Ok, we’ve all heard of Viagra- the diamond-shaped blue pill from Pfizer that revolutionised ED in the mid 1990s. Whoa. Probably going too fast here.. what’s ED? ED stands for Erectile Dysfunction. It’s a medical term for the much less pleasant word “impotence”. It means that a man cannot achieve an erection, or is unable to sustain an erection and therefore be able to engage in sexual intercourse (penetration) or other forms of sexual activity, and will be unlikely to achieve orgasm. It often occurs in older me, 50-70 and until recently was just thought to be part of the ageing process. Until the discovery of Viagra men and their partners had only a few viable treatments for ED. These included a penis vacuum pump, injections directly into the penis and an implant. All highly invasive and not very romantic. But with the availability of Viagra (and similar drugs Cialis and Levitra, for 7 or 8 out of ten men, popping a simple pill means that with sexual stimulation, they will be able to achieve and sustain erections that are hard enough to complete sexual activity to the fulfilment of both involved.
Now to how Viagra works.
There’s a molecule in your body called cyclic GMP, or cGMP. cGMP has a variety of functions, one of which is to cause vasodilation. Vasodilation means the relaxing of the muscles of the blood vessels, which increases the diameter of the vessel, and therefore, increases blood flow into where the vessels are. Viagra is the brand name for the drug Sildenafil. Sildenafil inhibits (or, blocks) the protein that normally degrades cGMP. This makes it simpler to increase blood flow, as less cGMP is degraded.An erection occurs when some of the tissues of the penis are filled with blood. The protein that spoils cGMP is affected by the Sildenafil and, for a period, means that you can get more blood into your penis, for longer. That means an erection to last for the period of sexual activity.
However you need to be sexually aroused, usually by physical stimulation in order to get an erection when you have taken Viagra. It doesn’t give you an instant erection when the drug kicks in, or for any part of the 4 hours or so for which the active ingredient is in your bloodstream. It is not an automatic reaction. It needs your brain and body to become aroused. It is important for women to understand that just because their partner uses Viagra, it doesn’t mean that they don’t “fancy” them anymore. ED is a medical condition that is usually beyond the control of the man, unless or until ED treatment is taken. The very fact that a man wants to take Viagra means that he is keen for both to have sexual fulfilment.
Viagra (and the other ED treatment drugs mentioned, Levitra and Cialis, which work in similar ways) are available online from Pharmacy2U after an online consultation, or if you provide evidence of a doctor’s prescription for Viagra. This is because Viagra may not be suitable for all men, and as a precaution, you will need to discuss your medical history first.
To understand how Cialis works, you’ll need to understand what normally happens. When a man is sexually stimulated, his brain transmits a signal down the spinal cord and into the many nerve endings of his penis. Those nerve endings then release chemical “messengers” or stimulants (called neurotransmitters) that signal to a part of the penis called the corpora cavernosa. This is two spongy rods of tissue that extend the length of the penis. The message from the neurotransmitters is for those spongy rods to relax and allow blood to fill them. As they expand, the corpora cavernosa closes off other veins that would normally take blood away from the penis to continue circulation elsewhere in the body. As the rods and the penis become engorged with blood, it grows in size and stiffens, causing the erection necessary to enable sexual intercourse. When things aren’t right, problems with blood vessels, nerves, or tissues of the penis can interfere with this intended function.
ED is more common than you think- it strikes up to half of all men between the ages of 40 and 70. Doctors used to think that most cases of impotence were psychological in origin, and therefore not curable by physiological means. However we now know that physical causes alone play a primary role in more than half of all cases. Before Viagra and Cialis, the only treatments available for ED (or impotence as it was known then) were an implantable penile prosthesis or long-term psychotherapy. But where the problem is purely physical, as it is in most cases, there’s an easy to administer treatment that works in the great majority of cases: Cialis.
The response to Cialis since it was introduced 10 years ago has been dramatic and overwhelmingly positive. Many men have tried Viagra, Cialis and Levitra and there are testimonials to Cialis say that there are either no side effects or a reduction in the severity of side effects as compared to other ED treatments. Given that Cialis also last longer, up to 36 hours after being taken, than other ED treatments such as Viagra and Levitra, then one can begin to see why it is popular. As you can only take one ED pill over any 24 hour period, then Cialis’ longevity is bound to be popular.
Before you order Cialis it’s best to talk to your GP or a qualified pharmacist so that you know whether it is safe for you to use and can understand what the side effects might be (many men experience none).
It’s important to realise that Cialis required some sexual stimulation in order to work. But when used in accordance with the prescription and manufacturer’s instructions it can transform your bedroom activities into ones of fun and joy rather than frustration.
What some men don’t realize is the problem leading to their Erectile Dysfunction could be caused through a mental disorder. It is common for people who suffer from depression or stress to have problems in their sex life. If your doctor finds that this may be the cause of your Erectile Dysfunction, they may recommend Psychotherapy. If the problem is mental, the only way to get past Erectile Dysfunction is to address the mental disorder. Once the mental disorder is tackled, you will be able to see a change in the side effects and the end of your dysfunctions.
Often if the doctor can’t find any other problems, he may resort to medications for treatment. The market is full of medications that are designed to address Erectile Dysfunction. Though these medications may not completely solve the problem, they can help you live a normal life. Viagra is one of the most popular medications for Erectile Dysfunction, there are also medications designed to help men with other conditions as well.
Machines And Surgery
For mild cases of Erectile Dysfunction, doctors may recommend small machinery to help men solve their problem. There is device that acts as a vacuum to help men increase blood flow to their penis so they can achieve and maintain an erection. If the problem isn’t that simple and you are not responding to the medications, the doctor may recommend surgery. Penile implants are becoming more common, giving men the ability to achieve a full erection. There are different types of implants, some that allow men to achieve an erection naturally and other methods that help a man maintain his sexual abilities.If you have Erectile Dysfunction, there are many treatment options available to you. Once you talk to your doctor and he is able to diagnose the problem, your doctor will create a treatment plan, best suited to your needs.
So what exactly is erectile dysfunction?
Erectile dysfunction, commonly referred to as impotence, occurs when a man can no longer get or keep an erection firm enough for sexual intercourse. If erection trouble is happening now and then it is not necessarily cause for a lot of concern; However if it becomes a fairly regular problem it can cause problems within your relationship, stress, and negatively affect your self-confidence.
If it is happening, what should I be doing?
While it may seem like an awkward thing to talk about, if it is starting to occur on a fairly regular basis, it is important to talk to your doctor, and set up an evaluation. Having impotence as a regular occurrence can be a sign of health conditions, such as heart disease or diabetes, that a quite serious and require treatment. As awkward as it might be to talk about, getting to the bottom of what is going on, and treating the underlying issue might just be enough to reverse your erectile dysfunction.
What kinds of treatments and drugs are out there?
Oral medications are a successful erectile dysfunction treatment for many men, these include the ever popular Viagra, Cialis.
A penis pump, which is a vacuum style device that helps enable an erection, is an empty tube that has a battery-powered pump or hand-powered. You place the tubeon the penis, and the pump is used to draw out the air inside the pump, a vacuum is created and allowsthe blood to flow to your penis. When you experience an erection, you use a penis ring at the base of the penis to keep the blood flow in that area firm. You remove the vacuum after this has been achieved. By using a penis pump an erectioncan be maintained long enough for intercourse.