Online Drug Store
Online Drug Store:
tantrik se chudai stories | papa ne vigra kilaya | mom ko sleeping pills de kor dost ne chudA | mc pird me kya gand chod skte he | bhangi co chpda | gand chodae store | vegra khila ke chud vaaya store | Chinal ko jabardasti choda | gf ko nind ke goli khilakar rep kiya storis | biwi ke dhoke me aunty and sister ko choda | passport office me chudai karwai | mami rubina ny bhanjy sy zaberdasti chudai krwai | bahu ko nind ki goli dekar chod dala hindi story | lakey ke gand ct | koeenur kondom ceknai potos | Behoshi spray surat medical | dhoke se balatkaar bacchi kiya | deepen | bachchi ko choklet dekar chudwaya | chudu devar | sister k boy frind ny sirter ko dokhy sy choda | Dd ko black mail kr chodaporn kahani | ma ko mame ke share choda | dost ki mom ne goliyan da ki chudai karwai | behan ko ko delhi m group chudai ki | Bachi ko choclet dek kr choda | chachi ko nind me chod ke hawas sant ki | davai khilake choda | bhai ne jabardasti mea fudh pia | chur mi chudayi
Top ED list :
Possible side effects: The most popular side effects of Eriacta are heart palpitations, flushing, dizziness, blackout, and diarrhea. If you suffer from allergies - consult your health care provider first before using this drug. Usually Eriacta 100 effect past without any allergic reactions. Any case if you find any side effects after taking this medication please consult with your health care provider immediately. riacta 100 precautions: First of all remember the one important thing: if you have any health problems - consult your doctor before taking this medicine! It is especially important for people suffering from heart diseases. If you have any problems with the circulatory system – talk to your doctor first (before taking Eriacta). Eriacta overdose: Do not take the drug for more than 1 time per day it can be bad for your health. If for some reasons you have overdose you must contact your doctor or call an ambulance immediately. Eriacta taking should not cause any discomfort or pain in penis. An erection usually lasts from 1 hour to 4 hours. If you have longer erection or pain contact ambulance immediately.
"Eric, we have to do something about your limp state. Our relationship is a flop. I am always horny, and you can never get it up. I know Viagra makes you feel bad but it makes you feel good to me. Please give it another try. Don't destroy our relationship, I love you."
Maca is a small tuber root, with medicinal properties. It is a perennial plant that grows in the Andes Mountain range of Peru at altitudes above 12,000 feet. Maca produces tuber roots that look similar to radishes and turnips, a close relative. It was wild-harvested as a food crop by the Inca more than 2,000 years ago. Modern cultivation of Maca, particularly in Peru is expanding greatly because of the interest in its medicinal properties by consumers in Asia, Europe and the United States.
There is a great deal of information targeted towards men as it relates to erectile dysfunction. At first glance, this makes good sense. The problem is one that is physically experienced only by men. However, they are not the only ones affected by it. Women are often the silent sufferers when this condition strikes. Erectile dysfunction can negatively impact both partners and place tremendous strain on their relationship. If not handled correctly, it could spell the end of a partnership or even a marriage.
From the late twentieth century until now, men have been more open to the idea of receiving impotence treatments, an issue that was often avoided in the past because of fear of embarrassment. Nowadays, with television blasting advertisements for this condition 24/7, it's no longer thought of as an unspeakable subject, and the amount of men seeking treatment continues to climb.
1) Definition and Importance of Erectile Dysfunction:
"Erectile dysfunction" (ED), sometimes called "male/sexual impotence" (or "impotence" only), corresponds to the inability to achieve or sustain an erection sufficient for satisfactory sexual intercourse (coitus/copulation). Erectile dysfunction is distinguishable from other conditions that impair normal sexual intercourse, such as lack of sexual desire (libido) and ejaculation/orgasm disorders. Nevertheless, multiple associated sexual disorders may occur, causing a significant suffering (morbidity) to patients.
ED, closely attached to cultural notions of potency, success and masculinity, can have devastating psychological consequences including feelings of shame, loss or inadequacy. ED can be a serious damaging to interpersonal relationships and self-esteem. It affects millions of men worldwide with implications that go far beyond sexual activity alone. By age 45, most men have underwent ED at least once in life. Many men also are unwilling to talk about erectile dysfunction with their wives and doctors, and thus the condition is underestimated.
