If you are one of the millions of men that suffer from occasional erectile dysfunction, maybe it’s time for you to take a look at some functional solutions to your problem. With all of the available products on the market today it is often difficult to figure out which one will be right for you. There is one product that has been around helping men overcome many forms of ED since 1998. As the first medication ever available in the medical community as much as 80% of men have considered it the greatest things sliced bread. Viagra is a prescription medication you can get from your regular doctor after you have decided that it is the best option for you.

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Viagra will usually begin working with thirty minutes to an hour after the pill has been taken. While you will not get an erection just because you have taken the pill, it improves the blood flow to the penis so that your penis gets and remains hard enough to participate in sexual activity. It has been proven time and time again to help men with all degrees of erectile disfunction and only works when you are sexually stimulated so that you don’t have to worry about an interruption and you can’t get rid of your erection once the mood has passed.

Taking Viagra without a prescription is not only illegal but it can also impact your health on a long term scale. Health risks in taking Viagra when you don’t need it can include but are not limited to cardiovascular risks, developing drug dependency issues, developing erectile dysfunction when you aren’t taking the pill, increased risk of unprotected sex resulting in contracting sexually transmitted diseases, and if you are abusing Viagra you are more likely to abusing club and rave drugs and mixing the them together may result in death.

If you live in South Africa and you are trying to buy Viagra online there are a few things to keep in mind. There are many websites that say they have Viagra in stock but the drug you actually receive is not the real stuff. Make sure you are purchasing your prescription from a reputable vendor regardless of whether a random online site offers huge savings or not. There is no herbal alternative to Viagra so don’t be fooled by any over the counter pills that promise equal results. There are many brands that offer empty promises so keep that in mind when you are making your online purchases. Always make sure that you are buying genuine Viagra products so you don’t end up disappointed with your experience.

Consult your doctor about any medications you may already be taking for other medical conditions. Don’t take Viagra if you are already taking nitrates for chest pains or other heart conditions or if you are allergic to the any ingredients in Viagra. Be sure to discuss it with your doctor to make sure you are healthy enough for sexual activity. If you experience an erection that last for more than four hours, make sure you seek medical attention. Also make sure that if you are taking Viagra that you really do have a prescription for it.

Alexander Pretorius

Medical Practitioner (General Practice) with postgraduate diplomas in Cape Town. My special interest is erectile dysfunction.

Kamagra Jelly is a well-known generic version of the immensely popular erectile dysfunction treatment known as Viagra. In fact, Kamagra Jelly contains sildenafil citrate, the exact same formulation as Viagra.
Pharmaceutical researchers initially were developing sildenafil citrate to treat various cardiac maladies, such as hypertension and angina pectoris. In 1998, biochemists Robert F. Furchgott, Louis Ignarro, and Ferid Murad were awarded the Nobel Prize in Medicine for their research regarding nitric oxide’s role in smooth muscle vasodilation. Since erectile dysfunction had some similarities, it triggered the idea for researchers that sildenafil citrate might be an effective treatment modality.

