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Erectile dysfunction (impotence) occurs when a man can no longer get or keep an erection firm enough for sexual intercourse. Having erection trouble from time to time isn't necessarily a cause for concern. But if erectile dysfunction is an ongoing problem, it may cause stress, cause relationship problems or affect your self-confidence. buy cialis online without rx cialis online
Injection treatment - This was the most common treatment before tablets became available. It usually works very well. You are taught how to inject a medicine into the base of the penis. This causes increased blood flow, and an erection usually develops within 15 minutes. (Unlike with tablets, the erection occurs whether of not you are sexually aroused.) Viagra online uk Medication (tablets taken by mouth) In 1998, the first tablet to treat ED was launched. This made a huge impact on the treatment of ED. There are now four different tablets licensed in the UK to treat ED: Three of the tablets work by increasing the blood flow to your penis. They do this by affecting cGMP, the chemical involved in dilating (widening) the blood vessels when you are sexually aroused (described above). They are sildenafil (trade name Viagra®), tadalafil (trade name Cialis®), and vardenafil (trade name Levitra®). You take a dose before you plan to have sex. Because of the way they work, these medicines are called phosphodiesterase type 5 (PDE5) inhibitors. Mental heath (psychological) causes - Various mental health conditions may cause you to develop ED. For example: Stress. For example, due to a difficult work or home situation. Anxiety. Relationship difficulties. Depression. Viagra online uk Viagra online uk What will the future bring for erectile dysfunction? Combination therapy for the treatment of erectile dysfunction has been under investigation. Most of these studies have been small trials, and long-term data regarding their effectiveness and safety are lacking. However, with thorough evaluation and counseling, there may be a use for combination therapy for certain individuals with ED. Blood testosterone levels can be measured to detect deficiency. Although, there is no clear cut testosterone level to define hypogonadism, levels lower than 250 nanograms per deciliter are considered low, and levels of greater than 350 nanograms per deciliter are considered normal. Testosterone levels in between these numbers may be labeled indeterminate. Viagra online uk generic viagra online overnight viagra online
The risk of heart attack or abnormal heart rhythms during sex is higher in men with unstable angina (angina that occurs at rest or with minimal exertion), poorly controlled hypertension, moderate to severe heart failure, moderate to severe disease of the heart valves, recent heart attack (less than two weeks previously), potentially life-threatening disorders of heart rhythm such as recurrent ventricular tachycardia, and moderate to severe disease of the heart muscles. In these men, doctors usually stabilize or treat the heart conditions before prescribing sildenafil. purchase viagra online australia buy
How effective is vardenafil (Levitra)? Vardenafil was evaluated in four multicenter, randomized, placebo-controlled trials involving more than 2,400 men (78% white, 7% black, 2% Asian, 3% Hispanic) with erectile dysfunction. Two of these trials were conducted in special erectile dysfunction populations; one in men with diabetes mellitus, another in men who developed erectile dysfunction after prostate surgery. The doses of vardenafil in the four studies were 5 mg, 10 mg, and 20 mg. Why you want to buy Viagra? It is your idea or someone's offer? online
What is tadalafil (Cialis)? Tadalafil (Cialis) is the third oral medicine approved by the U.S. FDA for the treatment of erectile dysfunction. Like sildenafil (Viagra) and vardenafil (Levitra), tadalafil inhibits PDE5 (as described earlier). In all four studies, vardenafil was significantly better than placebo in improving men's ability to achieve and maintain erections in all age categories (less than 45, 45-65, and greater than 65 years of age) and in all races.