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Male sexual dysfunction is one of the most common health problems affecting men and is more common with increasing age. Chronic ED affects about 5% of men in their 40s and 15-25% of men by the age of 65. Transient ED and inadequate erection affect as many as 50% of men between the ages of 40 and 70. In around 95% of the cases, a suitable treatment can be found. Erectile dysfunction is treatable at any age, and awareness of this fact has been growing. More men have been seeking help and returning to normal sexual activity because of improved, successful treatments for erectile dysfunction. Viagra, Levitra and Cialis Currently, there are three oral medications approved by the Food and Drug Administration (FDA) for the treatment of erectile dysfunction: sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). All these agents block the enzyme phosphodiesterase type 5 (PDE-5) and belong to a class of drugs called phosphodiesterase (PDE) inhibitors. Viagra was the first and is probably the most famous of the three PDE-5 inhibitors used to treat erectile dysfunction. Viagra was approved as an effective agent for treating erectile dysfunction in March 27, 1998. Viagra is manufactured by Pfizer, Inc. Levitra was the second PDE-5 inhibitor to come to market in the United States, and it was approved by the FDA in August 19, 2003. Levitra is manufactured by Bayer Pharmaceuticals Corporation. Cialis was the third PDE-5 inhibitor to come to market and was approved by the FDA at the end of November 21, 2003. Cialis is manufactured by Lilly ICOS LLC. The major advantage of PDE-5 inhibitors is that they do not cause an erection at inappropriate times, because they act only in response to sexual stimulation. If there is no sexual stimulation drug remains in the background. All three are taken orally prior to planned sexual activity, acting to increase blood flow in the penis in response to sexual stimulation. However, there are important differences between the three, differences that could influence safety, specificity, duration of action, adverse effects, and ultimately, public acceptance within this class of drug. Mechanism of Action PDE-5 inhibitors do not directly cause an erection of the penis, but they alter the body's response to sexual stimulation by enhancing the effect of the nitric oxide, a chemical that is normally released during stimulation. Nitric oxide causes relaxation of the muscles in the penis, which allows for better blood flow to the penile area. Effectiveness of PDE-5 Inhibitors All 3 PDE-5 inhibitors have demonstrated excellent efficacy. Viagra, at 84%, is slightly more effective than Cialis at 81% and Levitra at 80%. Pharmaceutical Forms, Onset of Action and Duration of Effect Viagra and Levitra differ only minimally in terms of their structure, while Cialis differs markedly from Viagra and Levitra in terms of its molecular structure, which is also reflected in pharmacokinetic differences. Viagra: 25 mg, 50 mg 100 mg tablets Onset of action: 30 minutes (effect delayed if taken with food) Duration of action: 4 to 5 hours Levitra: 2.5 mg, 5 mg, 10 mg, 20 mg tablets Onset of action: 25 minutes (effect delayed by fatty meal) Duration of action: 4 to 5 hours Cialis: 5 mg, 10 mg, 20 mg tablets Onset of action: 16-45 minutes (effect NOT delayed by food) Duration of action: 36 hours All three drugs require sexual stimulation to be effective. Viagra should be taken on an empty stomach it works better if you do not eat a high-fat meal around the time you take it. Levitra may be slightly less effective if you eat a high-fat meal, but a moderate-fat meal does not reduce its effectiveness. Cialis works without regard to what you eat. Viagra and Levitra have similar half-lives, and onset and duration of action. Cialis has a slower onset of action and longer duration of action, which is attributed to its longer half-life. Patients who wish for spontaneity may opt for Cialis, which may allow for successful intercourse up to 36 hours postdose, even though it takes longer to reach peak effect. The considerably longer duration of effect for Cialis will likely allow less frequent dosing and greater impulsiveness between partners, but also could potentially prolong adverse effects. Dosage The recommended dose for Viagra is 50 mg, and the physician may adjust this dose to 100 mg or 25 mg, depending on the patient. The recommended dose for either Levitra or Cialis is 10 mg, and the physician may adjust this dose to 20 mg if 10 mg is insufficient. A lower dose of 5 mg is available for patients who take other medicines or have conditions that may decrease the body's ability to use the drug. Levitra is also available in a 2.5 mg dose. None of these PDE-5 inhibitors should be used more than once a day. Possible Side Effects Although all three drugs are generally well tolerated, side effects are still possible. Most common side effects: Viagra: facial flushing, headache, indigestion Levitra: facial flushing, headache Cialis: headache, indigestion Less Common Side Effects: Viagra: altered vision, dizziness, nasal, congestion Levitra: indigestion, nausea, dizziness, nasal congestion Cialis: back pain, muscle aches, nasal congestion, facial flushing, dizziness Precautions and Contraindications All PDE-5 inhibitors are absolutely contraindicated in persons who take organic nitrates. Alpha-blockers Viagra has precautionary labeling advising against taking 50 mg or 100 mg doses within four hours of taking a alpha-blocker. The 25 mg dose of Viagra has not been shown to significantly decrease blood pressure and in patients who take 25 mg of Viagra, use of any of the alpha-blockers is considered safe. Levitra is contraindicated in patients taking alpha-blockers. Cialis is contraindicated in patients taking alpha-blockers, except for tamsulosin (Flomax). Since both Viagra and Levitra have moderate vasodilatory and hypotensive effects, they should not be given in the presence of marked arterial or orthostatic hypotension, and should only be administered with caution in