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Researchers found that sildenafil citrate is a phosphodiesterase type 5 (PDE5) inhibitor. When the penis is stimulated, nitric oxide is released into the erectile tissue, thereby activating an enzyme that increases levels of a chemical called cyclic guanosine monophosphate (cGMP), which caused the blood vessels in the penis to dilate and fill the erectile tissue with blood. Another enzyme called phosphodiesterase type 5 (PDE5) breaks down cGMP, inhibiting blood flow into the penis, causing impotence. Sildenafil citrate stops the action of PDE5 which resolves the dysfunction by permitting sexual stimulation to actuate the cGMP mechanism for achieving/maintaining an erection.
Soon thereafter, sildenafil citrate was available to the afflicted in the form as a little blue pill called Viagra. Since Viagra is so expensive around the world, Ajanta Pharma of India has developed Kamagra Jelly as patent claims do not apply there. That is great news for South African consumers who are looking for an affordable therapy for their erectile dysfunction.
Kamagra Oral Jelly usually comes in preparations of 100mg of sildenafil citrate and is available in a variety of flavored gel sachets. The oral jelly is rapidly absorbed in the oral cavity. The onset of action is around 20-40 minutes so it is suggested that the user consume a sachet of Kamagra Oral Jelly approximately 30-45 minutes before sexual activity. The anti-impotence effects of Kamagra Oral Jelly last around four hours, but could be as much as 6 hours.
There are some potential adverse side effects of Kamagra Oral Jelly use. Some users have reported flushing, headache, impaired vision, cyanopsia (seeing with a blue tint), cardiac effects (low blood pressure, arrhythmias, myocardial infarction, stroke, etc.) and sudden hearing loss. Users of Kamagra Oral Jelly who experience a sustained erection greater than four hours should seek immediate medical attention. A prolonged, painful erection greater than 4 hours could cause permanent damage if left untreated.
Kamagra Oral Jelly may also have interactions with other medications. Kamagra Oral Jelly users who take protease inhibitors (and antiretroviral therapy for HIV), erythromycin (antibiotic), or cimetidine (Tagamet), should first consult a medical professional. The concomitant use of Kamagra Oral Jelly and an alpha blocker may lead to severe hypotension (low blood pressure). The same also applies for organic nitrites and nitrates, such as Nitroprusside, nitroglycerin for angina/chest pain, or Amyl Nitrite (colloquially known as Poppers).
There are numerous contraindications for using Kamagra Oral Jelly. Usage is contraindicated for anyone who has a history of heart attack, stroke, liver or renal impairment, low blood pressure, retinal/eye disorders, or cardiovascular conditions.
South African citizens are fortunate as they are able to obtain Kamagra Oral Jelly as an over the counter therapy for erectile dysfunction. It can be procured from a variety of online websites and mail order companies.

Alexander Pretorius

Medical Practitioner (General Practice) with postgraduate diplomas in Cape Town. My special interest is erectile dysfunction.

Lot’s of people around the world suffer from a condition known as erectile dysfunction. With this affliction males find it difficult to achieve for maintain an erection, the product of the penis filling with blood. This can complicate a person’s sex life and cause them to seek treatments to improve erection achievement abilities. One such treatment is the compound Sildenafil, the active ingredient of Viagra and Kamagra jelly, which was originally used to try and improve blood flow in the cardiac system, to prevent pain in the chest.

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Results of subsequent studies lead to the understanding that cardiac blood flow is not improved by sildenafil usage, but incidentally it was found that use of sildenafil increases genital blood flow, as in to the penis. Viagra was the original patent holder for the use of sildenafil in medication, but since the patent’s expiration, cheaper substitutes medications with the same active chemical ingredient, such as Kamagra jelly, have shown up on the scene. The enzyme cGMP inhibits blood flow to the penis of males, and Kamagra jelly inhibits this enzyme’s action, allowing for blood flow to the penis that is suitable to produce erection. The effects are reported, on average, to last from 4 to 6 hours. Kamagra jelly comes in pill or gel form. The gel packets are flavored, as strawberry, pineapple, orange, currant, banana and the like.

These flavors are purposed to cover the bitter taste of the jelly’s active chemical ingredients. Instructions recommend orally ingesting one packet 30 to 45 minutes before time of expected sexual intercourse. The gels and pills work the same, although the increased surface area of the gel make it faster acting, and the flavoring of the gel may make it easier for an individual to use the medication. There are contraindications to taking this medication. It is advised not to take Kamagra jelly if you suffer from cardiovascular disease, are already taking other medications for erectile dysfunction, have liver or kidney disease, have low blood pressure, are under the age of 18, or over the age of 65. Even without these contraindications, side effects may occur. These include headache, dizziness, nasal congestion, blurred vision, or indigestion.