Although ED can occur at any age, usually the older the man is, the higher his risk is.
- Core idea: ED is a frequent and important harmful condition in men's life.
2) Anatomy and Physiology of Penile Erection:
The penis contains two chambers, called the "corpora cavernosa", which run the length of the upper side of the penis. The urethra, which is the channel for urine and ejaculate, runs along the underside of the corpora cavernosa. Filling the corpora cavernosa is a spongy tissue consisting of smooth muscles, fibrous tissues, spaces, veins, and arteries. A membrane, called the "tunica albuginea", surrounds the corpora cavernosa. Veins located in the tunica albuginea drain blood out of the penis.
Penile erection can be induced by two different mechanisms. The first one is the reflex erection, which is achieved by gently, directly and continuously touching and rubbing the penile shaft.
The second is the psychogenic erection, which is achieved by erotic fantasies, imagination or dreaming.
Thus, the sexual stimulation, which can be tactile (reflex) or psychogenic/psychologic, generates electrical impulses along the nerves going to the penis and causes the nerves to release nitric oxide (NO), which, in turn, increases the production of cyclic GMP (cGMP) in the smooth muscle cells of the corpora cavernosa. The cGMP causes the relaxation of smooth muscles of corpora cavernosa, allowing a rapid blood flowing into the penis (the blood fills the corpora cavernosa, making the penis bigger, harder and thicker). The consequential pressure compresses the veins in the tunica albuginea, helping to trap the blood in the corpora cavernosa, therefore maintaining erection. Erection is reversed when cGMP levels in the corpora cavernosa fall, allowing the smooth muscles of the corpora cavernosa to contract, ceasing the inflow of blood and opening veins that drain blood away from the penis. The levels of the cGMP in the corpora cavernosa fall because it is inactivated by an enzyme, named "phosphodiesterase type 5" (PDE5).
- Core ideas: Penis erection is triggered by sexual stimulation/arousal (physical and/or psychological), leading to swelling and enlargement of the penis due to local blood accumulation, conditioned by arterial dilatation. The so increased levels of nitric oxide (NO) will, in turn, increase cyclic GMP (cGMP) - this is the most important molecular vasodilator cascade promoting erection.
3) Causes (Etiopathogenesis) and Pathophsiology of ED:
There are many possible causes of ED, which typically can be grouped in 3 big classes: Organic/Somatic; Psychogenic/Psychological; Mixed/Miscellaneous. Each one of these classes may have subclasses, as an efficient way to organize, classify and study each case.
Organic/Somatic are those which origin is somewhere in the body, in an organ or tissue; not in mind nor thoughts/emotions. Hence, there is a lot of diseases able to cause ED - Endocrine (related to hormones and glands; for example: hypogonadism, hyperprolactinemia); Vascular (related to arteries and/or veins; such as: atherosclerosis, hypertension, dyslipidemia, diabetes, metabolic syndrome); Neurologic (related to Nervous System, the Central Nervous System (CNS) and/or the Peripheral Nervous System (PNS); for example: spinal cord injury, neuropathies, Parkinson's disease, Alzheimer's disease, multiple sclerosis, stroke); Drug-induced (many drugs can cause ED as side effect - some antihypertensives and antidepressants are very frequently associated with ED, but there are many more drugs with potential to cause ED).
Commonly, Organic/Somatic are associated with a worse prognosis; being atherosclerosis, now, recognized as a "sentinel event" in cardiovascular disease, metabolic syndrome and diabetes mellitus.
Psychogenic/Psychological causes of ED are, overall, the most frequent; and young men can be affected - the sexually inexperienced young man, without any disease, may have ED during the first sexual activities with his partner, because he may get "fear to fail/disappoint his partner". The conviction that an erection will not develop when required, therefore, becomes a self-fulfilling prophesy.
And, on the other hand, for any age, men who live under psychological stress (excessive work; lack of sleep; personal conflicts) can get depressed, anxious, impotent and feel lack of libido (sexual desire). Then, ED may emerge and aggravate the existent anxiety, and so a "vicious cycle" could be established and become very difficult to deal with.
