Why the mechanism erection so is sensitive to external influence?

Infringements erection to some extent there was everyone the man, even some times in the life. This frustration can arise at absolutely healthy men after acceptance of significant dozes of alcohol, reception of some medical preparations, narcotic substances, and, at last, simply weariness or a nervous pressure.

Why the mechanism erection so is sensitive to external influence?

The matter is that erection represents hydraulic system, that is arises when the volume flow in a penis of arterial blood to become more, than volume flowing venous. It is realized due to a special structure of vessels of a penis.

First, on each vein in a penis it is necessary on two arteries (analogues of such vascular structure meet at the person only in a brain).

Secondly, unlike other parts of a body of the person the wall of veins of a penis has a muscular layer that allows, reducing diameter of veins to reduce outflow of blood from a penis.

Despite of a seeming simplicity this mechanism has multistage system of regulation.

She begins with a brain where start erection (at occurrence adequate irritator) is formed.

It is natural, that at psychological problems and the infringements of a brain caused by the organic reasons (tumours, traumas, haemorrhages), and also toxic action of various substances on a brain this reaction is deformed.

Normal vascular reaction is supervised by departments of a spinal cord, and the centers which are responsible erection and ejaculation, are separated. These centers provide synchronism of vascular reaction (a spasm of veins and expansion of arteries).

Therefore at various defeats of a spinal cord there are frustration erection. In clinics spend diagnostics of similar infringements the psychologist, the neuropathologist and the doctor - andrologist with an opportunity of application of the advanced methods of research spend.

At last, the major value has a level of blood supply of a penis (absence of atherosclerotic changes of bringing vessels, blood clots, etc.). Also parameters of arterial pressure (at a hypotonia, and also reception hypotensive preparations, the level erection considerably decreases) have important value.

The condition cavernous bodies of a penis provides an opportunity of filling with blood of a penis.

Infringements are possible at illness Peyronie (when there is a curvature of a penis) or when the fabric cavernous bodies is condensed, loses elasticity and cannot contain necessary volume of blood.

The hormonal system of the man under influence of stresses and age changes also renders huge negative influence both on desire of the man, and on a level erection. Skilled doctors endocrinology together with andrologists can lead inspection of the hormonal status and will reveal possible infringements.

And to understand this variety of problems and to solve her once and for all consultation of the doctor andrologist which after detailed inquiry and survey will define further tactics of diagnostics and treatment, certainly, is necessary.

Erectile dysfunction is transferred by right of succession

Recently there was a message on genetic predisposition in development erectile dysfunctions (ED). On an example of the Taiwan men eNOS G894T which influenced not only presence, but also the gene has been allocated for weight erectile dysfunctions.

At research 151 patients with ED and 77 healthy volunteers, have been revealed, that development of a pathology was influenced with a diabetes, age and hypogonadism. Middle age of patients has made 58.6 years. Prevalence ED at men with a gene eNOS G894T much more exceeded those at other men. So she was diagnosed for 80 % of patients with presence of the given gene and at 63.3 % of patients without this gene. Also at carriers of a gene eNOS 894T a score it was authentic below, than at his absence (13.2 and 15.7 accordingly). Thus, have been received that acknowledgement, that ED it is connected with a genotype of men, in particular a gene eNOS 894T in the Taiwan population.

Poison of spiders

Researchers from Medical college of state of Georgia managed to allocate from poison of spiders the substance increasing erection, but working differently, than Viagra.

The Brazilian physicians for a long time know, that the sting of Brazilian spider Phoneutria nigriventer results not only in a pain and increase of pressure, but also to long erection at patients. The American scientists managed to allocate a component of poison of a spider which is responsible for this phenomenon. The new substance which is being peptide, has been tested on rats in whom it caused increase in a blood pressure in a genital and erection. Besides it caused increase in concentration oxide nitrogen in cavernous bodies of a penis.

The mechanism of action of substance differs from the mechanism of action of Viagra. Usually sexual excitation causes allocation by the certain nervous cells oxide nitrogen which, in turn, causes allocation so-called cGMP. This substance allows to be filled with blood cavernous to the bodies going along a penis that causes erection.

At this time the penis can contain in 10 times more blood. Nevertheless, erection lasts not eternally - there is an allocation of other substance - PDE-5 which splits cGMP, that reduces erection.

It is known, that such preparations as Viagra, block action cGMP - "brakes" erection. It has appeared, that the substance from poison of a spider acts on earlier part - it increases concentration oxide nitrogen in nervous cells.