Also, the ingestion of alcohol or fatty foods with this medication may slow it’s effective time or level. Regular usage of kamagra jelly has been shown to decrease the effects of erectile dysfunction over time as well, so even if you take kamagra jelly and do not end up having sexual intercourse, you are still benefited in the long run with likely improvement in sexual performance.

It is actually legal to purchase kamagra jelly from the inside of any medication dispensary in countries such as the United Kingdom. But, purchasing this medication online from countries such as India, the prime exporter, is perfectly legal to serve your need for the product. So, if you are looking for a solution for previously inhibited sexual performance, this may be an adequate resolution to your problems if you are suffering from erectile dysfunction.

Alexander Pretorius

Medical Practitioner (General Practice) with postgraduate diplomas in Cape Town. My special interest is erectile dysfunction.

Cialis is used to treat impotency and symptoms of benign prostatic hypertrophy in men. Cialis, also known as tadalafil, relaxes the walls of blood vessels and increases the blood flow to the penis. Adcirca is another brand of Cialis, which is used to treat pulmonary arterial hypertension. Do not take Cialis while taking Adcirca. Some medicines can cause unwanted and even serious side effects when used while taking Cialis. Consult a doctor before taking Cialis to make sure Cialis is right for you.

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Do not take Cialis if you are currently taking any nitrate medications to treat chest pain or heart problems, which includes nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and street drugs known as “poppers”. Taking Cialis while also taking any nitrate medicines may cause sudden and serious decreases in blood pressure. If your erection is painful or lasts longer than 4 hours, stop use of Cialis immediately and seek medical attention. This can cause serious damage to the penis. If you experience any vision loss, stop using Cialis and consult a doctor. Do not take Cialis if you are allergic to tadalafil or if you take any medications to treat pulmonary arterial hypertension, such as Adempas. Before taking Cialis, tel your Doctor if you suffer from any of the listed conditions: heart disease or heart rhythm problems, coronary artery disease, a history of heart attack, a history of a stroke, or congestive heart failure, angina, or chest pain high or low blood pressure, liver or kidney disease, a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia, a bleeding disorder such as hemophilia, a stomach ulcer; any inherited eye conditions, any physical deformities of the penis, or if you have been told you should not have sexual intercourse for health reasons. Before taking Cialis, tell your doctor if you are pregnant or plan to become pregnant. Tadalafil is not know to pass through breast milk while breast feeding a baby. Tell your doctor if you are currently breast feeding. Cialis is only taken once a day, as needed. Do not take Cialis in smaller or larger dosage amounts. Cialis will not work if you are not sexually aroused. If you become dizzy, nauseated, encounter any pain, numbness, or tingling in your chest, arms, neck, or jaw.

Stop using Cialis and seek medical attention from your doctor. You could be experiencing a serious side effect from Cialis. Cialis can be taken with or without food. Do not break or split Cialis in half, always swallow it whole. Take Cialis about 45 minutes before engaging in any sexual activity. If you believe you have overdosed on Cialis, stop use immediately and seek emergency help right away. Do not take Cialis while under the influence of alcohol. This can cause serious side effects. Also avoid any grapefruit products while taking Cialis. This can interact with the tadalafil and may lead to unwanted side effects. The most common side effects of Cialis are headache, diarrhea, sinus pain, muscle pain, and sore throat. This is not the full list of side effects for Cialis.

Alexander Pretorius

Medical Practitioner (General Practice) with postgraduate diplomas in Cape Town. My special interest is erectile dysfunction.

Cialis is a medical treatment used for impotency issues found in men. Cialis, also known as Tadalafil, works by relaxing the muscles found in blood vessels and it increases the blood flow to the penis. Cialis is used to treat erectile dysfunction and early symptoms of benign prostatic hypertrophy, or an enlarged prostate. Another brand used to treat impotency issues is known as, Adcirca. Adcirca is used to treat pulmonary arterial hypertension. It is important to not take Adcirca while taking Cialis. This can cause unwanted or even dangerous side effects. Many medications can cause harmful side effects when used with Cialis, such as Adempas, any nitrate drugs, and poppers. Tell your doctor of any medications you currently are taking before using Cialis. Taking Cialis with these drugs can cause a serious and sudden decrease in blood pressure. Stop use of Cialis immediately and seek medical attention if you experience a painful erection or an erection that will not go away. This can cause serious damage to the penis.

