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Erectile Pills :
Let’s check out what is Silagra. Is Silagra really effective and safe medicine? Why I need to buy Silagra 100mg. As usual Silagra used for treat erectile dysfunction problem (men potency problems). The main component of Silagra is Sildenafil Citrate. This component usual uses for potential treatment problems. It’s the general component of Silagra. You can buy Silagra online but read this information first. First of all we can point that alternative name of Silagra is ‘Viagra online from India’ (Silagra is a Generic Viagra). So when you buy Silagra tablets you must understand it.
Online Drug Store
Online Pharmacy owners who haven't been working within moral and governmental regulations are in for the ride of their lives. In past months, many of these so called "rogue pharmacies" have either voluntarily shut down or been closed by the powers that be. However, the major illegitimate players have been unable to cover their tracks, and some have been outright irresponsible.
Researches have established that a diabetes patient is more prone to succumb to erectile dysfunction than a normal person. Erectile Dysfunction besides diabetes can prove a disastrous combination that can have an impending effect on the psychological and physical well being of a man's life. Men who are having erectile dysfunction problem may became so concerned with the inadequacy that they try to avoid the sexual situation altogether. Same time it increases the stress level, frustration and can trigger a bout of depression.
Designer drugs were once seen as a must have when you needed medicine. A generic Xanax just wouldn't do, individuals wanted the real thing. Generic Prozac? Forget about that too. Any medicine that had a generic form was seen as a something not as equally effective, therefore, less often purchased. The thing about this though, is that brand name designer drugs are incredibly costly. Many of them will cost $50 and up, and some even go into the hundreds of dollars per bottle, per month.
If you're seeking information about an erectile dysfunction treatment, you've probably come across Cialis, and want to hear more. Well you've come to the right place - OnlinePillsCenter, the preferred online drugstore - offers you many different varieties of Cialis. Clients love our online pharmacy thanks to our in-depth listing of the pros and cons of each medicine we sell, our excellent variety, and the convenience of having online prescriptions shipped directly to the privacy of your own home.
Viagra, also known as blue pill,once a taboo word has become very popular amongst the current generation as more and more people are now openly talking about it. Also the number of people facing Erectile Dysfunction (ED) or impotence is increasing with each passing day.
Define erectile dysfunction
Erectile dysfunction, also called impotence is a common condition that affects most men at some point in their life. It is a type of sexual dysfunction in which a man suffers from a repeated inability to develop or maintain erection for to complete his satisfactory sexual activity regardless of the capability of ejaculation.
Erectile dysfunction is a spatial relation of males wherein they miss the ability to maintain erection that is wanted throughout sexual act. Thus, the men who have this kind of sexual trouble would like to discover the inviolable and most splendid erectile dysfunction medication. The worry related to the condition just drags people to seek for many references and listen to various people, to have the problem sorted, but did you know that any problem is best treated when you know of the hidden main reasons that are leading to this. There can be various causes for this type of sexual problem and it can be physical, mental, or emotional problems that led to erectile dysfunction.
The mechanism of the FDA approved anti-impotency drugs discovered till date is similar in the sense that all of them inhibit phosphodiesterase type 5(PDE5) enzyme and increase blood flow to the penis which further assist the patient to trigger off erections required for satisfactory physical intercourse.
The most common sexual problem in men is erectile dysfunction, which is more commonly known as impotence. The treatment of this condition was somewhat difficult in the past when there were fewer options available. However, after the approval of oral prescription pill, Viagra, impotence treatment became quite easy.
exual problems like small penis size, erectile dysfunction and many more are very much prevalent in today's world. But do any treatment to cure such problems exist? Do we have any medicine, supplement or pill which can cure this problem? Well the answer is certainly yes, though it's little bit controversial.
If you are facing problems in keeping an erection and are concerned about it then don't get worked-up, instead it would work positively for you if you kept your mind stress free. Constant anxiety over your failure to keep an erection will only add to your problems as well as keep you away from enjoying any kind of sexual activity. It is best to understand that erection problems are normal in men who are sexually active.
Viagra is the brand name for Sildenafil citrate, and is used for treating erectile dysfunction and pulmonary arterial hypertension. Originally developed by scientists in Great Britain, it was brought onto the market by Pfizer Inc., a US pharmaceutical company. Viagra is also sold under brand name Revatio.
If you watch any tv at all you have certainly heard of Extenze. And you may have also heard of another male enhancement drug called Maxoderm. There is also another drug called Viagra that some people may confuse as being for male enhancement. But actually Viagra is not for male enhancement, but it was actually developed to help you maintain an erection over an extended period of time.
Before employing any treatment for any of your problems, it is essential to concern about the side effects attached to the treatment. If you are searching for best medication or treatment for sexual problems then always employ those methods which cure your problem in a safer way and which do not pose any ill effect onto your health. One of the best ways to eradicate all types of sexual problems to rejuvenate your sexual performance is by employing quality herbal male enhancement pills.
So, your penis can't get hard? Believe me when I say that I know how you feel. I used to be in the exact same position as you. I've been through it all. The humiliation, the embarrassment, the frustration. Every woman I tried to get close to just wouldn't have the patience to deal with me and it made me feel like less of a man.