Increased sympathetic vasoconstrictor tone, with raised blood circulating norepinephrine/epinephrine levels, seems to play a key role in psychogenic ED. The sympathetic branch of the autonomic nervous system is typically activated under stress situations, preparing the body for a "fight or flight" reaction, by releasing 2 main catecholamines (norepinephrine = noradrenalin is directly released by sympathetic nerves; and epinephrine = adrenalin is released from adrenal = supra-renal glands, after stimulation by sympathetic nerves). This catecholamines induce vasoconstriction (constriction of arteries), what makes erection more difficult to occur.
Although not frequently, ED can be associated with a more serious psychiatric disorder, such as major depression, schizophrenia, substance abuse, panic disorder, generalized anxiety disorder, personality disorders.
There are some other possible causes of ED (Mixed/Miscellaneous), but they are relatively infrequent - Penile disorders associated with ED (other primary diseases of penis, such as: Peyronie's disease; Epispadias; Post-priapism); Hematologic diseases (blood-related diseases; for example: Sickle cell anemia; Leukemias); Liver cirrhosis; Hemochromatosis; Scleroderma...
All causes of ED will converge to a common effect - the dilatation of penile arteries fails and consequently no local blood trapping occurs.
Diagnosis of ED usually begins by patient report, and next, the study of nocturnal penile tumescence (NPT) is the subsequent requested diagnostic test to confirm the suspected diagnosis. NPT corresponds to the spontaneous penile erections during sleep. All men without ED go through this phenomenon, typically many times while sleeping. Therefore, the NPT test is crucial to establish the ED diagnosis, since it can indicate a psychological cause (most common), or an organic cause - patients with psychogenic ED have nocturnal erections, what means that there is no organic/somatic basis for their ED.
- Core ideas: Although ED can be caused by a lot of serious diseases/disorders; many times it occurs in men who were otherwise healthy, and are temporarily under heavy psychological stress, resulting in a bad lifestyle, characterized by anxiety, bad quality of sleep and bad nutrition; which leads to ED and to a general bad feeling and weakness .
The causes of ED meet an overlapping consequence - there is no dilatation of penile arteries; therefore no local blood retention occur.
The diagnosis of ED is confirmed by the NPT test.
4) Natural Alternatives for Treatment of ED do Worthwhile!
Everybody is familiar with the names "Viagra", "Levitra", and "Cialis".
Viagra (Sildenafil), Levitra (Vardenafil), and Cialis (Tadalafil) are drugs acting as PDE5 inhibitors, and are widely prescribed for the treatment of ED. Few drugs have received as many attentions and approvals as Viagra/Levitra/Cialis, partly attributable to heavy and pricey marketing efforts by the pharmaceutical companies.
Everyone recognizes, yes, Viagra/Levitra/Cialis do work... But at what cost to the health?! Like with all chemical drugs, there are risks and side effects in Viagra/Levitra/Cialis. These drugs have potential side effects, and so, all men ought to be informed about them, while considering using these drugs. Viagra/Levitra/Cialis side effects, usually range from mild to moderate (although not very frequently, sometimes side effects can be severe or even life-threating). They generally last from a couple of minutes to a few hours after dosage. The most common side effects are: nasal congestion (stuffy nose); headaches; flushing (facial warmth or redness); dyspepsia (upset stomach). The most serious potential side effects are: sudden vision or hearing loss; angina pectoris (chest pain or heavy feeling); cardiac arrhythmia (irregular heartbeat); dyspnea (shortness of breath); edema (swelling); priapism (painful condition in which the erect penis does not return to its flaccid state, notwithstanding the absence of both physical and psychological stimulus; lasting at least four hours). On the other hand, there is the possibility that users may become psychologically dependent on it, incapable to reach erections without taking Viagra/Levitra/Cialis. Not surprisingly, many men seek alternatives; less hazardous natural products which work fine and have no side effects.
With the media hype surrounding Viagra, the relationship between couple with erectile dysfunction has undergone dramatic upheavals. A sea change can be seen in the outlook of the couples on their relationship, sexual and otherwise.
There are many causes of erectile dysfunction (or impotence). 20 years ago the majority of impotent men were suffering from psychological problems such as stress, anxiety, depression and anger. Only a minority of men had a physical cause fro their impotence. There was no drug based treatments available so doctors concentrated on the psychological.
Premature or rapid ejaculation occurs when male orgasms during a sexual encounter sooner than he or his partner wishes. It is a common male sexual problem often complained by men. It rarely originates from physical or structural problems.
It is not important that how long the sex last but with what satisfaction all parties involved. Premature usually means that both parties are disappointed with the result.
