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If not previously done, some basic studies should be considered to identify unrecognized systemic conditions that may predispose to erectile dysfunction. These include a complete blood count, urinalysis, renal function, lipid profile, fasting blood sugar, and thyroid function. Hormone testing for prolactin and testosterone the male hormone should be done. Erectile Dysfunction can be Psychogenic, Neurogenic or Vasculogenic. In order to identify a potential cause, a Penile Doppler Ultrasound testing is often employed. As ED is due to vasculogenic reasons in 50-70% individuals, the test serves to identify arterial or venous abnormalities which contribute to the same. The test is done by injecting a small quantity say 2ml of vasodialting agent such as Papaverine into the cavernosa. The Peak Systolic Velocity and The End Diastolic Velocities are noted.
Unfortunately, Viagra doesn’t make you invincible from “whiskey dick.” Alcohol is a depressant that affects every system in the body, including those that work to produce an erection. Booze can worsen the symptoms of ED; so can illicit drugs and marijuana. Chronic heavy drinking can damage the liver, heart, and nerves and reduce testosterone—all of which can lead to ED. Not giving it long enough to work : Take Viagra one to four hours before sexual activity. If you take it sooner than one hour before you have sex, it might not lead to an erection that’s as firm or long-lasting as you’d like. Talk with a healthcare provider about a safe starting dose or before you change your dose.
Here are some of the factors that could diminish the libido for women: hormonal imbalances: the period preceding menopause, can cause hormonal changes that will lead to a marked lack of interest in sexual activity. There may also be discomforts that occur during sexual contact due to decreased ability of vaginal tissues to lubricate the area. Depression and chronic stress: When you feel depressed or stressed, your libido can decrease greatly.
Sexual concerns in young men – PDE5’s are not the answer! Most young unmarried men especially in India , do not need pills like Viagra ! They need reassurance and positive feedback saying that they are normal . It is important to query the physicians about possible side effects before commencing treatment! To sum up, most young men do not need PDE5 inhibitors ! It is essential to get evaluated before commencing treatment ! It is imperative that the lowest possible dose is started first ! Finally, I would put these men on micronutrients and antioxidants which go a long way in maintaining general well being without the potential side effects of other pills. Find even more info at InstaDocNow.
Don’t Give Up: Viagra may not work the first time you take it. This is not the case for most people, but it is perfectly normal for the drug not to work after the first few attempts. It can actually take up to six attempts for Viagra to get into your system and exert its full effect. If you feel like it’s not working early on, try it a few more times before turning to an alternative. Buy from a Registered Pharmacy: Buying Viagra (or its generic form sildenafil) from a reputable source is a must.