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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.
Viagra (sildenafil) is a highly effective oral medication for erectile dysfunction (ED). But if you’ve been experiencing ED, a prescription shouldn’t do all the work. Certain lifestyle changes—including diet and exercise—can go a long way toward making Viagra (or any other ED medication) more effective. What is Viagra? Viagra is the brand name of sildenafil, an oral medication used to treat erectile dysfunction (ED). It’s one of a class of drugs known as PDE-5 inhibitors. Others include Cialis (tadalafil) and Levitra (vardenafil).
Pepper gel: this type of product, which contains, among other things, peppermint extract: Improves blood circulation and dilates the vessels and improves vaginal dryness. Although there is not much evidence of the effectiveness of this gel, it can work in some women and does no harm anyway. Aloe vera gel: this is an intimate gel that helps in the case of a dry, sensitive vagina, these problems may occur due to menopause or a decrease in hormone levels.
The first thought that comes into the mind of the woman is that she should not stimulate him enough. If she does this, then he is bound to ejaculate quickly and this definitely is an issue. As she does not stimulate, the man might have Erectile Dysfunction which only complicates the matter. The other important thing that happens is that women with partners who have PE don’t focus or get involved in the act. This is because she is afraid that the entire sexual act may be over before she actually starts deriving enjoyment from the act. This is a learnt behavior. She had tried this a few times before and every single time this had ended in disappointment. A few women who are endowed with great orgasmic ability may try to reach orgasm before the man unsuccessfully ejaculate thereby increasing their frustration. Even if they do in few cases, the effort is like homework which ceases to be associated with pleasure after some time. The worst case scenario is that the woman may fail to get turned on. Read more info on instadocnow.com.
Timing matters. You need to plan for a minimum of two hours between the last thing you eat and ingesting the tablet. The dose should be taken one hour before sexual activity. There are limitations as to how often you can take Viagra. You should NOT take the dose more than once per day. What and when you eat can impair the effectiveness of Viagra. Avoid fatty meals on days when you plan on taking Viagra. This can cause Viagra to take effect more slowly. Try eating light meals throughout the day before taking Viagra, and avoid heavy meals with red meat, fried food and other high-fat components.