Impotence or erectile dysfunction in men is a condition signifying his inability to perform a sexual act. The term impotence may also be used to describe other sexual problems such as lack of sexual desire, premature ejaculation or orgasm.
Few experiences are as upsetting and frustrating to a gentleman, as the awareness that he is facing E.D. It may signify to him that his sex life, which was once healthy and satisfying, is now coming to an end. In addition, from an emotional and psychological point of view, it represents a blow to his self image and manhood. Fortunately, learning how to survive erectile dysfunction is not as difficult as it may seem. There are three basic steps men can take to bolster themselves during this challenging period.
Probably everybody has heard of the erectile disorder called ED. Until not long ago, the only remedy for these affections was to use viagra, the magic pill produced by Pfizer.
Since 1998, the U.S. Food and Drug Administration have approved three oral drugs for erectile dysfunction: Sildenafil (Viagra), Vardenafil (Levitra), and Tadalafil (Cialis). Backed by the official administration for approved drugs, these three are the safest you can get at the moment for treating erectile dysfunction.
Vigrx Plus is an advanced version of the ever popular Viagra male enhancement pills. Erections difficulties and problems with premature ejaculation can seriously hurt and destroy the self-esteem of men. Not only will they become apprehensive about engaging in sex, they may also doubt their masculinity. This is the reason so many men choose using this male enhancement solution.
1) Definition and Importance of Erectile Dysfunction:
"Erectile dysfunction" (ED), sometimes called "male/sexual impotence" (or "impotence" only), corresponds to the inability to achieve or sustain an erection sufficient for satisfactory sexual intercourse (coitus/copulation). Erectile dysfunction is distinguishable from other conditions that impair normal sexual intercourse, such as lack of sexual desire (libido) and ejaculation/orgasm disorders. Nevertheless, multiple associated sexual disorders may occur, causing a significant suffering (morbidity) to patients.
ED, closely attached to cultural notions of potency, success and masculinity, can have devastating psychological consequences including feelings of shame, loss or inadequacy. ED can be a serious damaging to interpersonal relationships and self-esteem. It affects millions of men worldwide with implications that go far beyond sexual activity alone. By age 45, most men have underwent ED at least once in life. Many men also are unwilling to talk about erectile dysfunction with their wives and doctors, and thus the condition is underestimated.
Although ED can occur at any age, usually the older the man is, the higher his risk is.
- Core idea: ED is a frequent and important harmful condition in men's life.
2) Anatomy and Physiology of Penile Erection:
The penis contains two chambers, called the "corpora cavernosa", which run the length of the upper side of the penis. The urethra, which is the channel for urine and ejaculate, runs along the underside of the corpora cavernosa. Filling the corpora cavernosa is a spongy tissue consisting of smooth muscles, fibrous tissues, spaces, veins, and arteries. A membrane, called the "tunica albuginea", surrounds the corpora cavernosa. Veins located in the tunica albuginea drain blood out of the penis.
Penile erection can be induced by two different mechanisms. The first one is the reflex erection, which is achieved by gently, directly and continuously touching and rubbing the penile shaft.
The second is the psychogenic erection, which is achieved by erotic fantasies, imagination or dreaming.
Thus, the sexual stimulation, which can be tactile (reflex) or psychogenic/psychologic, generates electrical impulses along the nerves going to the penis and causes the nerves to release nitric oxide (NO), which, in turn, increases the production of cyclic GMP (cGMP) in the smooth muscle cells of the corpora cavernosa. The cGMP causes the relaxation of smooth muscles of corpora cavernosa, allowing a rapid blood flowing into the penis (the blood fills the corpora cavernosa, making the penis bigger, harder and thicker). The consequential pressure compresses the veins in the tunica albuginea, helping to trap the blood in the corpora cavernosa, therefore maintaining erection. Erection is reversed when cGMP levels in the corpora cavernosa fall, allowing the smooth muscles of the corpora cavernosa to contract, ceasing the inflow of blood and opening veins that drain blood away from the penis. The levels of the cGMP in the corpora cavernosa fall because it is inactivated by an enzyme, named "phosphodiesterase type 5" (PDE5).
- Core ideas: Penis erection is triggered by sexual stimulation/arousal (physical and/or psychological), leading to swelling and enlargement of the penis due to local blood accumulation, conditioned by arterial dilatation. The so increased levels of nitric oxide (NO) will, in turn, increase cyclic GMP (cGMP) - this is the most important molecular vasodilator cascade promoting erection.
3) Causes (Etiopathogenesis) and Pathophsiology of ED:
There are many possible causes of ED, which typically can be grouped in 3 big classes: Organic/Somatic; Psychogenic/Psychological; Mixed/Miscellaneous. Each one of these classes may have subclasses, as an efficient way to organize, classify and study each case.
