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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.

The first oral medication for ED approved by the FDA, Viagra was released by Pfizer in 1998. Today, sildenafil is also sold as a drug for a certain type of high blood pressure in the lungs under the brand name Revatio. How does Viagra work? Viagra works by stopping the chemical reaction that causes blood to leave an erect penis. Viagra blocks cGMP-specific phosphodiesterase type-5 (PDE-5), an enzyme that encourages blood to flow out of the penis. When PDE-5 is inhibited, levels of cGMP remain elevated, which relaxes smooth muscle and encourages blood vessels to widen (a process known as vasodilation). That makes blood flow more freely, including to the penis.

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.

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. See more details at InstaDocNow reviews.

Erection issues affect men of all ages. We understand that taking Viagra is the first step to a happier and more fulfilling relationship. Here are seven tips for you to get the best Viagra experience: Viagra usually needs up to an hour to work effectively. This may vary from person to person so if it takes a bit longer, don’t worry! This allows the Viagra to be absorbed into your body. For the best Viagra experience, you should allow the drug to take effect fully before having sex or masturbating.