ED - Erectile Dysfunction

Erectile Dysfunction is also recognized as male impotence. Over 15 million men in the U.S. only have this problem at least once. There are several major erectile dysfunction medications available in the market: Viagra, Cialis and Levitra. Our pharmacy offers both versions of these drugs, brands and generic versions. We also have a 100% satisfaction guarantee on all our common definition of drug Dysfunction Erectile dysfunction Erectile (ed.), formerly known as impotence - the inability to achieve or maintain a building for a long time (long) enough to engage in sexual mezhdukursom. Description Under normal circumstances, when a person is sexually stimulated, his brain sends a message down the spinal cord and nerves in the penis. Nerve endings in the penis release chemical messengers caused neurotransmitters, that signal the arteries that supply blood to the corpora cavernosa (two spongy stem tissue, which distribute (rotate) the length of the penis) to relax and fill with blood. As they expand, corpora cavernosa closes another vein, which should normally drain blood from the penis. Since the penis becomes engorged with blood, it expands and kocheneet, the cause of building. Problems with blood vessels, nerves, or tissue penis can interfere with the construction. Causes and symptoms

It is estimated that up to 30 million American men frequently suffer from Ed. and that it is pressed up to half of all men between the ages of 40 and 70. Doctors usually thought that most cases of Ed. were psychological in the beginning, but they now admit it, at least in older men, physical causes may play a primary role in 60% or more of all cases. In men, age 60, is the leading cause is atherosclerosis, or narrowing of the arteries, which can restrict blood flow to the penis. Damage or disease of the binding tissue, such as disease Peyronie's, can interfere with corpora cavernosa to completely expand. Damage the nerve of penis from certain types of surgery or neurological conditions such as Parkinson's disease or multiple sclerosis, can also cause RED .. Men with diabetes - especially in the risk for erectile dysfunction because of their high risk of both atherosclerosis and nervous illness was caused by diabetic neuropathy.

Some medications, including certain types of blood pressure medications, protivogistaminnyh substances, tranquilizers (especially before mezhdukursom) and protivodepressivnye means recognized as selective serotonin reuptake inhibitors (SSRIs, including Prozac and Paxil), may interfere with the facilities. Smoking, excessive alcohol consumption and illicit drug use can also assist. In some cases, low levels of the male hormone testosterone can assist erectile failure. Finally, psychological parameters, such as stress, guilt, or anxiety, may also play a role, even when the red. - Originally due to organic causes.

Diagnosis

Diagnosing the root cause of erectile dysfunction, the doctor begins by asking many questions about a person when the problem started, it only happens with specific sexual partners, and ever wakes up it with the construction. (Men whose dysfunction occurs only with certain partners or who wakes up with structures - are more likely to have a psychological cause for their RED ..) Sometimes the sexual partner is a man also questioned. In some cases, domestic discord may be an indicator. The doctor also obtains a thorough medical history to find out about past pelvic surgery, diabetes, cardiovascular disease, kidney disease, and any medication the person may be required. Medical examination should include examination of sex, hormone tests, and glucose test for diabetes. Sometimes, measurement of blood flow through the penis may be required.

Processing

Years ago, a standard treatment for erectile dysfunction was implanted penile or long-term psychotherapy. Although physical causes are now more easily diagnosed and the requester, the identity or marital meeting - still an effective treatment for ed. when emotional parameters play a role. There are three prescription medications available in the United States to treat the physical causes of RED.: Sildenafil citrate (Viagra), vardenafil (Levitra), and tadalafil (Cialis). They help about three-quarters of all men who try them in the general population. Several studies have indicated that their success rate in diabetic men may be slightly lower, averaging about 60-65%. All three pills pave the increasing effects of nitric oxide. This chemical weakens the muscles in the penis to allow blood to flow into. These pills do not cause the construction themselves. Sexual stimulation is also required. Sildenafil or vardenafil should be taken about an hour before sex. Each effective for about four hours. Tadalafil is continuing up to 36 hours. Men should not have sex more than once every 24 shortly after using these medicines. Before Viagra's approval in 1998, treatment of erectile dysfunction drugs was limited alprostadil (prostaglandin [E.sub.1]), or injected into the penis or included as a ball in the urethra. The sale of three new drugs ed. reached $ 3.4 billion in 2004, according to the scientific research firm Health IMS. In 2004, Viagra has around 66% stake to EDIT drugs. compared to 19% for Levitra and 14% for Cialis.

