Viagra pills wholesale

The greater a man’s ability to produce erections before the procedure, the more likely he is to keep or regain it after the procedure. If both bundles of nerves responsible for erections are sufficiently damaged, it may no longer be possible for a man to have spontaneous erections without the aid of devices or medications that assist the bodily viagra pharmacy cost process. (For more information about remedies for ED after having a prostatectomy, see treatment.) Diagnosis of erectile dysfunction.

The first step in treating ED is getting a diagnosis of the root cause by visiting a doctor, who will typically begin with questions regarding: [13] The symptoms experienced The length of time symptoms have been present General physical and mental health Levels of alcohol and drug intake Whether any other medication is also being taken.

It may also be necessary for a person to answer questions about their sex life. These may include: Details of current and past sexual relationships Information about sexual orientation Whether the dysfunction occurs all the time, intermittently or only in certain situations Whether ejaculation is possible Libido, i.e. As narrowed blood vessels are the most common cause of erectile dysfunction, a doctor will usually examine a person’s cardiovascular condition as part of the diagnosis.

This may involve testing for high blood pressure, checking for heart irregularities, as well as evaluating their weight or overall level of health. Blood tests may also be ordered to check for underlying medical conditions that may be causing the condition. In most cases, doctors will be able to suggest and prescribe viagra pills wholesale treatment options.

Treatment methods will depend on the underlying cause of the problem, meaning the chosen

method

Common treatment options for erectile dysfunction include: Treatment of underlying conditions.

If an underlying condition is causing erectile dysfunction, treating it will generally be the first step towards resolving erectile dysfunction. If medications used to treat other conditions are thought to be causing erectile dysfunction, a doctor may be able to prescribe alternatives. [14] Good to know: Use of prescribed medication should never be discontinued without supervision by a doctor. A range of lifestyle changes can help treat erectile dysfunction, including: Losing weight Reducing stress Quitting smoking Reducing alcohol and drug intake or giving them up completely Getting regular exercise. There are a number of exercises that may help to treat ED. These include: Pelvic floor exercises: Exercises designed to strengthen the pelvic floor muscles, such as Kegel exercises, can be effective in treating or preventing erectile dysfunction. Yoga: Can be effective in reducing stress and anxiety, psychological problems that can cause erectile dysfunction. Swimming: A good exercise for improving overall health, which can in turn help treat erectile dysfunction. Counseling, sex therapy and relationship counseling. If stress, anxiety or depression are causing erectile dysfunction, counseling may be an effective treatment. If relationship issues are the cause, some form of sex therapy or relationship counseling may prove successful.

Sensate focus, a type of sex therapy, focuses on building intimacy between partners.

It involves totally abstaining from sex and intimate touching for a set period of time, then gradually reintroducing it. The method can be effective in overcoming the psychological issues behind erectile dysfunction.

[15] Relationship counseling, in which partners are prompted to explore the physical and psychological issues behind their sexual problems, may also be an effective method of overcoming erectile dysfunction.

Partners are encouraged to become more aware of each other’s needs, allowing them to reach a solution which works for them both.

Oral medications which are used to treat erectile dysfunction come in the form of tablets or pills. The drugs most commonly used to treat ED are called phosphodiesterase-5 (PDE-5) inhibitors. These medications work by counteracting phosphodiesterase-5 (PDE-5), a chemical naturally occurring in the body, thereby increasing blood flow to the penis during sexual stimulation. PDE-5 inhibitors are the most commonly prescribed medication for treating erectile dysfunction.

The most common types are: Sildenafil: Brand name, ViagraВ® Tadalafil: Brand name, Cialis Vardenafil: Brand name, Levitra Avanafil: Brand name, Spedra. These medications work by artificially dilating the blood vessels in the penis, enabling improved blood flow.

The effects of tadalafil last for up to 36 hours, while the other three varieties generally last for around 10 hours.

Each should be taken 30 fake prescription for viagra to 60 minutes before engaging in sexual activity and will only take effect when one is sexually aroused. [14] A doctor will be able to advise about which type of PDE-5 is most suitable for each person and the health risks and side effects that come with them. Good to know: Following a prostatectomy, if one, rather than both, sets of the nerve bundles responsible for erections has been damaged (a unilateral nerve-sparing prostatectomy), it is possible to use PDE-5 inhibitors to stimulate an erection.

[16] PDE-5 inhibitors are associated with several side-effects including headaches, a runny nose, hot flushes, an upset stomach and light sensitivity.

In some cases, they can cause more severe vision problems: a temporary or permanent blindness which may be a sign of non–arteritic anterior ischemic optic neuropathy (NAION).

This eye condition has been viagra pills wholesale linked to all brands of PDE-5 inhibitors. Recent research indicates that there is an approximate two-fold increase in the risk of NAION in men over 50 who have recently used PDE-5 inhibitors, compared to those who have not. [16] However, the overall risk of PDE-5 inhibitors causing NAION is low, with a risk estimate of 2.27 percent in a 30 day period and 3.52 percent in a 12 month period.

[17] PDE-5 inhibitors are not recommended for people who have already been affected by NAION, or who have a family history of retinal degenerative disorders.

These medications are also known to react with nitrate-containing drugs used to treat heart disease, so it is important to discuss possible interactions with the doctor in cases where PDE-5 inhibitors may be taken in combination with other medications, especially heart medications.

An efficient medication for assisting erectile viagra pills wholesale function is thought to be alprostadil, a man-made version of prostaglandin E1, a substance naturally made in the body to help produce erections.

Generally, due to the fact that it is a relatively new treatment with limited safety data, alprostadil will only be prescribed if other treatments, including counseling, lifestyle changes and PDE-5 inhibitors, have been ineffective or are unsuitable. It is administered in three main forms: [18] As an injection, directly into the base of the penis As a small pellet, which is placed into the urethra, i.e. the opening on the tip of the penis As a topical cream, applied to the urethra. Doctors will advise on which form of alprostadil should be used and give instructions on how to properly administer it at home.

After application, an erection can usually be achieved in around 15 minutes. Alprostadil has significantly fewer and less severe side effects than most oral medications which can be used to treat erectile dysfunction.

It works by widening the blood vessels and increasing the blood flow to the penis, causing an erection. If side effects occur, these are usually non-serious and are limited to prolonged erections, pain and dizziness. [19] Another advantage of Alprostadil is that the dosage can be adjusted to determine the duration of an erection.

A commonly prescribed topical medication for ED is VitarosВ©, a prescription medicine in the form of a cream, containing the active ingredient alprostadil.

[7] Vitaros comes in a single-use container with a plunger, barrel and protective cap, containing either 200 or 300 micrograms of alprostadil in 100 mg of cream.

[8] The appropriate dose strength for each person is decided in consultation with their doctor.

Storage and application guidelines for VitarosВ© include: [9] Vitaros should be stored in the fridge, but can be taken out before use in order to reach room temperature for ease of application.

If it is taken directly out of the fridge, it may need to be warmed up for use by massaging the tube in one’s hands. Urination after application will result in cream being expelled from the urethra, lessening its erectile effects.

Each tube of Vitaros contains the right amount of medication for a single dose, which should be applied, with clean hands by injecting it into the urethra, using the single-use applicator pump provided.

The penis should then be kept upright for 30 seconds so that the cream can be absorbed.

Any leftover cream can be rubbed in around the tip. Vitaros will usually take effect in 5-30 minutes after application.

It is not an aphrodisiac, and sexual stimulation will therefore be necessary to achieve an erection.

For most people, the effects last between one and two hours.