However, it is known also, that about third of men are not susceptible to the tablets raising a potentiality. Probably, business in shortage testosterone - a man's sexual hormone on which sexual function and a sexual inclination depends.

After forty years in an organism of the man the quantity testosterone starts to decrease. Sometimes there is enough small "refuelling" testosterone, and man's successes go upwards in the most appreciable image. Today there is a convenient and simple way to restore a level testosterone.

Besides to the men testing deterioration of sex, it is recommended to pass deeper check of "man's" health. For example, the simple test on ultrasonic doppler will show, whether the problem is connected with deterioration of passableness of vessels. Now there are many means which can give disposable result, but thus the reason of a condition will not be eliminated also illness will continue the development. Advice of the skilled sexologist is rather useful before experimenting reception of any tablets.

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Main feature Cialis is that he restores ability of the man to erection during till 36 o'clock. Thus it is important to note, that erection arises only at sexual excitation. It will allow pairs to not plan the sexual attitudes and to not refuse a habitual rhythm of a life. It is possible to accept, for example, a tablet in the morning, and on appointment to go in the evening.

Researches have shown, that action Cialis does not depend in any way on alcohol and a nourishing supper. However, it is necessary to note, alcohol in big dozes in itself negatively influences on erection and besides abusing alcohol can become the reason erectile dysfunction.

Now Cialis — unique inhibitor phosphodiesterase-5, restoring ability to erection at 36 o'clock. As well as for all preparations of this class, for example Viagra, contra-indication for Cialis is joint application with the nitrates used at therapy of cardiovascular diseases.

Today the order 150 million men problems with erection all over the world have. In opinion of experts, use Cialis will help them to cope with this problem and to adjust a normal sexual life. Undoubtedly, occurrence of a new highly effective preparation will force many men to begin treatment.

Results of 5 clinical researches Cialis have been presented to the doctors. 1 112 men have participated in them in the age of from 22 till 82 years with erectile dysfunction of a various degree of weight. The preparation has shown high efficiency at patients of all age.

Buy Levitra

Levitra (Vardenafil) — a new preparation for elimination erectile dysfunctions, so-called «Packing with a spark».

Erectile functions ("weakness" of a penis) reveal infringement at millions men worldwide, that rather actually and causes popularity and the importance of preparations for her restoration. According to the WHO, prevalence erectile dysfunction in the world — 52 % among men are more senior than 40 years. According to various researches, now treatment receive nearby 200000 — 500000 person. Every year the number of the men, suffering frustration erectile functions, steadily grows. The problem consists that men do not give sufficient attention to the sexual health. The output on the market of preparations for treatment erectile has allowed to draw of dysfunction attention to a problem and to increase quantity of men which search for her decision.

In the world pharmaceutical market three original preparations applied at infringements erection are presented: Viagra of manufacture of company " Pfizer" (for a long time it is known to consumers as in the USA, and the countries of the Europe), Cialis manufactures of the company «Ales Lille» (has appeared in the market in the end 2003) and Levitra (Vardenafil) — a new preparation is made by German pharmaceutical concern "Bayer"

Cialis and Levitra work by one principle with Viagra and have more similarities to her, than distinctions — have peripheral an effect on erection. All three preparations possess the similar mechanism of action which is caused by specific blocking phosphodiesterase type 5, which greatest quantity contains in cavernous a body of a penis. As a result of blocking this enzyme collects cyclic guanosine monophosphate, that leads to a relaxation of smooth muscles in cavernous a body of a penis. Consequence of this is inflow of blood to fabrics of a penis, as causes erection.

Manufacturers Cialis see his advantage that he works longer (till 36 o'clock) in comparison with Viagra (4 - 5 hours). Levitra starts to work much more quickly, than preparations-competitors.

Efficiency

Data of scientific researches of efficiency and safety Levitra are entirely confirmed by practice of her medical application.

During clinical researches the good results confirming efficiency of a preparation at application for patients with erectile dysfunction have been received. Levitra works irrespective of age, weight and the reasons of occurrence of problems with a potentiality. Action of a preparation begins in 15-25 minutes after reception and is kept within 5 hours, thus erection lasts in 20 times longer, than without a preparation. Levitra also normalizes frustration of a potentiality at a part sick of a diabetes or the transferred operations on prostatic iron, it is well combined with food and alcohol.

Efficiency and safety of preparation Levitra studied in clinical tests in which took part more than 2000 men in the age of from 20 till 83 years with erectile dysfunction. Patients received a preparation in a doze10 and 20 mg.

