erectile dysfunction. The internet has made information concerning Viagra easy to come by and also presented a thriving black market. If you have access to an email account you will have no doubt been sent unsolicited messages offering cheap viagra available to buy without prescription. So to set the record straight Viagra is not available to buy over the counter from Boots the chemist or any other high street chemist.
If you consider yourself a suitable candidate for Viagra the only way to receive a legitimate supply is to go and visit your doctor or GP.
Although Viagra is incredibly popular it is a pharmacy grade chemically created drug and is not suitable for all.
Products that are said to help treat erectile dysfunction share common elements – they improve blood flow to the extremities including the penis. Some of the side effects that have been attributed to the use of Viagra include: Headache, blurred vision, sensitivity to light, hot flushes. There are however several natural alternatives that are not chemically produced that do not cause any of the above side effects.
All opinions, reviews and articles are subjective and not to be considered a medical diagnosis or replace medical advice. Obam Stairlifts provide stairlifts for elderly and disabled people within and around Lincolnshire.
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Tesco offer bread, beans, and cheap ViagraViagra will soon become available over the counter at Tesco supermarkets.  The Erectile Dysfunction drug will make a move onto shelves for sales to men with no GP prescription in about a week, spokesmen say.
The screening and tests are very important, because for many men, Erectile Dysfunction can be a symptom of greater, underlying health problems.  While it is felt that making the process for purchasing these drugs easier is important, it is also important to maintain health standards in association with responsibly dispensing medication. There was no mention of any additional charges for the screening and testing services, which might make men more prone to buy from the store than scheduling an appointment with their doctor.  By providing the tests and screenings it can be assured that, either way, the health of the buyer can be assessed and risk factors greatly reduced.
What is hypertension?Hypertension, or high blood pressure, is a common condition that will catch up with most people who live into older age. Tesco is to start selling the male anti-impotence drug Viagra over-the-counter, the first supermarket in the country to do so. The anti-impotence drug is to be sold in 300 in-store pharmacies from next Monday, at a price of ?52 for eight pills, less than half the usual price of ?55 for four.
Statistics show that only about one man in 10 with erectile dysfunction or impotence seeks help from their GP. Shona Scott, Tesco commercial manager for pharmacy services, said: "At the moment only Boots offer a similar service for which they charge ?55 for just four tablets. Erectile dysfunction is a common sexual problem and may affect around 2.3 million men in the UK. DISCLAIMER: The contents of this site are for information purposes only and do not constitute medical advice.
It is intended for general information purposes only and does not address individual circumstances. Viagra has been available for decades, it is a drug based compound called Sildenafil citrate – it may be an idea to google the side effects before deciding to use.
It has been in existence since 1998 has helped hundreds of thousands of men across the globe and is considered the standard treatment for erection problems.
It is an almost certainty that a purchase would result in counterfeit goods – it is highly unlikely you would receive the genuine article. Some more serious side effects have been documented include an increased blood pressure and irregular heart beat. They will have to complete a questionnaire and will then be given a blood pressure test, diabetes screening and cholesterol test.
It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. When it's too high, it increases the heart's workload and can cause serious damage to the arteries.
Never ignore professional medical advice in seeking treatment because of something you have read on the BootsWebMD Site.
Over time, uncontrolled high blood pressure increases the risk of heart disease, stroke and kidney disease. While the topic was once taboo, awareness has skyrocketed with recent advances in treatment for ED. Hypertension harmHigh blood pressure is sometimes called a silent killer because it usually causes no symptoms.
Internally, it can quietly damage the heart, blood vessels, eyes, brain and kidneys if left untreated.
The lower number (diastolic) measures pressure at rest between heartbeats, when the heart refills with blood. Occasionally, kidney or adrenal gland disease can lead to hypertension but in most cases, the underlying cause of hypertension is unknown. Prehypertension: A warning signPrehypertension is where blood pressure is consistently just above the normal level, falling anywhere between 120 and 139 for systolic pressure or 80 to 89 for the diastolic pressure. People in this range have twice the risk of developing heart disease than those with a lower reading.

The mechanics of EDAn erection occurs when blood fills two chambers known as the corpora cavernosa. This causes the penis to expand and stiffen, much like a balloon as it is filled with water. This is why it's important to get your blood pressure checked on a regular basis as often as advised.