Viagra

Sildenafil Citrate was originally developed in 1991 as a treatment for angina, or chest pain. Medicine, and is implemented under the name Viagra, has received approval FED.UPR.LEK.PREPARATOV And PROD.PITANIYA as a treatment for erectile dysfunction in March 1998, and since that time, he asked for more than 20 million men worldwide. It was the first oral medication approved for the treatment of RED .. Viagra - vasodilator, a medicine, which have the effect of expanding blood vessels. This paves the improving blood circulation to the penis, and increasing the effects of nitric oxide, an agent that reduces the smooth muscle of the penis and regulates blood vessels during sexual stimulation, allowing the penis to become engorged and achieve facility. The average number of recommended that the dose of Viagra was 50 mg. It comes in a dose of 25 mg., 50 mg., And 100 mg. To. Medication is taken approximately one hour before sexual activity will be planned, and can remain effective up to four hours. One drawback - that to be effective, it must be taken on an empty stomach. Also, high-fat foods can interfere with the absorption of Viagra. Viagra Does not increase sexual desire. Sexual stimulation and arousal are necessary for it to be effective. Many insurance plans cover the cost of Viagra, if you will be asked to handle erectile dysfunction. The pills cost about $ 10 each, and insurers may limit coverage to a specific number of pills each month. The primary drawback Viagra, which works about an hour after it is taken, is that men and warnings FED.UPR.LEK.PREPARATOV PROD.PITANIYA with heart disease or low blood pressure that should be carefully studied by a doctor before getting a prescription. At least 130 men died while taking Viagra. Nevertheless, FED.UPR.LEK.PREPARATOV And PROD.PITANIYA informed men most aged 64 umerlennym heart attack or stroke because of health problems, exaggerated sexual activity that is itself a medicine.

Levitra

In early 2003, a second prescription medications to treat erectile dysfunction, Levitra, was approved FED.UPR.LEK.PREPARATOV And PROD.PITANIYA. Like Viagra, Levitra increases the blood flow of aid into the penis and may help men with ed. receive and keep building. Once a man has completed sexual activity, blood flow to the penis should decrease and erection should go away. Levitra should take approximately 60 minutes before sexual activity. In clinical trials, most patients were able to initiate sexual activity before this time. 2004 analysis shows a nearly 50% of men taking Levitra experienced solid construction within 25 minutes and a small percentage in as quickly as 10 minutes. Studies also showed that Levitra improved the erectile function in men who had other health indicators, such as diabetes or prostate surgery. Men taking nitrate drugs, often used to control chest pain (also recognized as angina), should not take Levitra. Men who use alpha-blockers, sometimes wondered for high blood pressure or prostate problems, also should not take Levitra. Such combinations could cause pressure to drop to an unreliable level. Levitra is available in 2.5 mg., 5 mg. 10 mg., And 20 mg. plates and shall require no more than once per day. The average number of stand for the pill - about $ 10 and covered a lot of insurance plans.

Cialis

Cialis - the third oral medication given to treat erectile dysfunction, endorsed FED.UPR.LEK.PREPARATOV PROD.PITANIYA And in November 2003. The most notable difference from Viagra and Levitra, which work for approximately four hours - these jobs Cialis up to 36 hours. Cialis helps increase blood flow to the penis when a person is sexually stimulated. This may help men with ed. receive and keep the construction is satisfactory for sexual activity. Once a man has completed sexual activity, blood flow to his penis reduction, and its construction goes. Cialis is clinically proven to improve erectile function in most men with ed., Including those with mild, moderate or severe RED .. The most common side effects with Cialis - headache, upset stomach, pain, and muscle aches. These side effects usually go away after a few hours. Patients who receive pain and muscle aches usually get it 12 to 24 shortly after taking Cialis. Pain and muscle aches usually go away themselves within 48 hours. Cialis comes in 5 mg., 10 mg. (The recommended starting dose), and 20 mg. tablets. The average number of stand for the tablet - about $ 10 and covered a lot of insurance plans. Since the absorption of Cialis is not plagued by food or high-fat food, it should not be taken on an empty stomach. Studies show that most men, Cialis begins to run after about 30 minutes and can be employed up to once per day by most patients. Priapism, Prolonged construction - the same rare potential side effect of medication ed. prescription. Persons taking Viagra, Levitra, or Cialis, which has a prolonged construction, continued for more than four hours should seek immediate medical attention. Priapism can cause damage to the penis potentially leading to a permanent inability to have a structure. Because sexual activity may provide the heart, men who have heart problems should be checked by their doctor to see if sexual activity is recommended. Erectile dysfunction drugs may trigger temporary giponapryazhennost (low blood pressure) and it is known that increase cardiovascular nerve activity, so physicians should ask them a warning to men with a history of heart disease, atherosclerosis (hardening of the arteries), angina, arrhythmia, and chronic low blood pressure problems. MEDICATIONS ed. are not labeled or approved for use in women or children, or men without erectile dysfunction. Each experiencing cardiovascular symptoms such as dizziness, chest pain or arm (hand), and nausea when participating in sexual activity after taking the medication ed. should stop the encounter. They should also not take any medicine ed. again until they have discussed the episode with their healthcare provider. It is recommended that men with renal or hepatic impairment, and men age 65, beginning at the lowest possible dose of Ed. medicine.