Efficiency of treatment by preparation Levitra defined on the basis of questionnaires, in which patients estimated the sexual status.

Instructions on batching

Preparation Levitra in the recommended doze is necessary for accepting of 10 mg for 1 h up to the coitus. At absence of a positive effect a doze raise up to 20 mg. At the patients accepting other preparations, or at the conditions, accompanied the lowered metabolism Vardenafil, the doze should make 2,5-5 mg. It is not necessary to accept a preparation more than once in day.

Special instructions, medicinal interaction

Preparation Levitra do not apply at patients with extended interval Q-T because of an opportunity of infringements of an intimate rhythm.

It is necessary to avoid combined reception of a preparation with nitrates (for example, nitroglycerine) or preparations for treatment good-quality postatrophic prostatic hypertrophy and-or decrease in arterial pressure as joint application with the specified preparations can lead to sharp decrease in arterial pressure and a collapse.

Some medical products can influence metabolism Levitra in this connection patients should consult to the doctor in case of purpose (assignment, destination) of a new medical product as him. For example, for the patients accepting erythromycin, as much as possible admissible doze Levitra makes 5 mg.

Contra-indications

Preparation Levitra is not recommended to application for patients to which sexual activity in connection with diseases of cardiovascular system is counter-indicative. The preparation also is counter-indicative to the persons who have transferred during last 6 month heart attack of a myocardium, with very low level of arterial pressure, uncontrollable increase of arterial pressure, an astable stenocardia, a heavy degree of hepatic insufficiency, a terminal stage renal insufficiency.

Collateral reactions

At carrying out of clinical tests of preparation Levitra by most often marked collateral reactions there was a headache, a rhinitis, rushes of blood, infringements of digestion. In 2 % of cases the dizziness was observed; at a small amount of patients — infringements of sight.

The form of release

Levitra is issued in dosages 10 and 20 mg.

How to kindle fire of love

There is an opinion, that for the woman sex is not so important and obligatory component of a life, as for the man. However practice shows, that this cardinal error. Simply female sexuality essentially differs from man's. In her erotic components of an inclination are much more expressed. What does it mean? Yes much greater value is simple for the woman have the certain social and situational attributes of love. It knows everyone, however, the majority knowing – especially it concerns to men – carry this female feature of sexual behaviour on the invoice of certain ridiculous and almost silly strangeness. Also do a big mistake. Not having given the woman to a prelude necessary for it, whether it is necessary to expect the bright, saturated intimate life?

Recently researches of a sexual life have allowed scientists to make opening, so sensational, however and depressing: the female dissatisfaction in marriage reaches 80% and more. Such situation is especially sad, that ability of a fine floor to enjoy sex immeasurably above, than at men. It quite a fact in evidence. So it is necessary for the woman that her remarkable talents of the woman of easy virtue that and in family bed she amazed favourite with inexhaustible imagination, tenderness, passion have revealed all?

We already spoke that the woman is especially susceptible to a situational making intimate meeting. It means, that the woman – dreamer. To her a variety of places of a meeting, occasions and circumstances which would arrange her intimate meeting is important. This precious frame does an intimate episode completed just as successfully picked up frame does completed a picturesque cloth.

It is not necessary to be surprised, that to the woman sex under the schedule, each time – on family has bored a box. She would like, that her favourite always and everywhere clung to her and was ready to answer her appeal, not waiting programmed «hour of love». Women seldom tell about the dreams as to speak about female sexuality and female desires in a society till now it is not accepted.

So, the woman is attracted with the spontaneous sex which has been "not earthed" for certain time and a scene of action. Whether such requirements are excessive and not clear for her partner? By no means. It appears, for men spontaneity also is one of the basic criteria of the high-grade and sated intimate life. In the largest international research devoted of man's sexuality, 70 % of all men have noted importance of spontaneity. And the desire of spontaneous, passionate attitudes reached a maximum in age group «30 years and is more senior».

However modern to the man such constant readiness is given uneasy, in fact she demands a pressure of physical and sincere forces, and also – at least – a good potentiality. And our mad rate of a life, stresses, bad ecology, unfortunately, form the whole army of completely not old men testing certain problems with a potentiality. We have collided with the unsoluble contradiction? Certainly, no.

