Category Archives: Erectile Dysfunction

Customer Reviews: Generic Levitra Knows What Results a Man Expects

Hello. I have a big problem – a very weak potency. I am just 35 years old. I lead quite a passive way of life, eat a lot of sweets and almost do not move or go in for sports. I suggest that these are the reasons of my erectile dysfunctions. When I have first realized that I have some ED problems, I got very upset. You know, I got used to having a firm and stable erection. That is why I was shocked to have a sex failure. The main problem was that I felt ashamed to go to the urologist or consult somebody else. It was impossible for me to overcome shame and shyness. I thought everybody would laugh at me or consider me to be a loser. It is not common to have ED problems at 35. In the end, I decided to go swimming, began to lead a healthy lifestyle, quit smoking, and began to drink less. I lost weight and began to look better, but poor potency remained. The truth is that I did nothing to overcome ED. I suffered from it, but I was not able make changes and to start special ED treatment.

Levitra

The half of the work was done by my wife. She went to the doctor and even to the folk doctors. She did a great job! My beloved wife read the reviews about all types of Viagra Online and chose the best to her mind. Then, she started to search for reliable and trustworthy pharmacy. Among all the pharmacies, which are represented on the market, she chose Canadian Pharmacy. Canadian Pharmacy has a great amount of positive reviews. People praise it for excellent service, quick delivery, products of high quality and cheap prices. So, you can see that my wife practically made me to admit the problem, she forced me to go the doctor myself, she found Canadian Pharmacy to buy pills from, she made an order and finally, she brought a glass of water for me to take a pill. Another half of the work was done by Levitra (well, I’m still not sure how it works. I bet my wife knows it!). What was left for me? I swallowed a pill.

Generic Levitra gives the first results in 20 minutes in my case. We had a very energetic sex and it was a lot longer than it used to be before ED treatment. I had to change position four times and, in fact, these movements could easily lead to loss of erection, but everything was great. If I was not so tired, we could do it longer. When I woke up a few hours later, I felt like I was ready to start again and perform till lunch, but I just fell asleep again instead. By the way, I was so much surprised to notice that my erected penis has become “much harder” under the influence of Viagra than usually. The size remained the same, but the firmness was really awesome. We spent a fantastic night full of pleasure and orgasms. There is hardly a negative thing I can say about its effects. During the first time, I had a slight headache, but as long as it never reoccurred again, I doubt that it had anything to do with the ED pill.

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No matter what you think, it’s me and not my wife, who rocks in bed now. I feel grateful to my woman for helping me in this intimate problem. I am sure I would never have solved it by myself. Now we are both satisfied and happy. Our sex is beyond praise! Levitra rules!

Treatment Your Balls

Torsion of the Testis

Torsion of the testis is a condition that requires an emergency operation. It occurs when a testis twists around in the scrotum. In some people the testes can move around in the scrotum more than usual. If a testis twists round, the blood supply to the testis is blocked in the twisted spermatic cord. The effect of this is that the testis, with its blood supply cut off, becomes damaged and will ‘die’ unless the blood flow is quickly restored.

Torsion is most common in teenage boys, shortly after puberty, and it is uncommon in men over the age of 25.

What Are the Symptoms of Torsion of the Testis?

The main symptom of torsion is severe pain in the testicle. Sometimes pain is also felt in the belly area due to the nerve supply to the testes. The pain tends to come on quite quickly and becomes severe over a few hours. The affected testis soon becomes swollen, red and very sore to touch.

What Is the Treatment for Torsion of the Testis?

Torsion of the testis is an emergency because if the blood supply to the testis is cut off for more than about 6 hours, permanent damage to the testis is likely to result. An emergency operation is usually done to untwist the testis and spermatic cord and ‘fix’ the testis in position so that torsion can’t happen again. There is an increased chance of torsion occurring in the other testis at a later date so that testis is also fixed at the same time to prevent this from happening. The operation ideally should be within a few hours of the symptoms starting in order to maximize the chance of saving the testis. Otherwise, the testis may have to be removed.

Partial Torsion and Warning Pains

Sometimes sharp pains, which last a few minutes and go just as quickly, can occur in the testes of boys and young men. This can be due to partial twisting of the testis, which then untwists again with relief of symptoms. This can be an early warning sign of a possible torsion later on. It is important to get prompt medical advice if these symptoms occur. Sometimes if these warning pains occur, an operation is recommended to fix the affected testis so as to prevent full-blown torsion later on.

Blood In the Semen

The presence of blood in the ejaculate is called haematospermia (pronounced hem-at-o-sperm-e-a). This is usually a harmless symptom; however, it can cause major worry and anxiety for an affected man. Usually there is no underlying medical cause and detailed investigations are not needed. Less commonly, it may be associated with abnormalities of the urinary tract, including kidney and prostate problems, and occasionally is associated with other more generalised illnesses, such as cirrhosis of the liver or parasitic infections. Men aged over 40 with persistent haematospermia may need to be referred to a urologist, especially if they have other symptoms or abnormal findings on examination.