aortic stenosis or hypertrophic obstructive cardiomyopathy. Men who have had a heart attack or stroke within the past 6 months and those with certain medical conditions (e.g., uncontrolled high blood pressure, severe low blood pressure or liver disease, unstable angina) that make sexual activity inadvisable should not take Cialis. Dosages of the drug should be limited in patients with kidney or liver disorders. Conclusions The differences between the 3 drugs are not great. All appear to be effective and safe. Levitra has less side effects compared to Viagra and lasts about the same time as Viagra in the body. Cialis has few side effects and lasts longer in the body. This allows increased spontaneity and less frequent dosing than either Levitra or Viagra. However, the longer half-life of Cialis imposes increased risk for drug interactions. truth about penis enlagement pills compare pnis enlargement pills pennis enlargement system penis girth elargement penis enlarement stretcher penis elargement tool cheapest penis enlarement pills home pennis enlargement

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Introduction According to a recent survey in USA 31% men and 43% women suffer from couple infertility problems and in 40% couples dealing with this problem cannot conceive because of the man facing impotency problems. Sexual impotency in males can be alleviated today easily with medical intervention and no longer a topic of embarrassment! Causes of male impotency Erectile dysfunction or male impotency can be caused due to many reasons which are mostly triggered due to unhealthy lifestyles or fast paced stressful life. Let’s take a look at some of the most common reasons due to which male impotency creeps in. Physical: * Men suffering from vascular disease often have hardened arteries leading to the penis which stops the blood flow to the penis resulting in erectile dysfunction. * One out of every 4 impotent men has diabetes which causes nerve deterioration. In some of these cases diet restriction and controlling blood sugar can decrease impotency. But permanent nerve damage can result in chronic problem. * Men suffering from nerve related disease like Parkinson’s disease, multiple sclerosis, spinal cord injuries can suffer from male impotency. * Surgery to remove cancer from prostate, rectum, colon or bladder area can damage the blood vessels controlling erection. * Hormonal imbalance in the body like having abnormal levels of testosterone can result in erectile dysfunction. Medication: Prescription medicines of blood pressure, spinal injury, depression, diabetes and other certain drugs can cause temporary impotence as they often tend to interfere with the blood vessels and nerve impulses leading to the penis. Alcoholism and smoking addiction Excessive intake of alcohol and smoking addiction can damage the nerve cells and cause impotency. Psychological: * Stress and depression may result in erectile dysfunction in men. * Viagra: the new age breakthrough in male impotency * Viagra is most commonly prescribed to treat male impotency or better known as erectile dysfunction (ED). It is most interesting to note that sidenafil citrate the original ingredient which is prevalent in Viagra was originally created to treat high blood pressure. In 1993 Pfizer Pharmaceuticals started working on this ingredient and piloted the medicine on 3000 men with varying degrees of impotence. The results were astonishing! 48% men with severe impotence were able to experience arousal and 70% men with milder problems had success on using the pill. Precaution is needed while using Viagra or even before using the drug * One must be examined thoroughly and a complete medical history should be checked to rule out certain disorders in health like high or low blood pressure, coronary problems, eye troubles, skin cancer or other cancer etc. This is only because the side effects of Viagra will be very severe if one pops the pill randomly without a doctor’s intervention. * Men who use medicines containing nitrates must not take the pill as it can abnormally lower the blood pressure of the body. * Viagra is definitely and should not be used by women or children. * Side effects of Viagra can be mild and temporary like headache, flushing, urinary tract infection, sensitivity to light or certain colors like blue and green, stomach troubles, diarrhea and stuffy nose. For more detailed information on the effects of the drug on the body the user must always check with the doctors or health care providers. Dealing with impotency Most men can deal with this problem if they keep an open attitude towards it. It is necessary to keep a healthy lifestyle and good food habits to avoid stress, harmful addiction and male impotency. If you suspect the creeping and persisting problem of ED you should immediately contact health physician for proper medication. Remember Viagra treats ED but does not cure impotency. penis enlagement review vimax homemade penis enlargement do penile enlargment pills really work vimax penis enlargement picture best enlargement exercise penis best penis elargement surgery penis enlarement pic before and after pennis enlargement surgeries penis enlargement exercise