If you answer desire of a passionate and various intimate life the confused half-words, probably, you should talk with doctor or - than that is easier - to ask in a drugstore about "Packing with a spark" (Levitra). Modern, last set of the international tests the method not only will return to you former determination and confidence of the forces. He will allow intimate relations to be spontaneous and various – in fact you will feel natural effect in 10 minutes. And one more important fact: an intimate supper with a glass of easy wine to refuse it is not necessary. After a joint meal efficiency of a method will not decrease at all.

How to speak about it with the partner

- The main thing, that you should remember, beginning difficult conversation with the woman about it, - Game is worth the candle. You can be helped

Only the expert can answer all questions, give professional advice in occasion of your health and appoint necessary treatment. Consultation of the doctor is necessary also if it is a question of medical products. The doctor - a unique and best source of the information.

Unfortunately, erectile dysfunction - not the easiest theme for conversation. It is clear, that the men, faced the given problem, become reserved, lost, do not know, how about it to tell, even run into depression. But to shelve the decision of this question it is impossible - you risk the health. In fact man in the world does not wish to learn any once, that it the impotent man. Let's look to a problem directly to face!

Some men, years not had healthy sexual attitudes, even cannot think again to borrow in sex. And what to speak about discussing this question with the partner. But to speak it is necessary! Also it is not necessary to hesitate of it. Simply remember, that renewal of sexual attitudes demands time and patience, and you can cope with it together.

It is very important to not keep away from your partner if you have felt some problems with erection. Any questions are necessary for discussing with each other. Certainly, to speak with someone, including your partner, about such personal questions - it is very uneasy. We in many respects perceive our sexuality as due. It is no wonder, that when you start to test easing of sexual function, you have a weight not clear, and frequently, unpleasant sensations.

Unfortunately, occurrence of disturbing symptoms often lead to the further deterioration of dialogue with the partner. Eventually, if dialogue is not adjusted, the sexual life comes to naught. Therefore the conclusion is simple - tell about erectile dysfunctions to the partner. Only together you win this problem.

To the woman it is important not only, and sometimes and not so much your success in bed. First of all, the opportunity to return heat and sincerity of attitudes which are often lost during sexual disharmony is necessary to it. Do not hesitate to ask about support is that case when the similar request will not drop you in its eyes.

Begin conversation phrases of type:

• Dear, I am going to consult with the doctor in occasion of that occurs. It is assured, to us can help, but me very important your opinion.
• You know, apparently, to me the help is required to return our attitudes in a former channel. How you consider, it is possible?
• I worked so much and so is tired recently, that hardly I can cope with a problem itself. Heard, there are the good means, capable to help with such situation, - you not in a rate?

Do not doubt - the woman will quickly intercept the initiative in conversation, and you will need to nod and agree only. Employment, can, and not too habitual, but fruitful from the point of view of an establishment of emotional contact.

Treatment erectile dysfunction

Now erectile dysfunction well gives in to treatment. There are various variants of treatment.

Pills
Inhibitor phosphodiesterase 5 types
Treatment erectile dysfunctions only not so long ago became successful, highly effective and convenient. It has occured in 1998 when the unique class of pills Inhibitor phosphodiesterase 5 types has been opened. It has made really revolution in treatment of man's sexual infringements and first of all erectile dysfunctions. To the scientists who have opened properties of this class of preparations, it was possible to understand physiology erection, to establish the reasons of occurrence erectile infringements and to find out the mechanism of action of these preparations. For it, they had been received the Nobel Prize.

These preparations differ:
Convenience of reception
It is pills which are accepted by the man up to the coitus - for 10 - 40 minutes. Reception peep also a glass of wine do not influence the beginning of action and efficiency of preparations.

Naturalness of the action
Preparations improve and stabilize erection only during sexual excitation of the man and help it to finish the coitus successfully. Thus erection lasts exactly so much, how many it is necessary for the man for successful end of the coitus. They also allow to reduce some time for restoration of forces after the first lead coitus up to the following. Sexual excitation of the man defines presence and force erection, therefore action of this class of preparations absolutely natural.

High efficiency
The effect is reached at 8-9 men from 10. Eventually the effect is kept, accustoming does not develop. All these preparations have passed numerous international clinical researches in the world both their efficiency and safety is proved.

Safety
Preparations of this class are well transferred.

It is important to know, that it prescription preparations Therefore for their purpose is necessary to consult with the doctor: it knows your case record, and together you can define, whether these pills approach you. For example, it is impossible to accept these preparations simultaneously with nitrates as that the nitroglycerine applied at a stenocardia, with care it is necessary to apply the preparations concerning a class an alpha-blockers for treatment of an adenoma prostate gland.