Sleep problems

If you’re not getting a good night’s sleep you could have more problems than just tiredness. Studies suggest sleep disorders are associated with ED. Chronic sleep problems have also been linked to familiar conditions such as high blood pressure and cholesterol, diabetes, and obesity. Not the Perfect Storm again!

Sleep apnoea is a sleep disorder in which a person’s airway temporarily collapses, causing him or her to stop breathing. Unsurprisingly, research has confirmed a link between ED and sleep apnoea. Men with ED are more than twice as likely to have sleep apnoea. The American Academy of Sleep Medicine buy Cialis in Australia reports that with CPAP therapy (continuous positive airway pressure therapy) the results on improved erectile function were significant. If you suffer from sleep apnoea, then CPAP therapy is strongly recommended.

You may have come across pronouncements that 7 hours of good sleep is optimal. What is optimal depends on your age and being able to function without the lack of good sleep symptoms such as memory problems, feeling tired, not being able to make decisions as you normally do etc. According to David K. Randall’s definitive book on sleep, Dreamland: Adventures in the Strange Science of Sleep, your age and your genetics determine how much sleep you require.

Teenagers are generally built to sleep later and need more sleep and, older people go to bed earlier and need less sleep. It’s a fascinating book dispelling modern sleep rules probably enforced upon us by marketing departments trying to sell sleeping drugs and even big beds! Social taboos get in the way of lighter sleeping women demanding separate beds and even separate rooms from snoring, fidgety and sleep talking men! Good sleep reduces stress and grumpiness and enhances good relationships. This can only be good for any ED condition.

A fascinating conclusion from the book is that we are genetically evolved to have two sleeps with an intervening period. This is based on the evolutionary need for someone in the social group to be awake at all times to protect the group. Hence, if you do wake during the night do not stress about your lack of sleep, consider a sex encounter and then get relaxed into your second sleep – provided of course that your partner is not deprived of sleep. This is especially relevant if you suffer from Performance Anxiety and you feel in any way obligated to perform before lights out! What a terrific way to spend the intervening wake period and to get you relaxed for your second sleep. We will examine Performance Anxiety in Psychological Sources of ED.

Another fascinating conclusion from research quoted in David К Randall’s book is that sleeping drugs in general only add 10 minutes to the beginning and end of a sleep. The placebo effect on your brain probably has a much bigger effect than the profit contribution you make to the drug companies peddling sleeping drugs. Here are some common sense tips to help with good sleep:

– Cut caffeine – depending on your make up, the effects of caffeine can take as long as eight hours to wear off.

– Avoid excess alcohol as a sleep aid – it may initially help you fall asleep, but it can also lead to non restful sleep, not the type you need.

– Relax before bedtime – create a pre-sleep ritual, such as a hot bath, to help you relax and unwind from the day’s events.

– Exercise – regular exercise, usually in the mornings or afternoons, can help you sleep.

– Find what works for you and do it. Most people find a dark, quiet, and comfortable bedroom healthy. In Step 6 – 7 we will spend a lot of effort on correcting your mind processes and learning to relax.

– There is substantial research that shows that bright lights from a computer screen or even a bright book reader interferes with the your body’s natural circadian rhythms controlling your body’s need to sleep. Find out of this is an issue for you and if you like to read before you sleep, adjust the contrast.

– Have a sex encounter!

Another syndrome associated with lack of good sleep is Restless Legs Syndrome – RLS to you and me. Yes, you heard correctly and even I was incredulous when I first heard it. There is some debate about the validity of this condition but there is general acceptance that it does exist and that it contributes to sleep problems.

What is Erectile Dysfunction (ED)?

Problems with a man’s erection can cause a profound psychological disturbance in men. Many men feel that if they can’t get an erection “on demand” they are no longer real men and it can undermine their sense of manhood. The medical term is quite a mouthful: Erectile Dysfunction, and for obvious reasons this is usually abbreviated to ED.

The most common, old-fashioned name for this ailmentImage.docondition was “Impotence”. But this is clumsy, inaccurate and judgmental and together with the adjectival form “impotent”, we are going to banish from our discussion. Why? Both “impotence” and “impotent” are off the mark and have destructive connotations for men. The Oxford Thesaurus equates “impotent” with “feeble, helpless, ineffective, ineffectual, powerless, unable, weak…” – ouch! How could a normal and common ailment that men experience at some time of their lives be so described? Social myths haven’t helped and misleading information about ED, wrongly described as “impotence” is widespread and unhelpful. They play into the hands of unscrupulous merchants of “Good Sex” guides, wonder drugs and contraptions. Contraptions? Your Dick’s alter ego would probably like you to try them all to distract you from our goal of conquering ED. I have tested them all and they just don’t work.

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But before we go any further, you and I need to understand the importance of not pushing the panic button and misdiagnosing the situation. Let’s be clear. Occasionally not managing to get an erection, or occasionally losing one too quickly, does not indicate ED. The key word is “occasionally”. If, once in a Blue Moon, your Dick does not feel like making an impression of a flagpole, that’s
nothing to worry about. You might get a shock the first time he doesn’t stand up for the National Anthem and feel tempted to have him face the firing squad for disloyalty, but every man should know how to shrug off the odd no-show. It’s inconvenient, sure. Even a bit embarrassing. But it’s not the end of the world if it’s only an infrequent occurrence. Rest assured, it isn’t ED if most of the time he behaves and delivers the goods. OK then, what level of underperformance adds up to ED?