Other treatment option

While commercial availability of Viagra, Levitra, and Cialis to be useful in many men, the cancer patients and red. prostate caused by psychological problems often require an alternative treatment. Usually used alternative consists of three drug injection containing alprostadil, papaverine hydrochloride and phentolamine mesylate. All the same, usually referred to as "formula Knoxville," apparently for the city of their original introduction, sets a bit to change the formula used around the country. Three-drug injection preparation of control in the corpora cavernosa, to generate a structure. Another traditional treatment for ed. include a vacuum pump therapy, injection therapy including injecting the substance into the penis to increase blood flow, and device implantation penile. In rare cases, if a narrow or ill Vienna is responsible for the red., Surgeons can reroute the blood flow to the corpora cavernosa, or removal, leaking boat. In vacuum pump therapy, a person includes his penis into a clear plastic cylinder and uses a pump to force eroded cylinder. This forms a partial vacuum around the penis, which help to get the blood into the corpora cavernosa. The man then set a special ring over the base of the penis to catch the blood in it. The only side effect with this type of treatment - occasional bruising if the vacuum is left on too long (long). Injection therapy involves injecting a substance into the penis to increase blood flow and cause construction. FED.UPR.LEK.PREPARATOV And PROD.PITANIYA approve that remedy was due to alprostadil (Caverject) for this purpose in 1995. Alprostadil Relaxes smooth muscle tissue to improve blood flow to the penis. Must be injected shortly before mezhdukursa. Other, similar drug that is sometimes used - papaverine. Or medication can sometimes cause painful erections or priapism, which should be to address the shot epinephrine. Alprostadil can also be controlled in the urethral opening of the penis. In museums (medical urethral system for construction), a person includes a thin tube the width of spaghetti noodles into his urethral opening and press down the plunger to deliver a small ball containing alprostadil into his penis. The drug takes about 10 minutes to work and construction continues on the hour. The main side effect - the feeling of pain and burning in the urethra, which can last about five to 15 minutes. The very process of injection is often painful Implantable penile prostheses are usually considered a last resort to pay for erectile dysfunction. They are implanted in the corpora cavernosa, making the penis rigid without the need for blood to flow. Semi-rigid type of prosthesis consists of a pair of flexible silicone rods that can be bent on the up or down. This type of device has a low failure rate but, unfortunately, it causes the penis to always be erect, which can be difficult to hide under clothing. Inflatable type of device consists of cylinders that implanted in the corpora cavernosa, the liquid reservoir was implanted in the abdomen and a pump placed in the scrotum. The man squeezes the pump to move fluid into the cylinders and cause them to become rigid. (He resumes the process of squeezing the pump again.) While these devices allow for irregular structures, they have a slightly higher failure rate than the silicon rods. Men can return to sexual activity six to eight weeks after implantation surgery. Since the implantation affect the corpora cavernosa, they permanently take away a person's ability to have a natural structure. Many herbal alternative treatment for advanced payment of erectile dysfunction. The most widely proposed - yohimbe (Corynanthe yohimbe), derived from the bark yohimbe tree native to West Africa. Used in Europe, about 75 years to handle RED .. FED.UPR.LEK.PREPARATOV And PROD.PITANIYA approved yohimbe as a treatment for ed. in the latter 1980s. Sold as a direct dietary supplement and as a prescription drug under brand names such as, Yocon, Aphrodyne, Erex, Yohimex, Testomar, Yohimbe, and Yovital. There is no clear medical research that indicates exactly how or why yohimbe works in the payment of RED .. Usually believed that the yohimbe increases blood vessels and stimulate blood flow to the penis, the reason for construction. This also prevents flow to the penis during construction. It may also act in the central nervous system, especially the lower region of the spinal cord where sexual signals are transmitted. Studies show it is effective to some degree in 30-40% of men with RED .. It was originally effective in men with ed. caused by vascular, psychogenic (produce in the mind), or diabetic problems. It usually does not work in men whose dysfunction is caused by organic nerve damage. In healthy men without RED., Yohimbe in some cases it increases sexual stamina and prolong the construction. The usual dosage of yohimbine (yohimbe ekstrat) to handle Ed. - 5.4 mg. three times (a) day. This may take three to six weeks for it to take effect.

Ginkgo

Ginkgo biloba, also used to treat erectile dysfunction, although this is not shown to help the condition in controlled studies, and probably has a psychological effect. In addition, ginkgo transfer of some risk of accidental blood clot and should be revoked men taking blood thinners, such as, coumadin. Other herbs advanced to pay for Ed. include root unicorn truth Aletrius farinosa, vidte palmetto Serenoa repens, ginseng Pantopora ginseng and ginseng Sibiryaka Eleuthrococcus senticosus. Nux vomica Strychnos nux-vomica recommended, especially when Ed. caused by excessive alcohol, cigarettes, or dietary negligence. Nux vomica can be very toxic if taken improperly, so it should be used only under the strict supervision of a physician directed in its use. There are quite a few Chinese herbal remedies to erectile dysfunction usually combinations of herbs and sometimes animal parts such as the horn of a deer and a seahorse. Acupuncture is also used to treat ed., Although Western doctor queries its effectiveness.