Other methods of treatment
Injections concern to other methods of treatment ED in a penis, vacuum adaptations. They are less widespread because of their inconvenience and morbidity. Injections are used, mainly, for the diagnostic purposes. Caused by them erection arises quickly, does not depend on sexual excitation and lasts about 2 hours.

Vacuum devices
By means of the special tube which are put on a penis, low pressure is created, and blood is soaked up in a penis. The ring is put on the basis of a penis to keep erection.

Surgical methods of treatment demand highly professional approach from the doctor-surgeon having experience of such operations. It can be operations on veins at varicose expansion of veins of a small basin when maintenance adequate erection during coitus suffers first of all. Except for that at heavy forms erectile dysfunctions when replacement normal cavernous fabrics of a penis on connecting as the extreme measure, is used prosthetics develops. Consultation of the doctor-expert and choice of the medical center has prime value in such cases.

The reasons ED

-Some men consider, that erectile dysfunction is an integral part of ageing.

Erectile dysfunction is caused usually with other diseases, medicines or the habits negatively influencing blood circulation. Some of these problems with health have property to be shown in process of ageing the man, but the age is not reason ED.

What were your reason ED, you are not lonely. At more 152 million men the same symptoms as well as at you worldwide are observed.

Erectile dysfunction it is possible to cure. The list of ways of treatment constantly grows, and recently it has replenished new - effective and simple in use. Talk to the doctor to learn more about this new way of treatment.

The mechanism of occurrence erection
So, before to start discussion erectile dysfunction, let's consider in detail, what there is during erection in the physiological plan, what its mechanism?

In a quiet condition a penis soft. Muscles of a penis are in a tone, supporting a penis in the weakened condition.

But here in a brain the erotic impulse acts. It can be viewing of a telecast of the corresponding maintenance, tender embraces of a beloved, stimulation of a genital, sexual imaginations and other, down to vibration during a trip on transport. Neuroendocrine signals from a brain activate independent kernels of the spinal centers erection which send a nervous impulse to fabrics cavernous body. The smooth muscles of a penis relax, there is an expansion of feeding arteries, blood fills cavernous bodies - comes erection. Increased at a rate of a cavity squeeze adjoining veins, interfering with outflow of blood - the penis hardens and increases at a rate of, now it can be entered into a vagina. Sexual excitation is accompanied by emission of a man's hormone - testosterone, increase of breath, increase in volume of circulating blood.

As we see, erection - result of complex interaction nervous, blood and endokrines systems. If work of an organism as a whole is broken - the blood-groove worsens, for any reason badly pass nervous impulses, there is a failure of hormonal balance is can serve as the reason of occurrence of problems with erection. In each concrete case only the detailed conversation with the attending physician will help to establish true reason ED and to choose strategy of treatment.

Problems with health
The healthy way of life - an eutrophy, the regular physical exercises, the moderate use of alcohol and refusal of smoking - can help to keep to you the sexual health.

Why? Because such problems with health as a diabetes, illnesses of heart and a high blood pressure complicate your blood circulation, harming to vessels, nerves, smooth muscles or the connecting fabrics involved during occurrence and preservation erection. All actions which you will undertake for maintenance of your heart and vessels in a healthy condition, also will help you to live a healthy sexual life.

The diabetes
Often factor causing erectile dysfunction is a diabetes. Many men sick of a diabetes, suffer ED (usually at them it develops at earlier age, than at other men). Risk of development ED at the man, sick of a diabetes twice above, than at healthy.

The raised blood pressure
The raised blood pressure causes loss of elasticity and narrowing of vessels that can complicate inflow of blood to a penis and lead erectile dysfunction. Besides some medicines for the raised blood pressure also can cause erectile dysfunction.

Illnesses of heart and a high level of cholesterol
As well as the raised blood pressure, illnesses of heart and a high level of cholesterol can influence inflow of blood to a penis, that in turn, can lead erectile dysfunction. At men with diseases of heart, the risk of occurrence ED doubles.

Depression
Depression as well as stress, the alarm and fear of failure, can lead ED. At the same time, the men suffering ED for the physiological reasons, also can experience depression, stress or anxiety.

Operations on prostate gland
Radical surgical intervention at a cancer prostate is accompanied by damage of nerves and the arteries supplying a penis, and can cause complication in the form of ED.