Who gets high blood pressure?High blood pressure becomes more common for both men and women with increasing age. Causes of ED: Chronic diseaseThe link between chronic disease and ED is most striking for diabetes (depicted here by a blood sugar test). You have a greater risk if a close family member has high blood pressure or if you have diabetes.
Other conditions that may cause ED include hypertension, cardiovascular disease (atherosclerosis – narrowing of the arteries), Parkinson's disease and multiple sclerosis. Hypertension and racePeople of African-Caribbean origin are more likely to develop hypertension - and to develop it at a younger age. Causes of ED: LifestyleLifestyle choices that impair blood circulation can contribute to ED. Smoking, excessive drinking and recreational drug use may damage the blood vessels and reduce blood flow to the penis.
Smoking is a major contributor to atherosclerosis, making men particularly vulnerable to ED. Hypertension and saltSalt can raise blood pressure by causing the body to retain fluid, which leads to a greater burden on the heart. Government advice is that adults should consume no more than 6g of salt a day - around one full teaspoon. Causes of ED: SurgerySurgery, including treatments for prostate or bladder cancer, can sometimes damage nerves and blood vessels near the penis. In some cases, the nerve damage is permanent, and the patient will require treatment to achieve an erection. Causes of ED: MedicationED may be a side effect of medication, including certain blood pressure drugs, antidepressants, tranquilisers and antihistamines. Hypertension and stressStress can make your blood pressure spike, but it's unclear whether it directly causes high blood pressure as an ongoing condition.
Men should talk to their doctor if they suspect a prescription or over-the-counter medication may be causing erectile problems. However, stress may lead to other unhealthy habits, such as an unhealthy diet, alcohol use or smoking, which can contribute to high blood pressure and heart disease. Causes of ED: PsychologicalED usually has something physical behind it, particularly in older men. Hypertension and weightBeing overweight places a strain on your heart and increases your risk of high blood pressure.
Experts say stress, depression, poor self-esteem and performance anxiety can short-circuit the process that leads to an erection.
These factors can also make the problem worse in men whose ED stems from something physical. Diagnosing ED: Physical examinationTo diagnose ED, your doctor will ask you questions about your symptoms and medical history. The NHS recommends that men should not regularly have more than 3-4 units a day, and women should not regularly have more than 2-3 units a day.
The doctor will conduct a complete physical examination to uncover signs such as poor circulation or nerve trouble.
Your doctor will also look for abnormalities of the genital area that could cause problems with erections. Hypertension and caffeineIf caffeine can make you jittery, can it also raise your blood pressure? It might have a temporary effect, but studies haven't shown any link between caffeine and the development of hypertension.
Measuring testosterone levels can determine whether there is a hormonal imbalance, which is often linked to decreased desire. However, the NHS suggests restricting your caffeine consumption to fewer than five cups of coffee or tea a day to try and avoid blood pressure increases.
Blood cell counts, glucose and cholesterol levels, and kidney and liver function tests can reveal medical conditions that may account for ED. Hypertension and pregnancyGestational hypertension is a kind of high blood pressure that occurs in the second half of pregnancy. Without treatment, it may lead to a serious condition called pre-eclampsia that endangers both the mother and baby. A 2010 study suggests ED is a strong predictor of heart attack, stroke and death from cardiovascular disease.
The condition can limit blood and oxygen flow to the baby and can affect the mother's kidneys and brain. The researchers say all men diagnosed with ED should be checked for cardiovascular disease. This does not mean every man with ED will develop heart disease, or that every man with heart disease has ED, but patients should be aware of the link.
Hypertension and medicationCold and flu medicines that contain decongestants are one of several classes of medicine that can cause your blood pressure to rise. Treating ED: Lifestyle changesMany men with ED are able to improve sexual function by making a few lifestyle changes. Others include NSAID painkillers such as ibuprofen, steroids, diet pills, contraceptive pills and some antidepressants.
Giving up smoking, losing weight and exercising more often can help by improving blood flow.
If you have high blood pressure, talk to your doctor about what medicines and supplements you are taking that may affect blood pressure. If you suspect a medication could be contributing to ED, talk to your doctor about adjusting your dosage or switching to another treatment. Treating ED: MedicationViagra (sildenafil), Cialis (tadalafil) and Levitra (vardenafil) are oral treatments for ED.
To get a more accurate reading, take your blood pressure at home, chart your readings, and share them with your doctor. They're generally taken up to an hour before sexual activity and should not be used more than once a day.

