A man has erecting difficulties if he cannot get an erecting that is powerful enough for him to have s e x. Erection difficulties are also called erectile dysfunction or impotence.

Most men have erection problems now and then. This is normal. These problems can occur at any age. But they are more common in older men, who often have other health problems. Treatment can help both older and younger men.

Way back when ED used to be called “impotence.” Nowadays, the more commonly used term is “erectile dysfunction.”

ED happens when a man isn’t able to get or keep an erection long enough to complete a desired s e x u a l act, such as intercourse. This can include several different situations:

  • You can get an erection but can’t keep it.
  • You can become somewhat erect, but not enough to begin or complete s e x u a l intercourse.
  • You can’t get an erection at all.
  • You can get an erection sometimes, but sometimes you can’t.

The definition of ED doesn’t include low s e x drive (don’t think about s e x or have no desire to have s e x) or premature ejaculation. These are separate issues.

 While ED isn’t necessarily a severe medical disease itself, it can undoubtedly have profound psychological and emotional effects.

Some men who have ED experience an unhappy s e x life, loss of intimacy with partners, anxiety, and depression. In some cases, ED can also prevent a couple from conceiving a child.

 Unfortunately, many of the emotional outcomes of ED further contribute to the psychological causes of ED, resulting in a discouraging cycle.

What causes erection problems?

 Erection problems can have many causes. These include:

· Physical issues, such as injury to nerves or loss of blood supply to the p e n i s.

· Other health problems, such as diabetes, high blood pressure, anxiety, and depression.

· Side effects of certain medicines.

· Stress.

· Drinking too much alcohol or smoking.

· Surgery, such as prostate cancer.

What are the symptoms?

The only indication of an erection problem is the weakness to get a building that is firm to have s e x. But even with a building problem, a man may still have physical excitement and be able to have an orgasm and to ejaculate.

How are erection problems diagnosed?

Your doctor can determine if you have an erecting difficulty by asking questions about your health and making a physical exam. Your doctor will want to know how often the problem occurs. The review, lab tests, and sometimes mental health tests can help discover the cause of the problem.

How are they treated?

Doctors usually begin with lifestyle changes and medications. They typically don’t recommend medicine or other treatments, except those first steps don’t help.

Treatment can include:

· Avoiding smoke and drugs and limiting alcohol.

· Talking about the problem with your partner, doing physical activities, and taking counseling.

· Finding and then stopping medications that may be making the problem. In some instances, you can take a complex medicine that doesn’t cause erection problems.

· Taking prescription medication that can help you get buildings. These include medicines such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra). Verify with your physician to see if it is safe to take one of these medications with your other medicines. These tablets can be critical if you have heart disease that needs you to take nitroglycerin or other medications that include nitrates.

· Taking medications and getting counseling for depression or stress.

· Using vacuum devices or taking shots of medication into the p e n i s.

· Having an operation to place an implant in the p e n i s.

What are my options for ED treatment?

For many men, oral medications are a standard treatment for ED. There are four oral options on the market:

  • sildenafil (Viagra)
  • tadalafil (Cialis)
  • vardenafil (Levitra, Staxyn)
  • avanafil (Stendra)

The medicines all work the same way (however, there are a few exceptions described in a chart further down).

When a man is s e x u a l l y stimulated, a gas called nitric oxide (NO) is released and helps relax the muscles in the p e n i s. As the muscles relax, the p e n i s can fill with blood and become erect.

Oral ED drugs help increase the effects of NO to assist men who have trouble getting or keeping an erection.

What ED Drugs Can Do
  • Help you get and keep an erection in response to s e x u a l stimulation
  • Assist in your physical ability to complete desired s e x u a l activities
What ED Drugs Cannot Do
  • Increase libido or s e x u a l desire
  • Help every man who has ED

It’s important to understand that oral ED drugs are not aphrodisiacs. They don’t increase your desire to have s e x.

Also, not all men with ED will benefit from these medications. Men with specific medical histories – like diabetes or past prostate surgery – may not respond to oral ED drugs.

That’s one reason it’s so important to talk to a doctor before starting any ED treatment, but there’s another critical reason, too…

What are the risks of taking oral ED drugs?

Ever-present pop culture references to “the magic blue pill” can make it easy to view oral ED drugs as harmless, brightly-colored, s e x-life-savers in pill form.

However, as with all drugs, there is a risk for side effects.

Headaches are the most common side effects men have when taking these medications. Other common side effects men taking oral ED drugs experience include:

  • Flushing
  • Nasal congestion
  • Visual changes, particularly a blue tint
  • Backache
  • Stomach upset

More severe side effects include hearing and vision loss.

Priapism – a condition where the erection will not go away – can also occur. If an erection lasts longer than 4 hours, it’s essential to get medical attention ASAP.

There are so many options. Which ED drug is the best for me?

Although the medications work the same, there are some differences.

Generic sildenafil

How long before s e x do I take it? 1 hour

How long does it work? 4-8 hours

How do I take it? Best results when taken on an empty stomach

Dosing options: 25, 50, or cenforce 200, kamagra effervescent mg tablets

Potential side effects: Same as listed above

Tadalafil (Cialis)

How long before s e x do I take it? 1-2 hours

How long does it work? 36 hours

How do I take it? Empty stomach or with food

Dosing options: 2.5, 5, 10, or Tadarise 20 mg tablets, smaller daily doses or one more massive dose as needed

Potential side effects: No flushing or vision changes, but may cause back pain or muscle aches

Vardenafil (Levitra)

How long before s e x do I take it? 1 hour

How long does it work? 8 hours

How do I take it? Empty stomach or with food

Dosing options: 2.5, 5, 10, or 20 mg tablets, as needed, but no more than   once daily

Potential side effects: Same as listed above

Avanafil

How long before s e x do I take it? 1 hour

How long does it work? 20 hours

How do I take it? Empty stomach or with food

Dosing options: 25, 50, Avana 100 or 200 mg tablets, as needed, but no more than   once daily

Potential side effects: Same as listed above

Who should not take oral ED drugs?

You might have heard that sildenafil was initially created to lower blood pressure. This is true. In fact, under the name Revatio, sildenafil is still used to treat pulmonary hypertension.

 The same increase in NO that helps penile muscles relax also opens up blood vessels, leading to a drastic drop in blood pressure.

That’s why these groups of men must avoid taking oral ED drugs:

  • Men who are taking nitrates or nitroglycerin
  • Men who have hypotension (shallow blood pressure)
  • Men who have heart disease or heart failure

If you take any blood pressure medications, you should be sure to mention this to your doctor before beginning ED treatment.

Can you prevent erection problems?

A physical problem most often causes erection problems. So it’s essential to eat healthy foods and get enough training to help you stay in good health.

To decrease your chance of having a building difficulty, don’t smoke, drink too much alcohol, or use illegal drugs.

You may be able to avoid erection difficulties related to anxiety and stress by communicating with your partner about your interests. This may assist you in rest.

Tips to Control ED

  • Avoid smoking and the use of alcohol and narcotics.
  • Get daily exercise to help decrease stress, lose weight, and improve blood flow.
  • Talk the difficulty over with your partner – often, it helps to make it out into the open and see what the two of you can do to reduce stress.
  • Learn relaxation methods during the practice of yoga or mediation to help reduce stress. Biofeedback therapy, a technique that trains you to control specific physiological processes by giving you immediate feedback, can also reduce stress.

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