Other problems with health
There Is a number of the diseases promoting occurrence ED:

• Diseases of kidneys
• The chronic alcoholism
• The multiple sclerosis

Habits and a way of life
Among bad habits which can cause problems with erection can be named the following:

Smoking
Smoking harms to arteries, and breaks blood circulation, that, in turn can complicate achievement and preservation erection. Smoking men should address for the help to the doctor that will get out of this habit. Stop smoking.

Abusing alcohol
While the moderate use of alcohol makes to a certain extent useful effect, abusing alcohol can lead ED. One recent research has shown, that the men used a plenty of alcoholic drinks in day, the men who were not taking alcohol are subject to higher risk of development ED, than.

The output is, it simply should be. In fact the problem of infringement of a potentiality (or, being scientifically expressed, ED) concerns too many.

The price of a victory

- Dear, I am very borrowed. I do not know, when I shall be free. I shall try more soon, but affairs simply too much …

There are such mad days: since early morning - meetings, negotiations, signing of the most crucial contract, a dinner with the client, presentation … the Continuous stream of a pressure, a life in a mode of a time trouble. You are wound on city from the end in the end, from a fuse in a fuse, continually nervously looking on hours (till appointed time remains twenty minutes … seventeen … ten …), in a head infinite names and figures turn…

Tablets " from a head " and " from a stomach " are already drunk all, but they do not help: it seems, a little more - and the event will simply be pulled out from under the control. However professionalism prevails: you and this time appear the winner. But what by?

It would not be desirable to think of it, especially to speak. As well as to any to the man, you most difficultly to admit to itself this problem. Yes, defeats in bed should be suffered and earlier. But they were perceived as time difficulties, explainable by stress, weariness, bad state of health. Besides your favourite did everything that you continued to trust in the man's force. Until recently it was possible to it, let and not without effort. Now failures occur constantly.

Some months at one idea on necessity to prove the man's solvency you throw somebody in a shiver: the concept "sex" has firmly incorporated in consciousness to a word "failure". Erection if it in general arises, some instants last, not leaving any chances of success. Deadlock? Only for those who does not wish to understand the reason.

Diagnostics

Erectile dysfunction (ED) - a problem very delicate. At times the fact of that there were symptoms ED, causes fear. The campaign to the doctor becomes complicated uncertainty that will occur on reception. I shall try to dispell a few fears, having told as there is an inspection at erectile dysfunction.

For statement of the diagnosis the doctor should make the case record, inspect and, probably, you should hand over the analysis of blood. Drawing up of the case record includes set of questions which it is necessary to answer as it is possible more fairly even if it will cause awkwardness.

Survey
As passes survey. First of all the doctor will ask you about the transferred diseases. Whether there are no among them what can cause erectile dysfunction. For example, a high blood pressure, illnesses of a liver or kidneys, intimate diseases, problems with a thyroid gland or neurologic diseases.

You can direct to hand over the analysis of blood on definition:

• sugar of blood (revealing of a diabetes) level of cholesterol (revealing of increase of a level of cholesterol)
• hormones: testosterone if it is necessary hormones of a thyroid gland.

The low level testosterone also can cause a weak sexual inclination and then replaceable therapy is appointed. Unfortunately, it will not cure illness, but essentially will help with treatment. Discuss with the doctor about what a level at you testosterone and that it means.

How passes directly survey?
The doctor, most likely, will lead full survey of the patient, namely:

• Pressure and pulse with the purpose to reveal possible cardiovascular problems
• Survey of a head and a neck for check of a thyroid gland, lymph nodes and eyes
• The thorax for check of work of lungs and hearts.
• Stomach to check up a liver and kidneys
• Genitals for revealing possible problems with a penis or testicle and for check of other sexual attributes, for example, hair on pubes.
• Sensitivity of a penis and reflexes.

What will be then?
The Case record is made, survey is lead, now it will be a question of methods of treatment and, probably, recommendations on change of a way of life. It is desirable, that your partner too was present. Treatment will be more effective if you and your partner will understand a problem and together to work above its decision.

Conversation with the doctor

In the event that you are not satisfied by quality erection and the most important, that it is necessary to make the first, - to receive the full information on possible variants of treatment erectile dysfunction (ED) on consultation at the expert.
The doctor will help you to cope with feeling of confusion which can arise in the given situation, and will tell about existing methods of treatment. On consultation you learn the additional information about erectile dysfunction and the factors influencing quality erection. The duly reference to the doctor will increase your chances of successful treatment.
My advice placed in given clause, will help to understand how correctly to approach to this question and to begin conversation on reception at the doctor. I have prepared variants of questions which the expert can set to you, and some recommendations how to keep up the conversation with the doctor.