Unlike men, whose sex organs are available for self pleasure by stroking and stimulating any time of the day, women have to contrive to entice their clitoris out of hiding and available for pleasuring. One of the most common female self pleasuring tips is the use of sex toys and gadgets. Luckily for us, female self pleasure toys can be found in our very own kitchen. Sure, jokes have been made about this, but it’s true. The usual suspects here are any penis-like vegetables and fruits, like carrots, cucumbers or zucchinis. Bananas are too soft to do the trick. Sometimes, un-penis-like fruits and vegetables can create another type of female self pleasure as a form of taste aphrodisiac: cherries, grapes, or sections of oranges. Feel free to use different female self pleasure techniques to enhance your arousal. Inserting any of the penis-like items inside your vulva, as you would a dildo will add to your self pleasure. As a female self pleasure technique, the use of fruits and vegetables has a lot going for it: It will not endanger you physically, in contrast to, for example, using a bottle, which might break inside you, or, a piece of wood, which might splinter--ouch! I am not sure that anyone has ever used an open bottle for this purpose, but it is worth cautioning all women against it: An open bottle will form a-suction inside you and it would be quite impossible to remove it without the embarrassment of explaining to a doctor why you are depositing strange objects inside your vagina. After you’ve pleasured yourself with just about everything you can from your fridge, you might want to try a dildo. Dildos have been manufactured to be sold and used especially for female self pleasuring. They were not merely created to aid men in their sexual fantasies when they watch all those erotic movies. Erotic movies, however, are very informative when it comes to learning how to use dildos. Use a dildo to massage your clitoris and slide it in and out and around your vagina. Even better are the men, who possess the lingual skillfulness similar to a dildo but more importantly, they are selfless enough to aspire to that ability. Either way, these great female self pleasuring techniques will open up a whole new world of female self pleasuring ideas. Copyright 2005 – E.J. Davis do penis enlarement pills work natural penis enlargement pills safe penile enlargment free natural penis enlargment pennis enlargement pic penis enargement result cheap vigrx free penis elargement pills penis enlargement exercise

Viagra is used to treat male sexual function problems Erectile dysfunction. Viagra is know to -Increase Sex Drive, Boost Sexual performance, Fuller & Harder Erections, Increase Stamina & Endurance, Quicker Recharges. Viagra is normally taken by mouth as needed 45min before sexual activity. Usually half a 100mg pill once daily as needed. Sildenafil works along with sexual stimulation to help achieve an erection. Headache, flushing, stomach upset, nasal stuffiness, diarrhea and dizziness might occur as Viagra side effects. If these effects of Viagra persist or worsen, notify your doctor promptly. Before using this drug, tell your doctor your medical history, including any allergies (especially drug allergies), any penis conditions such as fibrosis/scarring, history of painful/prolonged erection, sickle cell anemia, blood system cancers (such as leukemia or), eye problems (retina diseases). Kidney or liver disease, bleeding disorders or active stomach ulcers, heart diseases, stroke or severe high or low blood pressure. Limit alcohol intake, as it may aggravate side effects of this drug. To avoid dizziness and lightheadedness when rising from a seated or lying position, get up slowly. The elderly may be more sensitive to the side effects of this drug, therefore caution is advised in this age group. Tell your doctor of all non prescription and prescription medication you may use, especially any nitrate medications (any "nitric oxide donor" medicines), erythromycin, high blood pressure medicines. Viagra is normally stored at room temperature between 59 and 86 degrees F (15-30 degrees C) away from light and moisture. For more click Viagra. free penis enlargement pills homemade penis enhancement pennis enlargement patch vimax easy enlargement free penis surgery way compare penile enlargement pills penis enhancement doctor truth about penis enlargement pill male penis enhancement penis enlargement exercise

There was a couple, Brenda and Rob, who lived in my neighborhood. They were happily married and were passionately in love even after 5 years of togetherness. Just after Christmas, on a cloudy morning I saw an ambulance taking the husband to the hospital. He suffered a heart attack. Since that day things started changing, the chemistry between the two which was an example for other couples started fading into the black darkness. This is a common scene within a couple. Mainly after a heart attack, couples are not comfortable with each other especially when it comes to having Sex. Sex is restricted for initial few months after the attack or the heart failure and later too, the wives are concerned about its adverse effects on their husband’s heart and so they start avoiding sex. Having a heart attack also brings forward certain facts; it shows that the patient has a problematic blood flow, an elevated cholesterol level and narrow blood vessels with plaque. All these facts point out to the serious possibility of having erectile dysfunction. With cardiac risks, it is not true that you need to lead a sex-less life. In fact it is safe to resume sex after a heart attack as advised by your doctor. If you are suffering from erectile dysfunction, Viagra is there to ensure strong erection. Actually, the recent studies on PDE5 inhibitors focus on their potential role to protect the heart from heart attack and reduce the chances of heart failure. Essentially, the main mechanism of Viagra or Sildenafil Citrate is relaxing the muscles to help blood flow. The erectile function mainly depends on the amount of blood that flow into the penis. The main function of the heart is to regulate the oxygen supply using blood flow to the different parts of the body. If the cardiovascular system is not smooth enough, it impedes the blood flow. The wonder drug Viagra can work on heart as well. Amazing isn’t it? Depending on the findings of the scientists from different corners of the world, I can say that Viagra can help the sexual life of a person who has recently suffered heart attack. Of course, he must take doctor’s advice and take care of other medicines he may be taking for the treatment of heart disease. So, for the sweet couples like Brenda and Rob, Viagra is there to take their care. Trust me, the chemistry between the lovers can never fade and is always there…all it requires is a small punch, which Viagra can give to your life. ___________________________________________________________________