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Cialis can also cause sudden vision loss. To make sure Cialis is right for you, talk with your Doctor and tell your Doctor if you have or have had any of these medical conditions: heart disease, heart rhythm problems, coronary artery disease, recent heart attack, recent stroke, congestive heart failure, angina, high or low blood pressure, liver disease, kidney disease, any blood cell disorders such as, sickle cell anemia, multiple myeloma, or leukemia, any bleeding disorders, stomach ulcers, any known eye conditions, any physical deformities of the penis, or if you have been told to not engage in any sexual activity. Do not take Cialis if you are pregnant or plan to get pregnant. Tadalafil might cause damage to an unborn child and might pass through breast milk. Tell your doctor if you are currently breast feeding before taking Cialis. Only take Cialis once a day, as needed. Cialis can be taken with or without food. Never break a Cialis tablet in half, swallow the tablet whole. Take Cialis right before engaging in any sexual activity, no more than once a day.

Cialis only works when you are sexually stimulated. If you become dizzy or nauseous during sexual activity or if you experience any pain, numbness, or tingling in the chest, arms, neck, or jaw, stop use of Cialis immediately and seek medical attention. This can be a serious side effect of Cialis. Do not take Cialis under the influence of alcohol, it can also cause serious side effects. Try to avoid the use of any grapefruit products while taking Cialis. This can interact with Tadalafil and lead to unwanted side effects. Signs of an allergic reaction to Cialis might include hives, difficulty breathing, swelling of your face, lips, tongue, or throat. Seek medical attention right away if you think you are having an allergic reaction to Cialis. The most common side effects of Cialis include headache, diarrhea, sinus pain, sore throat, and muscle pain. Stop use of Cialis immediately if you experience any side effects.

Alexander Pretorius

Medical Practitioner (General Practice) with postgraduate diplomas in Cape Town. My special interest is erectile dysfunction.

Are you suffering from erectile dysfunction or impotence and hoping to regain control of your love life? If so, look no further! Viagra can help you get your sex life back on track.

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Viagra is a prescription medication that can help treat men with erectile dysfunction or impotence who are healthy enough for sex. Erectile dysfunction can often be linked to lack of blood reaching the penis during arousal. Erectile dysfunction affects more than 30 million men and yet can easily be treated in many cases by Viagra. It is so effective because the prescription medication helps to increase critical blood flow to the penis in order create and maintain a lasting erection. While Viagra can help you sustain and maintain an erection, the prescription medication does not simply give you an erection. You must be stimulated or aroused before the Viagra can work effectively. It can help put you back on track to a healthy sexual experience and a fulfilling sex life.
You should take expect to take Viagra 30 minutes to an hour before expected sexual activity. However you can take it up to 4 hours before expected sexual activity. Viagra can be purchased easily online and over the counter in South Africa with a prescription. You can even purchase the prescription medication through the official Viagra home delivery system. Don’t worry, even the packaging is discrete. The prescription medication can take as little as 15 minutes to begin taking effect. Usually, the effects of Viagra can take around 2 hours to subside. Viagra can be taken with or without food. However, larger, more fatty meals can make the prescription medication less effective. You should only take Viagra once a day, no more. Again, if you have an erection lasting longer than 4 hours, discontinue Viagra and call a doctor or medical health professional immediately.
If any of the following occur, you must discontinue your use of Viagra and see your doctor or medical health provider immediately:
If you have an erection that lasts longer than 4 hours. This is a severe condition also known as priapism and can have lasting damage on your penis.
If you have vision loss in either one or both eyes or non-arteritic anterior ischemic optic neuropathy (NAION).
If you have a loss in hearing or a decrease in hearing.
If you hear a ringing noise due to a condition known as tinnitus.
If you are suddenly feeling dizzy.
There are some common less serious side effects that have occurred in other patients. Some of these include symptoms like headache, flushing, upset stomach, abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision, stuffy or runny nose, back pain, muscle pain, nausea, and rash.
You can talk to your doctor or medical health professional for coupons and discounts on Viagra. If you are tech savvy, you can even find some on the web, but be sure to verify the discount is from a legitimate source. Talk to your doctor today, this is important for a healthy sexually active life!