The personal doctor or any other doctor is a unique and best source of the information on yours health. If there are any questions, concerning definitions of the diagnosis, treatment of disease and purpose of medicines, address all of them to the expert. In that the sexual life was adjusted, you are interested first of all. It is not necessary to postpone visit to the doctor even if you test awkwardness from not the most pleasant conversation with the doctor. Often there is a number of preconditions for development ED, and fair conversation on them with the doctor is very important. It will help to find pleasures of an intimate life again.

What to me to tell?
Can seem strange enough to have a conversation about your sexual life with the extraneous person, for example with the doctor. But in this case it is necessary and to hesitate necessary of nothing. Who knows the expert about this problem and methods of its treatment better. Most likely, your doctor heard similar things from very many patients during the professional work. So, what to you to tell?
In the best way will tell directly and simply to the doctor, that you wish to discuss your sexual problems. From the very beginning inform it, that you feel. For example: "Doctor, I would like to discuss some problems in the sexual life, and I worry" a little. Or: "Doctor, I heard about erectile dysfunction much. Whether we can talk about it?". Or: "it is hard to me to speak about it, but at me problems with erection, whether we can discuss this question?" Any way of the beginning of discussion of this question is normal, but the you will be more frank, the better. The doctor - your main ally and the assistant in treatment ED.

Well, I have asked a question and that now to expect?
So, the first step is made. You have informed the doctor on the problems. Now it is important to pass to conversation on details of that occurs. Most likely, you should answer some questions, some of them can seem unusual or not concerning to a problem. Actually it not so! I offer some provisional questions which the doctor can ask you:

• How long at you this problem? (the doctor should know, whether for the first time you have faced this problem or it already existed).
• They have arisen suddenly or have appeared in due course?
• Whether you can name any event which was their reason?
• At you constantly problem with erection or only from time to time?
• Problems happen at sexual contacts to all your partners (if them a little) or only with one partner?
• Whether Is at you morning erection? (the question can seem strange, but it not so. For men it is natural to have erection during a dream and after awakening. It will allow the doctor to estimate, your problem) is how much serious.
• At you appears erection after stimulation?
• You erection is long enough for successful end of the coitus?
• Whether result your problems with erection in stress?
• Whether you suffer any of following diseases: a diabetes, illnesses of the heart, the raised blood pressure, a high level of cholesterol? (ED it is closely connected with these diseases, and sometimes ED is the first symptom).
• You accept what medicines? (there is a number of medicines which can cause ED, or aggravate problems with erection).
• Whether you feel any pain or you have a curvature a penis?
• Whether you transferred surgical intervention?
• Whether your partner in restoration of yours erectile functions is interested?

It only some examples. Also the doctor can ask about your attitudes with the partner, whether you test stress, about bad habits (smoking, the use of alcohol and drugs). Quite probably, that the doctor will ask you to fill the questionnaire which will help with the further estimation of your problem.
During all conversation be not confused, whenever possible feel comfortably. If the asked question to you has seemed inconvenient or not concerning to business, tell about it to the doctor. Probably, earlier you already passed treatment and know, that there are techniques which have not helped you. Warn the doctor about it. Too most concerns also methods of treatment which do not like you. The expert to you will tell about new ways of treatment itself. The confidential conversation with the doctor will help first of all to you, will help to learn about ED more information.

Well, we have talked. This all?
No. Further the doctor will pass to survey and diagnostics. I too shall necessarily tell about it.

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There are many people who have tried drug Viagra, but do not know, that itself this miracle tablet represents. This clause will help you to understand a principle of work of drug Viagra and to understand with the problems forcing these tablets to be most popular presently.

So, the medical product in tablets Viagra is developed by firm ' Pfizer ' and is the first pharmaceutical means accepted through a mouth in the form of tablets. Viagra proves as checked up and very effective means for the people suffering erectile dysfunction. Millions people with erectile dysfunction are rather happy and well respond about drug Viagra. For a basis and the main component of this drug such substance as Sildenafil, depending on quantity of this drug in a tablet and weights has been taken, tablets distinguish and let out in several kinds.

Viagra 25 mg
Viagra 50 mg
Viagra 100 mg

Viagra is oral means for treatment of people with erectile dysfunction; it does Viagra out of competition from not oral kinds of treatment, for example such which provide injections.