It is also a good idea to bring in your home monitor for a check of the device and your technique. Your doctor may suggest you use an ambulatory blood pressure monitoring device for 24 hours. This consists of wearing a blood pressure cuff attached to an automatic blood pressure machine which takes a series of readings during your normal daily life away from the stress of the surgery. It is given as an injection directly into the penis, as a pellet inserted into the urethra, or as a cream applied to the tip of the penis. Hypertension and childrenWhile hypertension is more often a problem for adults, even children can have high blood pressure.
Treating ED: Vacuum devices (pumps)Vacuum devices for ED, also called pumps, offer an alternative to medication. Children are at greater risk if they are overweight, have a family history of the condition or if they're of African-Caribbean descent. Treatment: The DASH dietYou may be able to lower your blood pressure by switching to a better diet.
The DASH diet - Dietary Approaches to Stop Hypertension - involves eating more fruit, vegetables, whole-grain foods, low-fat dairy products, fish, poultry and nuts.
An elastic band worn around the base of the penis maintains the erection during intercourse. Treating ED: SurgeryIf ED is caused by a blockage in an artery leading to the penis, surgery can often restore blood flow.
Good candidates are typically younger men whose blockage stems from an injury to the groin or pelvis.
Adults should do at least 30 minutes of moderate-intensity exercise at least five days a week. Treating ED: ImplantsIn men with persistent ED, a penile implant can restore sexual function. Muscle-strengthening activities are recommended at least two days a week and should work all major muscle groups. When an erection is desired, the man uses a pump to fill the cylinders with pressurised fluid.
Treatment: DiureticsDiuretics are one of the medication choices if diet and exercise changes aren't enough. Another option is a malleable implant, which creates an erection with a surgically implanted rod. Also called "water pills," they help the body shed excess salt and water to lower blood pressure.
Treating ED: PsychotherapyEven when ED has a known physical cause, psychotherapy can be beneficial. A therapist can teach the man and his partner techniques to reduce performance anxiety and improve intimacy. Some diuretics may deplete your body's potassium, causing muscle weakness, leg cramps and fatigue. Treatment: ACE inhibitorsACE (angiotensin converting enzyme) inhibitors reduce your body's supply of angiotensin II, a substance that makes blood vessels contract and narrow.
The result is more relaxed, open (dilated) arteries, as well as lower blood pressure and less effort for your heart. The UK regulator MHRA advises men to look for the Royal Pharmaceutical Society of Great Britain logo to show a website is linked to a registered pharmacy. Treatment: ARBsInstead of reducing your body's supply of angiotensin II, ARBs (angiotensin II receptor blockers) block receptors for angiotensin, as if placing a shield over a lock. This blockade prevents angiotensin's artery-tightening effects, and lowers your blood pressure. Discussing ED with your partnerIt's natural to feel angry or embarrassed when dealing with ED, but don't forget that your partner is also affected. Talking openly about ED will help your partner understand the diagnosis and treatment options. Possible side effects include dizziness, muscle cramps, insomnia and high levels of potassium. Treatment: Calcium channel blockersCalcium channel blockers slow the movement of calcium into the cells of the heart and blood vessels. Since calcium causes stronger heart contractions, these medications ease the heart's contraction and relax the blood vessels. Take them with food or milk and avoid grapefruit juice and alcohol because of possible interactions.
Treatment: Beta-blockersBeta-blockers work by slowing the heart rate, which means that the heart doesn't have to work as hard.
They are also used to treat other heart conditions, such as an abnormal heart rate called arrhythmia. Side effects can include insomnia, dizziness, fatigue, cold hands and feet, and erectile dysfunction. Treatment: Other medicationsOther medications that relax the blood vessels include vasodilators, alpha blockers and central agonists. Side effects can include dizziness, a fast heart beat or heart palpitations, headaches or diarrhoea. Your doctor may suggest them if other blood pressure medications are not working well enough or if you have another condition.
Treatment: Complementary therapiesMeditation can put your body into a state of deep rest, which can lower your blood pressure.
These relaxation techniques should be combined with other lifestyle changes, such as improved diet and regular exercise. Be aware that herbal therapies may interact with other medications you take, and some herbs actually raise blood pressure. If you keep it under control, you can reduce your risk of stroke, heart disease and kidney failure.

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