Alexander Pretorius

Medical Practitioner (General Practice) with postgraduate diplomas in Cape Town. My special interest is erectile dysfunction.

Cialis allows you to achieve an erection and enjoy a satisfying sexual experience. Generally, one pill per day will be sufficient to get that happy bedroom experience. Although it works best when taken just before a sexual encounter, you can take it any time of day. Even if you take it hours before things start getting hot and heavy, you don’t have to worry about getting an erection out of nowhere. Cialis kicks in when the mood is just right – it waits for you to get turned on.

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Cialis appeals to the idea of effortlessly achieving an erection at the moment a man and his partner desire, not feeling anxiety about impending sexual encounters. Cialis allows men to imagine enjoying a deeper, more fulfilling physical encounter with their partner, free of worry about erectile dysfunction. Cialis offers the opportunity for men to say good-bye to your inhibitions.
Is Cialis safe? Like any drug, it has risks. There are certain medications that can’t be used at the same time as Cialis. In particular, if you are taking any nitrate drugs for chest pain or heart problems, it can be very dangerous to also take Cialis as you can experience a sudden drop in blood pressure during sexual intercourse. You shouldn’t take it if you Adcirca or any drugs for pulmonary arterial hypertension. If you experience any tingling in your extremities or numbness, you should consult your doctor. Also, during sexual activity, if you become nauseated or dizzy, or feel any pain anywhere in your body, be sure to stop and call your doctor right away. If you have experienced a recent heart attack or stroke, or have coronary artery disease, be sure to notify your doctor before taking Cialis.
The generic name for Cialis is tadalafil. The drug works by relaxing muscles in the blood vessel walls. It increases blood flow to certain areas of the body. In addition to treating erectile dysfunction, Cialis is also used to treat benign prostatic hypertrophy, or enlarged prostate conditions. There are some common side effects. The most common are dyspepsia and headaches. Less common side effects include nasal congestion, cough, upper respiratory infections, back pain, and vision disorders or temporary blindness. These side effects were generally mild and dependent on dosage.
The drug can be taken with or without food. The recommended dosage is 2.5 mg, taken about the same time every day. Sexual activity need not be taken into account when timing the ingestion of the medication as it kicks in upon sexual arousal. It can also be prescribed to be taken as needed for cases of mild sexual erectile dysfunction. Dosage should not exceed 10 mg per day.
To purchase this drug in South Africa, visit your doctor or general practitioner to first get a recommendation on dosage amount and a prescription. Be sure to ask your doctor about risks you may have related to other medical conditions or other medication that you may be taking. You can purchase the drug online at an online pharmaceutical website such as drugs.com or pharmacy website. The drug is also called tadalafil.

Alexander Pretorius

Medical Practitioner (General Practice) with postgraduate diplomas in Cape Town. My special interest is erectile dysfunction.

People always have eventually created problems and have brought it upon themselves. Eventually they have destroyed important organs which are supposed to be performing an important life function. One such problem which has now become more common is impotence or erectile dysfunction. Basically a mas is said to have erectile dysfunction when he is not able to attain an erection irrespective of intimacy with partner or manual triggering.