What to do with a tablet I think knows everyone though about reception of a tablet Viagra we have lighted additional section. We take tablet Viagra from packing and we wash down it before planned sexual contact. Therefore, at use of a drug "Viagra", you should be precisely assured that at you will be exact sexual contact, in fact the mechanism of action "Viagra" is simple enough, it consists that increases quantity of blood in a penis.

The increase in quantity of blood promotes to cause natural erection in the man. As to a matter of time of action Viagra it operates only when the man tests natural sexual excitation. On the termination of the coitus, the penis most naturally comes back in the standard weakened condition. In it the secret of a tablet "Viagra" also is covered - it operates only when it is necessary, in other words only during natural mechanisms of occurrence erection.

Remember, at very many men problems with erection which cause serious anxieties are marked. Absence erection frequently results both in decrease in a self-estimation and to development of depression and to even more terrible things. Very often from behind this and the similar reasons pairs will leave and attitudes between the man and the woman spoil. But in fact you not the first person who has faced the given problem to buy Viagra, not leaving at all from the house, for today not a problem.

We shall stop on the basic theses above stated:

• Viagra - oral means against erectile dysfunction.
• Sildenafil - a basis of Viagra.
• Viagra - a popular, effective and convenient drug.
• Viagra - checked up oral a drug

Except for Viagra, there are also such drugs as Cialis and Levitra which too in a condition to help and return you by a normal sexual life. I do not want, that you would think of creation VIAGRA as about creation super a drug equivalent with the first flight on the Moon with alive aliens and I do not force you to buy Viagra. My clause only for the fact-finding purposes.

Buy Viagra. Where to buy Viagra (Viagra, Sildenafil) or Cialis

Popular means from impotence Viagra and Cialis will help you with your problem, but it is necessary for you to buy Viagra or Cialis only when the penis is not poured by blood, that is there are no erection, in half and more cases. "Viagra" is a simple, convenient and easily applied drug. Popularity indoubtedly generates a competition among distributors of it a miracle of the goods. Novelty Viagra and a secret of huge popularity of this preparation generates also struggle in the market for clients. To buy Viagra it is possible in any drugstore. But struggle goes not only there, in fact to buy Viagra it is possible and in a network the Internet and to receive the order home with delivery Viagra, happens more cheaply than in a drugstore is more often. Sale of Viagra in the Internet generates also struggle for buyers in the market the Internet on which the huge share of this drug as is known is on sale. Buying online you can well save Viagra, in fact in a network there are huge celebratory and seasonal discounts on viagra online. According to statistics of search systems the most popular inquiries be viagra, buy viagra, generic viagra, buy viagra online, order viagra, cheap viagra them request more than 300 000 times a month.

Having bought Viagras and having accepted a drug you restore ability to erection during till 4 o'clock, and erection will arise during this time only at sexual excitation natural by, increasing quantities of the blood acting in your penis.

The impotence, it when to the man becomes completely inaccessible function underlying continuation of a sort naturally, that is absence erection a penis, leading to impossibility of carrying out of the coitus. There is also such concept of an impotence as extreme degree of infringement erection, - when the coitus already basically is inaccessible to the man, is clear that for such patients Viagra any more the assistant.

"Erectile Dysfunction" (ED) is the lowered quality erection - infringement erection, that leads to absence of an opportunity of carrying out of the high-grade coitus. Introduction of definition "ED" is caused by that the impotence in its usual understanding did not give a reality in the diagnosis of the doctor as there were patients at which was erection which allowed to enter a penis into a vagina, but it was insufficient on time for end of the high-grade coitus. Such people were not completely healthy, but also they cannot be named impotent men, such means is developed for such people and as Viagra. You ate feel, that at you is observed ED, it is occasion for man to address to the doctor for corresponding medical assistance and probably reception and purchase of Viagra or Cialis will rescue you from your trouble.

Struggle with erectile dysfunction on own experience

I have decided to share the experience and ideas on erectile dysfunction (ED). Here shall spread everything, that I know about this problem and I shall share own experience.
You should know, that ED easily gives in to treatment. To get rid of this condition, it is necessary for you to familiarize with the given problem and to pick up correct and reliable means of treatment. All this will allow you to return pleasure of love attitudes and to enjoy for a long time the forgotten sensations of affinity with favourite.

For the first time this problem has started to excite me in 45 years. First, as well as many has closed eyes to this problem. Did not wish to address to experts. Home life began to go wrong. After the next conversation with the wife I have decided to deal with the problem. That I did and I continue I shall do whenever possible to tell in the blog.