How do I know that I have erectile dysfunction? When to see a doctor?
Erectile dysfunction (ED) is the lack of sexual arousal or erection, insufficient for satisfactory sexual intercourse. Usually it is caused by diseases (hypertension or diabetes) or medication (antidepressants, antihypertensive, antihistamines, tranquilizers and drugs that suppress appetite). At the beginning of treatment and when changing the dose of antidepressants may increase the risk of suicide and exacerbate depression. And depression, stress and anxiety also lead to violations of sexual function.
But you should not despair, you are not alone with your problem. With the advent of publicly available information, doctors began to treat more men with erectile dysfunction. First of all they are interested in three drugs: Viagra (sildenafil), Levitra (vardenafil hydrochloride) and Cialis (tadalafil). Therefore, if you are concerned about problems with erection, seek medical attention. Most erectile dysfunction can be cured.
How effective are listed medications?
Very effective. They enhance erections, making it sufficient for normal sexual intercourse. After coitus erection disappears. However, remember that the effectiveness of drugs depends on the reasons behind ED. Chronic diseases (eg diabetes) have a significant impact on treatment outcome.
What are the differences between the drugs?
The differences are small. Viagra, Levitra and Cialis are the class of drugs PDE5 inhibitor receptors. All products in this series are about the same: an erection occurs only when sexual stimulation. Sexual stimulation causes the brain to send signals to the body of the need to develop nitric oxide. This substance relaxes the smooth muscles of the penis, improving blood supply and helps erection. All of these drugs increase the production of nitric oxide.
The big difference is only in time of action. Doctors advised to take Viagra and Levitra 30-60 minutes before intercourse, and Cialis - for 30 minutes. Duration of Viagra and Levitra - about 4 hours and Cialis - from 24 to 36 hours.
Whom these drugs are contraindicated?
Viagra, Levitra and Cialis are counter to those who take drugs containing nitrates (such as nitroglycerin, which is taken for pain in the heart). Simultaneous treatment with these drugs can lead to a sharp drop in blood pressure. For the same reason, the combination of these drugs is contraindicated with alpha blockers, used to treat hypertension and prostate hyperplasia. Wrong drug combination may cause dizziness, fainting, even myocardial infarction or stroke. The oppression of sexual function results in the use of antihypertensive, antihistamines, antidepressants, tranquilizers, means to suppress appetite and cimetidine (antiulcer drugs).
Do not take drugs for impotence, sexual activity if you contraindicated.
The effectiveness of treatment of sexual dysfunction in women using these drugs has not been proved (although studies of Viagra in this regard were held).
What are the side effects?
Side effects have all three drugs. Levitra can cause headaches, flushing, nasal congestion and runny nose and Viagra - a headache, a strong glow on the face, upset stomach, vision problems (erroneous perception of colors, blurred objects), and sensitivity to light. Cialis can trigger headache, muscle pain, back pain, indigestion, nasal congestion and runny nose. Typically, these side effects disappear within a few hours. Back pain and muscle aches usually go away within 48 hours.
Suffice rare visual impairment (vision of objects in the blue light or difficulties with the distinction of blue and green color in the use of Cialis and Levitra). When you receive Viagra vision problems occur for a short time.
With the sudden loss of vision in one or both eyes, stop taking the drug and consult a doctor. The problem may be related to the development nearterialnoy ischemic optic neuropathy - the disease, which blocks blood supply to the optic nerve.
In very rare cases, these three drugs cause priapism - a condition characterized by persistent erection. If an erection lasts more than four hours, seek immediate medical attention. Erections lasting more than 6 hours can lead to serious complications, including - to problems with erections in the future.
How to take drugs?
All three drugs are manufactured in tablets. Allow them to be not more than 1 times per day. The exact dose determined by a physician.
Can I take these drugs during the meal?
Their method does not depend on the meal. The absorption of active substances in the same way under any external conditions.
These drugs are effective only with severe erectile dysfunction?
No. These drugs are equally effective for treating mild, moderate or severe forms of erectile dysfunction. With their help, removed and permanent and occasional problems with erections.
Are there any age restrictions?
No. Preparations may take men of any age. The effectiveness of medication does not change. Suffer from erectile dysfunction as the elderly, and young men.
Can I take drugs to enhance the potency of diabetes mellitus and hypertension?
Preparations for the treatment of ED in general recognized as safe and effective. But they should not be taken concurrently with drugs containing nitrates (eg, simultaneously with nitroglycerin). Acting together, these substances are sharply reduce blood pressure and can lead to stroke or myocardial infarction. Always consult your doctor if you are taking alpha-blockers - drugs used to reduce the pressure and treatment of prostatic hyperplasia. Medical consultation is necessary and if you suffer from coronary heart disease, heart failure, hypotension, or are taking medications that increase blood pressure.
They protect whether these drugs on disease, sexually transmitted infections?
No, drugs for the treatment of erectile dysfunction do not protect against diseases, sexually transmitted infections including HIV infection. The only protection - latex condom and limiting the number of sexual partners.