Do not take Cialis if you are allergic to tadalafil. Cialis should not be used together with nitrate medication, such as nitroglycerin (Nitro Dur, Nitrolingual, Nitrostat, Transderm Nitro, and others), isosorbide dinitrate (Dilatrate, Isordil, Isochron), isosorbide mononitrate (Imdur, ISMO, Monoket), or recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking Cialis with a nitrate medicine for chest pain or heart problems can cause a sudden and serious decrease in blood pressure.
Before employing any treatment for any of your problems, it is essential to concern about the side effects attached to the treatment. If you are searching for best medication or treatment for sexual problems then always employ those methods which cure your problem in a safer way and which do not pose any ill effect onto your health. One of the best ways to eradicate all types of sexual problems to rejuvenate your sexual performance is by employing quality herbal male enhancement pills.
Conventional erectile dysfunction treatment involves prescription medications such as Viagra or Cialis, which can help men that have difficulty performing. However, there are many natural treatments for ED that can be quite effective, most of which do not come with the potential side effects of ED drugs.
Viagra medication is the most effective pill due to the excellent working and ingredient used in this medication. Generic Viagra allows every men suffering from the sexual hurdle of erectile dysfunction to get the pleasures in bed and make their life with the same potency like before. Generic Viagra medication used Sildenafil Citrate as the active compound used in this medication and also the other chemical components that makes this medication the most effective and popular.
The lives of many unhappy men and their partners were changed for the better in the 1990s when a drug known as 'Viagra' was synthesized and patented by the Pfizer drug company. Viagra was followed by two more impotence drugs - Cialis and Levitra - that worked in similar ways and have become almost as popular.
There are countless males throughout every part around the globe select Generic Viagra due to efficiency and the effectiveness of this medication that creates a trustworthy relation with men suffering from this sexual complication called erectile dysfunction.. This particular medication will come in just one power associated with 100mg. To get the very best derive from this specific medication, males must use the medication correctly. Solitary tablet related to Generic Viagra is essential every day but it should be consumed only one pill in 24 hours in order to avoid any other fatal effects on health and get the best results from the medication.
Cialis (Tadalafil) is an oral therapy for curing erectile dysfunction in men. It relaxes the smooth muscles in the penis thereby helping males achieve an erection and sustain it for a suitable period of time.
The Recommended way to use Cialis
The best way to use any medication is as recommended by your health care provider. But if you have any doubts, you can always follow the instructions listed in the patient information booklet that accompanies the pack.
This medicine is a phosphodiesterase inhibitor used to treat sexual function problems such as impotence or erectile dysfunction. In combination with sexual stimulation, this medicine works by helping the blood flow into the penis to achieve and maintain an erection. This medicine is not intended for use in women or children. This medicine will not protect against sexually transmitted diseases including HIV infection. Use \"safe sex\" practices such as latex condoms.
So you're sitting there with all those questions still buzzing in your head about why you've suddenly found yourself in this situation with erectile dysfunction and whether a simple prescription for Viagra, Cialis or Levitra will solve the problem, where you can buy Viagra online, and so on.
The usual blood pressure test has come and gone, and now the doctor is gently telling you to drop your trousers. This is one of those moments you've been dreading and all those questions about Viagra are suddenly less important.
Viagra is the most common and the most popular erectile dysfunction medication. This drug is the cheaper version of its brand i.e. Viagra. Online Generic Viagra also known as Viagra Generic, treats impotence just like its brand. Similar to the brand, the basic active component of Generic Viagra is also Sildenafil citrate. Sildenafil relaxes penile arteries and make blood flow smooth; hence make achieving and sustaining erection possible. This generic drug is approved as well. Generic Viagra comes at very less prices, thus makes impotence treatment affordable for all. Generic Viagra Online guarantees safety during the treatment. Buy Viagra Generic 100mg with prescription only.
Your doctor will ask you questions regarding your ED and about possible risk factors or causes. A physical examination is then performed. You may also be referred to a urologist for further assessment.
Certain tests may be done and these may include:
Increasing Sexual Performance with Cialis. Cialis is one of the few erectile dysfunction options available which can work for an extended period of time. This duration of effectiveness as well as the relaxed approach to using the drug allow for a much nicer and more meaningful sexual experience than is available with other erectile dysfunction medications.