Before we can address that, we need to back up slightly and define normal erect function buy Sildenafil Canada. “It’s not rocket science,” says my techie cousin, Mr. Dickxy. “It’s when your Dick gets hard enough to penetrate a sexual partner and stay hard until you come (“ejaculate”).” OK, we now know what ED isn’t, so, how do you know if suffer from ED?

The following four pointers should help make the definition a bit more precise. ED may very well be present if:

1. Frequently or all the time you cannot get a sufficient erection to penetrate your partner’s vagina.

2. The level of hardness of your erection is not sufficient for adequate penetration until you ejaculate. You may be able to have vaginal intercourse even with your Dick being less firm but, ED is also present when your erections are not firm enough.

3. Even if you get hard and penetrate her vagina you lose the erection before you ejaculate.

4. You experience ED with certain partners and in certain situations but not Others.

It’s important to stress that there is no formal known test to diagnose ED but these four pointers should help define your condition.

Erectile Dysfunction. Penile Rehabilitation

Almost anyone with ED is qualified for VCD therapy. Its indication ranges from ED to postprostatectomy penile rehabilitation and even penile length preservation. Its application is constantly being expanded to new horizons in keeping up with the technological evolution.

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There are hardly any contraindications for the use of VCD therapy in patients with ED. Before the 5-phosphodiesterase inhibitors (5-PDEi) era, VCD was among the first-line therapies for ED regardless of etiology. In patients who cannot tolerate 5-PDEi side effects, or in whom these medications are contraindicated, VCD becomes an optimal treatment option. It has also been recommended for elderly patients who have sporadic sexual intimacy, as younger patients may have perception of an unnatural erection. On the other hand, Chen et al. demonstrated that VCD remained a preferred treatment option in a certain subset of patients who achieved satisfactory erections with both VCD and oral 5-PDEi. However, those patients who had used both oral 5-PDEi and VCD simultaneously reported higher sexual satisfaction and penile rigidity.

Penile Rehabilitation

Penile rehabilitation refers to the therapeutic measures focused on the prevention of damage to cavernous tissue after radical prostatectomy (RP) by providing adequate oxygenation to the cavernous tissues. The main purpose is to prevent structural alterations within the corpus cavernosal smooth muscle, maximizing the chance to recover functional erections in a man who has undergone RP and is hoping to regain his preoperative level of erectile function. Penile rehabilitation objectives include the protection and/or regeneration of the following elements from the corpora cavernosa: cavernous nerves, corporal smooth muscle, and corporal endothelium. This should be started as early as two weeks post-op, as venous leak, suggestive of corporal smooth muscle fibrosis, may develop. VCD has an important role in penile rehabilitation by producing an artificial erection and inducing blood flow to the penis, thereby “oxygenating” the corpora cavernosa. It is recommended that VCD therapy is started as early as possible after RP, either alone or in combination with oral medications.

Penile Length Preservation

Penile shortening after RP is a common phenomenon. In fact, more than 60% of those patients experience penile shortening with varying degrees, ranging from 0.5 to 5 cm. Several investigators have looked into using VCD after RP to preserve penile length and girth. Dalkin et al. reported only a 3% rate of stretched penile length reduction of 1 cm or more in compliant patients. In his study, both pre- and postoperative stretched flaccid penis length were measured. After the Foley catheter was removed, these patients were asked to use VCD on a regular basis. Among those who were at least 50% compliant, 35/36 (97%) maintained their preoperative stretched penile length. Other authors had come up with equally convincing evidence as well. As more data emerges, it is becoming normal to use VCD therapy postprostatectomy to maintain penile length, as well as to regain preoperative erectile function.

Contraindications

There are a few contraindications to VCD therapy. These include bleeding disorders, anatomical deformation of the penis, and unexplained priapism. Those patients on anticoagulation are more prone to develop bruising or hematoma formation, whereas patients with blood dyscrasias are at increased risk of developing priapism. Relative contraindications include cultural issues that consider it taboo to obtain an artificial erection with the aid of external devices, and patients with cervical or high-thoracic spinal cord injuries, neurological, or degenerative joint diseases with poor manual dexterity, unless their sexual partners are willing to be involved in the process.

Evidence

Prostate cancer is the leading cancer in men. According to the National Cancer Institute, there are more than 189,000 new cases of prostate cancer diagnosed each year. Despite the fact that the incidence and mortality rate from prostate cancer are declining, more and more patients are taking an active role in their health. Parallel to the rate of treatment is the incidence of ED. It is estimated that the incidence of ED after RP ranges between 40 and 85%. Even after the introduction of nerve sparing technique, the potency rates vary, depending on individual surgeon’s experience and technique, as well as patient’s age, comorbidities, and preoperative sexual function. This new trend has led to the novel application of VCD therapy, including penile rehabilitation following RP.