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The man is not able to attain an erection which is naturally triggered by the brain which signals the blood to flow down there and make the penis erect. A wave of erectile dysfunction has spread and a shocking number of male have reported to have this problem. A whopping 18 million men in the united states have reported having this problem and this number is increasing on a high slope. The men have invited this problem upon themselves by unhealthy lifestyles like consumption of intoxicants, high level drugs, tobacco, high consumption of mint and many other consumption. The men now feel after having the problem that the warnings given were indeed true. This is a reason why a great research on the production of new triggers for attaining an erection is under place. The research has given rise to the standard Viagra in the form of tablets. But the tablets have also now been less of a popular since it gives a pure indication of the person having the problem.
The drug industry in South Africa has developed a formulation called the Kamagra Jelly, this erection attaining helper is available in jelly flavors and is a new and unique way of attainment of an erection for the people with erectile dysfunction or impotence. The drug is taken orally and gets activated in a short period of time. The jelly has Nitric oxide which is the brains behind the triggering of the erection. The Nitric Oxide allows the blood to flow to the penis and gives the man the erection he always desired. Sildenafil is a major component of this jelly. The formulation is said to have very light side effects and is not very prominent. The big effects are rare to occur and in order to properly avoid any uninvited problems or reactions the person needs to properly inform the doctor of the medications he is currently consuming and the problems he has.

The drug is unsafe for women and is to be kept far from children. The product is sold online on famous drug selling websites in South Africa and even in drug shops. Nitrates have a bad reaction with this drug so proper care must be taken for that.
The drug is a unique formulation which is now being used commonly. The drug is to be consumed when needed and no specific dosage days are said by the company. Men these days do not take care of their health and often fall prey to big problems like these. One must always take care and always take the warnings seriously. A drug is something which gives a hope to men who lose faith in their problems and often fall into depression. Kamagra jelly indeed saves many problems in relationships and helps men have a great sex life.

Alexander Pretorius

Medical Practitioner (General Practice) with postgraduate diplomas in Cape Town. My special interest is erectile dysfunction.

Viagra is a drug for treating pulmonary arterial hypertension and erectile dysfunction. Another name of this drugs is sildenafil citrate and Revatio which is also known as the brand name of viagra. Viagra founded by great Britain scientists, which was launched by US pharmaceutical company in the market.

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Which is hit the market in past 30 years. Viagra was designed for pectoris of hypertension and angina . It’s main side effects are headaches, hearing loss, impaired vision, increased intraocular pressure and dyspepsia. If you are suffering from kidney disease should not take viagra. Some people use Viagra recreationally, although it is not thought to have any benefit in people without penile dysfunction.
 Viagra’s chemicsl formula is C22H30N8O4S.
Viagra mainly uses for the controls blood flow to the penis, which is inhibiting an enzyme work that delays degradation of cGMP. That means Viagra uses for a specific part (areas) of the body, which relaxes muscles found in the walls of blood vessels. This drug helps to people’s changed their life.
Please contact doctors before taking Viagra while you are taking another medicine. Because some medicine can cause dangerous effects on human boady when we are using viagra with other medicine. It is advisable that do not take viagra if you are taking any of nitrate drug for quare chest pain and you are suffurind any kind of heart problems, which also includes nitroglycerin,isosorbide dinitrate, isosorbide mononitrate.
Many types of research show that when some kinds of viagra and sildenafil are taken with nitrate medicine, sudden decrease of blood pressure which causes serious health problem also.
Diasiadable Dose of Viagra:
Patient able to take one pill of viagra in a one day, between 30 minutes to 1 hour before sexual intercourse. Which is available in the market with the different ranges of doses between 25-100 milligrams pills.
When a patient takes other types of viagra like Revatio can take three times a day.