Organic/Somatic are those which origin is somewhere in the body, in an organ or tissue; not in mind nor thoughts/emotions. Hence, there is a lot of diseases able to cause ED - Endocrine (related to hormones and glands; for example: hypogonadism, hyperprolactinemia); Vascular (related to arteries and/or veins; such as: atherosclerosis, hypertension, dyslipidemia, diabetes, metabolic syndrome); Neurologic (related to Nervous System, the Central Nervous System (CNS) and/or the Peripheral Nervous System (PNS); for example: spinal cord injury, neuropathies, Parkinson's disease, Alzheimer's disease, multiple sclerosis, stroke); Drug-induced (many drugs can cause ED as side effect - some antihypertensives and antidepressants are very frequently associated with ED, but there are many more drugs with potential to cause ED).
Commonly, Organic/Somatic are associated with a worse prognosis; being atherosclerosis, now, recognized as a "sentinel event" in cardiovascular disease, metabolic syndrome and diabetes mellitus.
Psychogenic/Psychological causes of ED are, overall, the most frequent; and young men can be affected - the sexually inexperienced young man, without any disease, may have ED during the first sexual activities with his partner, because he may get "fear to fail/disappoint his partner". The conviction that an erection will not develop when required, therefore, becomes a self-fulfilling prophesy.
And, on the other hand, for any age, men who live under psychological stress (excessive work; lack of sleep; personal conflicts) can get depressed, anxious, impotent and feel lack of libido (sexual desire). Then, ED may emerge and aggravate the existent anxiety, and so a "vicious cycle" could be established and become very difficult to deal with.
Increased sympathetic vasoconstrictor tone, with raised blood circulating norepinephrine/epinephrine levels, seems to play a key role in psychogenic ED. The sympathetic branch of the autonomic nervous system is typically activated under stress situations, preparing the body for a "fight or flight" reaction, by releasing 2 main catecholamines (norepinephrine = noradrenalin is directly released by sympathetic nerves; and epinephrine = adrenalin is released from adrenal = supra-renal glands, after stimulation by sympathetic nerves). This catecholamines induce vasoconstriction (constriction of arteries), what makes erection more difficult to occur.
Although not frequently, ED can be associated with a more serious psychiatric disorder, such as major depression, schizophrenia, substance abuse, panic disorder, generalized anxiety disorder, personality disorders.
There are some other possible causes of ED (Mixed/Miscellaneous), but they are relatively infrequent - Penile disorders associated with ED (other primary diseases of penis, such as: Peyronie's disease; Epispadias; Post-priapism); Hematologic diseases (blood-related diseases; for example: Sickle cell anemia; Leukemias); Liver cirrhosis; Hemochromatosis; Scleroderma...
All causes of ED will converge to a common effect - the dilatation of penile arteries fails and consequently no local blood trapping occurs.
Diagnosis of ED usually begins by patient report, and next, the study of nocturnal penile tumescence (NPT) is the subsequent requested diagnostic test to confirm the suspected diagnosis. NPT corresponds to the spontaneous penile erections during sleep. All men without ED go through this phenomenon, typically many times while sleeping. Therefore, the NPT test is crucial to establish the ED diagnosis, since it can indicate a psychological cause (most common), or an organic cause - patients with psychogenic ED have nocturnal erections, what means that there is no organic/somatic basis for their ED.
- Core ideas: Although ED can be caused by a lot of serious diseases/disorders; many times it occurs in men who were otherwise healthy, and are temporarily under heavy psychological stress, resulting in a bad lifestyle, characterized by anxiety, bad quality of sleep and bad nutrition; which leads to ED and to a general bad feeling and weakness .
The causes of ED meet an overlapping consequence - there is no dilatation of penile arteries; therefore no local blood retention occur.
The diagnosis of ED is confirmed by the NPT test.
4) Natural Alternatives for Treatment of ED do Worthwhile!
Everybody is familiar with the names "Viagra", "Levitra", and "Cialis".
Viagra (Sildenafil), Levitra (Vardenafil), and Cialis (Tadalafil) are drugs acting as PDE5 inhibitors, and are widely prescribed for the treatment of ED. Few drugs have received as many attentions and approvals as Viagra/Levitra/Cialis, partly attributable to heavy and pricey marketing efforts by the pharmaceutical companies.
Everyone recognizes, yes, Viagra/Levitra/Cialis do work... But at what cost to the health?! Like with all chemical drugs, there are risks and side effects in Viagra/Levitra/Cialis. These drugs have potential side effects, and so, all men ought to be informed about them, while considering using these drugs. Viagra/Levitra/Cialis side effects, usually range from mild to moderate (although not very frequently, sometimes side effects can be severe or even life-threating). They generally last from a couple of minutes to a few hours after dosage. The most common side effects are: nasal congestion (stuffy nose); headaches; flushing (facial warmth or redness); dyspepsia (upset stomach). The most serious potential side effects are: sudden vision or hearing loss; angina pectoris (chest pain or heavy feeling); cardiac arrhythmia (irregular heartbeat); dyspnea (shortness of breath); edema (swelling); priapism (painful condition in which the erect penis does not return to its flaccid state, notwithstanding the absence of both physical and psychological stimulus; lasting at least four hours). On the other hand, there is the possibility that users may become psychologically dependent on it, incapable to reach erections without taking Viagra/Levitra/Cialis. Not surprisingly, many men seek alternatives; less hazardous natural products which work fine and have no side effects.