What is it?

Erectile dysfunction refers to an inability to conceive with enough rigidity to allow penetration, and/or to keep it for a sufficient time to satisfy both partners. Cenforce 100 Mg is important that you understand that it can happen even when there is desire or ejaculation.

About two-thirds of all men over 50 are affected by erectile dysfunction (ED), which is approximately 10 to 20 million Brazilians.

Most men have experienced episodes or erectile dysfunction at one time or another in their lives. This is usually caused by tiredness, stress, alcohol abuse, and/or tiredness. Cenforce 120 is important not to overestimate the occasional failures. If the problem persists, you should consult a urologist.

Causes

Male sexual function includes many aspects, including the ability to erec. There are four stages to the sexual response cycle: main desire, erection and orgasm. Each stage can be different.

There are three types of ED: organic, psychogenic, and mixed. You can also find ED with combined factors. Psychological complications can result from organic problems like diabetes, cancer, arteriosclerosis, and neurological injuries. This can also occur as secondary symptoms and may be present as a first sign of other disorders, such as hypertension or diabetes, heart disease, renal failure, and cardiovascular disease.

Cenforce 150 Tablets of psychological origin can manifest in a variety of ways. These include delayed ejaculation or painful ejaculation. You may also experience a loss of sexual desire, a lack of orgasm, and anxiety. According to their etiology, organic causes can be subdivided. Vasculogenicas are more common, especially flow changes, arteriosclerosis, and trauma (resulting from injury to blood vessels). Venous flow abnormalities are much less common. Multiple sclerosis, diabetes, trauma, alcohol abuse, trauma and spinal cord damage are all possible neurogenic causes. The causes of the condition are hormonal hormones (primary or secondary) and male hormones.

The use or abuse of drugs such as marijuana, alcohol, heroin and cocaine can also cause ED.

Associated disorders

There are many risk factors for the DE, including advanced age, diabetes and hypertension; peripheral vascular diseases; neurological disorders; spinal cord injuries; radical pelvic surgery; radiation therapy; alcoholism; smoking, marijuana use, and/or cocaine; use antihypertensives; tranquilizers, psychotropic substances; relationship problems; stress, anxiety, fear of failure; depression; obsessive-compulsive personality; sexual deviation.

Diagnosis

The initial evaluation of the patient is designed to identify the possible cause of ED as well as any psychological or organic factors that could influence the treatment.

The most important thing in evaluating patients with this condition is a detailed medical interview. A detailed medical history should be taken to determine the extent, progression, and severity of ED as well as any associated factors.

Once you've identified the problem, it is time to distinguish it from other sexual issues such as loss or ejaculatory disorders.

The purpose of a physical examination is to evaluate the patient's health. A neurological evaluation should also include an assessment of the patient's anxiety and depression. Because genital herpes are a local problem, the evaluation should include a diagnosis of any abnormalities.

These are the basic laboratory tests that help to determine if you have ED.

Treatment

Psychotherapy may be indicated in cases of psychogenic DE. The urologist should evaluate several factors and, if possible, a specialist in psychology or psychotherapy. The couple should address factors such as the relationship with the partner, sexual inadequacy, and psychiatric issues.

The first effective and objective penile injections were very successful. They have minimal or no side effects and a significant improvement in erection even in cases of severe OF and organic. The main problem was painful erections. They also had the disadvantage that they could limit the frequency and time of erections (3 times per week). With the advancement in technology, this method is often abandoned.

Some oral medications have become more accessible with the advancement of medicine. These are:

ViagraSildenafil (Pfizer): relaxes muscles and increases blood flow to the penis. In cases of partial impotence, the medication can stimulate the penis to produce erections that last 40-60 minutes. The effects can last for up to six hours. This medicine is not recommended for heart patients.

UprimaAbbott Laboratories' (apomorphine) acts on the central nervous systems, which facilitates the stimulation of the brain and penis. Sublingual oral administration of apomorphine produces erection in 10-20 minutes. Heart patients can use this product, although it may cause nausea, headaches, dizziness and fainting.

CialisEli Lilly manufactures Tadalafil, which acts directly on the penis and inhibits the enzyme phosphodiesterase. It can lead to a 30-minute erection that can be sustained for up to 36 hours. It can cause headaches, nausea, vomiting, stomach upset, back pain, muscle pain and dizziness. Viagra cannot be used to treat heart disease with nitrates.

LevitraBayer and Glaxo's (Vardenafil), also directly and selectively affect the penis. Cenforce pills inhibit the enzyme phosphodiesterase and cause a headache, flushing, and runny nose. It can lead to a 15-minute erection and lasts up to eight hours. Viagra and Cialis cannot be used to treat heart disease with nitrates. The main advantage is that they are sold in single packs and at a low price.