Nearing the erection itself after taking these drugs?
No, for the erection requires sexual stimulation.
Rx Indiana
Friday, September 18, 2009
Can I become a father after a vasectomy?
Many men forget about one important thing: a father can become even after removal semyavyvodyaschego flow. This happens infrequently, but ignoring doctor's advice can lead to unwanted pregnancies.
Vasectomy - a simple operation. It is often done right in the doctor's office under local anesthesia. The doctor cuts or blocks the channels called vas deferens. This sperm will not get from the testicles into the penis. After vasectomy ejaculation occurs, but the seminal fluid normally does not contain sperm.
However, sperm at ejaculation no longer stand not immediately. To ensure sterility of their own, you need some time to do an analysis of seminal fluid. Prior to this analysis shows the absence of sperm, do not expect that your partner is insured from conception to 100%.
Sperm can be present in semen up to 3 months and sometimes longer. While the analysis does not show her absence, use of contraceptives. In rare cases, can become a father, even if the analysis shows "pure". Researchers monitored 600 couples where the partner was made vasectomy. It was found that 6 women became pregnant within 6-72 weeks after the sterilization of men.
To verify the effectiveness of the procedure, continue to be tested for the presence of sperm in the seminal fluid. This should be done at least twice after surgery. Some doctors also recommend a check one year after vasectomy.
Many men do not follow this advice. According to statistics, every fourth man underwent surgery, or lease any of the analysis of seminal fluid. Half of the patients did not re-analysis, as recommended by your doctor.
If you have recently done vasectomy, or the operation of your plans, be sure to check after the seminal fluid for the presence of semen. Those who disregard this advice run the risk to get a big surprise.
Rx Iowa
Vasectomy - a simple operation. It is often done right in the doctor's office under local anesthesia. The doctor cuts or blocks the channels called vas deferens. This sperm will not get from the testicles into the penis. After vasectomy ejaculation occurs, but the seminal fluid normally does not contain sperm.
However, sperm at ejaculation no longer stand not immediately. To ensure sterility of their own, you need some time to do an analysis of seminal fluid. Prior to this analysis shows the absence of sperm, do not expect that your partner is insured from conception to 100%.
Sperm can be present in semen up to 3 months and sometimes longer. While the analysis does not show her absence, use of contraceptives. In rare cases, can become a father, even if the analysis shows "pure". Researchers monitored 600 couples where the partner was made vasectomy. It was found that 6 women became pregnant within 6-72 weeks after the sterilization of men.
To verify the effectiveness of the procedure, continue to be tested for the presence of sperm in the seminal fluid. This should be done at least twice after surgery. Some doctors also recommend a check one year after vasectomy.
Many men do not follow this advice. According to statistics, every fourth man underwent surgery, or lease any of the analysis of seminal fluid. Half of the patients did not re-analysis, as recommended by your doctor.
If you have recently done vasectomy, or the operation of your plans, be sure to check after the seminal fluid for the presence of semen. Those who disregard this advice run the risk to get a big surprise.
Rx Iowa
How to conduct an independent examination of the testicles?
Men aged 15-40 years should be independently conduct monthly testicular examination or examination of the testes. This will help identify signs of testicular cancer in early stages. Survey simple and only takes a few minutes.
1. Take a warm bath or shower. This helps relax the scrotum, and facilitate the detection of pathologies.
2. Stand naked in front of a mirror.
3. Check the scrotum for the presence of tumor.
4. To feel the right testicle.
5. Take the egg index and middle fingers. The thumb is put on its top. Gently roll the egg with your fingers.
6. Grope in the back of his testicular appendage - a soft cord, which is stored sperm.
7. Do not confuse an appendage of the testicle with the tumor. Malignant tumors are usually located on the side (at least - on the front side) of the testicle. Tumors formed in the epididymis are not cancerous.
8. Check the seals.
9. Repeat the procedure with the left testicle.
10. Finding the seal or a tumor, immediately consult a doctor. Of course, this is not always a sign of cancer. Seals can also occur in some infectious diseases. But if it's still cancer of the testes, in the absence of treatment it will progress.
Rx New Mexico
1. Take a warm bath or shower. This helps relax the scrotum, and facilitate the detection of pathologies.
2. Stand naked in front of a mirror.
3. Check the scrotum for the presence of tumor.
4. To feel the right testicle.
5. Take the egg index and middle fingers. The thumb is put on its top. Gently roll the egg with your fingers.
6. Grope in the back of his testicular appendage - a soft cord, which is stored sperm.
7. Do not confuse an appendage of the testicle with the tumor. Malignant tumors are usually located on the side (at least - on the front side) of the testicle. Tumors formed in the epididymis are not cancerous.
8. Check the seals.
9. Repeat the procedure with the left testicle.
10. Finding the seal or a tumor, immediately consult a doctor. Of course, this is not always a sign of cancer. Seals can also occur in some infectious diseases. But if it's still cancer of the testes, in the absence of treatment it will progress.
Rx New Mexico
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