Effects of Viagra:
Less common effects of drug viagra are Bladder pain, burning feeling in the chest or stomach, burning, crawling, itching, numbness, prickling, “pins and needles”, or tingling feelings, cloudy or bloody urine, dizziness, increased frequency of urination, indigestion, pain on urination, stomach upset, and tenderness in the stomach area.
Common side effects of viagra drug are headaches, nasal congestion, impaired vision, photophobia, dyspepsia, visual disturbance and cyanopsia.
Rare effects of viagra drug are Abnormal vision, anxiety, behavior change similar to drunkenness, bleeding of the eye, blurred vision, bone pain, breast enlargement, chest pain, chills, cold sweats, confusion, convulsions (seizures), cool and pale skin, deafness or hearing loss, the decrease in the amount of urine or the frequency of urination, the decreased vision, difficulty in concentrating, dizziness or lightheadedness, especially when getting up suddenly from a lying or sitting position, double vision, drowsiness, fill dryness on eyes and mouth, redness, scaling, or peeling of the skin, excessive hunger, eye pain, fainting or faintness, fast, irregular, or pounding heartbeat, the feeling of something in the eye, fever or chills, a headache (severe or continuing), the increase in the size of the pupil, increased sweating, increased thirst, lower back or side pain, migraine headache, nausea (severe or continuing), nervousness, nightmares, numbness of the hands, painful, swollen joints, prolonged, painful erection of penis,

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Alexander Pretorius

Medical Practitioner (General Practice) with postgraduate diplomas in Cape Town. My special interest is erectile dysfunction.

Erectile dysfunction is the consistent or recurrent inability to acquire or sustain an erection that is sufficient enough for the duration of sexual intercourse. As men age, they have lower testosterone levels and decreased blood flow to the male sexual organ. The prevalence of erectile dysfunction increases with age with nearly 40% of all men at the age of 70 having the problem. There are many factors that are associated with erectile dysfunction such as being overweight and less active.

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People who engage in healthier behaviors and maintain an ideal BMI have a lower prevalence of erectile dysfunction than the other subset. Believe it or not, Frequency of sexual encounters can also influence the onset of erectile dysfunction. Studies have shown that men who engage in sexual intercourse less than once per week were twice as likely to develop erectile dysfunction. The best predictor of erectile dysfunction is the man’s other medical comorbidities. Diabetes, a disorder associated with poor metabolism of sugar, and cardiovascular disease such as hypertension are some of the strongest predictors of whether a man will develop erectile dysfunction. Close to 60% of men with cardiovascular disease will develop erectile dysfunction within 5 years. A person with Diabetes is at a significantly higher risk for developing erectile dysfunction earlier due to damage of the neural pathways from poor glycemic control. When the neural pathways are damaged, this damage results in decreased blood flow to the male sexual organ. Other causes include psychogenic disorders such as depression. Bad habits such as smoking and excessive drinking can cause erectile dysfunction with tobacco use being one of the strongest causes. Other less common causes include neurogenic forms such as stroke, spinal cord injury or other organic brain disorders. Finally, there are multiple drugs that can contribute to erectile dysfunction such as antidepressants as well as antihypertensive.

There are multiple treatment options for erectile dysfunction. One of the most common treatments and a very successful pharmaceutical is Cialis. Cialis is a Phosphodiesterase-5 inhibitor and is considered first line treatment. Cialis is the first line treatment because it is easy to use, has a rapid onset, has few side effects and is very effective in treating erectile dysfunction so men can perform during sexual intercourse the way they would like to. Cialis, generically known as Tadalafil, acts by inhibiting the Phosphodiesterase enzyme which results in increased nitric oxide induced vasodilation. This increased vasodilation allows for more blood flow wich results in an increase in the number and duration of erections in men. Cialis is unique in that it is also FDA approved for the treatment of BPH. It should be noted that these changes will not work without a sufficient environmental and psychological cues from sufficient sexual arousal and stimulation. In other words, you won’t just get a random erection without some sort of stimulation to jump start the process. For the few men that Cialis is not effective, there are still other treatment options for men.

Although Cialis is the easiest form of treatment, second line therapies such as vacuum assisted device and intra-urethral suppositories can be very effective treatments as well. Finally, surgical options such as penile prostheses exist for men who do not respond to any treatments.

Alexander Pretorius

Medical Practitioner (General Practice) with postgraduate diplomas in Cape Town. My special interest is erectile dysfunction.