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Sildenafil is a safe and effective treatment for erectile dysfunction. The trials showed the drug took effect with a maximum increase of nitric oxide. Erectile dysfunction is the most common type of male sexual dysfunction, but its ubiquity in no way diminishes the distress it can cause men of all ages - nor the stigma that prevents many of them from approaching a medical professional for help and advice. Put simply, PE is where a man ejaculates too quickly - generally defined as less than or within a minute of penetration - and sufferers tend to fall into two main categories: those with lifelong PE who have experienced premature ejaculation ever since becoming sexually active, and those who have never experienced or never had difficulty. Research shows that men with an overactive thyroid hyperthyroidism are more likely to suffer from PE and that once the hyperthyroidism is treated the chances of experiencing it are reduced. PE is also linked with chronic infection of the prostate, known as prostatitis, and successful treatment is proven to significantly increase the time it takes the patient to ejaculate. Another theory explores the potential link between PE and penile sensitivity caused by circumcision. One school of thought says that circumcision leads to less gland sensitivity and so it is better for PE, while the other argues that circumcision denudes the penis, exposing the glands and resulting in a higher incidence of the condition, says Tet Yap, consultant urologist at the Princess Grace Hospital, part of HCA Healthcare UK. Psychological factors have been implicated, whereby the sympathetic nervous system is activated by anxiety, resulting in an earlier emission of semen, which then triggers ejaculation. In addition to anxiety, other psychological factors such as depression, stress, and childhood sexual trauma are also thought to be linked to both lifelong and acquired PE. PE can start early in life as a result of being worried about sex or masturbation - either learning to masturbate quickly or never learning - or not experiencing sex that is more relaxed and managed differently, says Peter Saddington, a practice clinical supervisor for Relate . If the condition manifests later in life, it can be because of anxiety over a new relationship, a difficult experience, illness or trauma.

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Sildenafil works for me as directed, it will definitely work better between meals as any drug will. My problem is I feel like garbage for the next day sometimes the next day after that. Generally feel like a cotton head foggy brain just kinda out of it. I have tried Cialis with the same result. Does anyone use anything else that might flush out of your body faster. There is a supplement called L- Argenine that I feel like it might work when I take it like I might get hard but haven’t put it to the test. Anybody have any experience with anything else?”. “I am 73. Been taking Viagra for some years with mixed results. Have a meal about 6pm and take Viagra around 8pm. At 11pm not a great erection and won't last, but at 7am next morning a great and lasting erection. My wife does not prefer morning sex but will to please me.

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Viagra Connect is the same as Viagra, but are similar in colour. Each tablets are issued with a prescription in the same working time and dose. The dose may be different, but the band is placed on the middle of the penis where it will be most effective. Viagra Connect is not suitable for all men, particularly men who have severe heart disease or a history of stroke. Some prescribed medicines interact with Viagra, particularly nitrates used to treat angina and heart disease. Do not take Viagra if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite Taking sildenafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure. Viagra can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking sildenafil, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoked or were over 50 years old. It is not clear whether sildenafil is the actual cause of vision loss. Take Viagra exactly as it was prescribed for you.