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Male sexual dysfunction is one of the most common health problems affecting men and is more common with increasing age. Chronic ED affects about 5% of men in their 40s and 15-25% of men by the age of 65. Transient ED and inadequate erection affect as many as 50% of men between the ages of 40 and 70. In around 95% of the cases, a suitable treatment can be found. Erectile dysfunction is treatable at any age, and awareness of this fact has been growing. More men have been seeking help and returning to normal sexual activity because of improved, successful treatments for erectile dysfunction. Viagra, Levitra and Cialis Currently, there are three oral medications approved by the Food and Drug Administration (FDA) for the treatment of erectile dysfunction: sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). All these agents block the enzyme phosphodiesterase type 5 (PDE-5) and belong to a class of drugs called phosphodiesterase (PDE) inhibitors. Viagra was the first and is probably the most famous of the three PDE-5 inhibitors used to treat erectile dysfunction. Viagra was approved as an effective agent for treating erectile dysfunction in March 27, 1998. Viagra is manufactured by Pfizer, Inc. Levitra was the second PDE-5 inhibitor to come to market in the United States, and it was approved by the FDA in August 19, 2003. Levitra is manufactured by Bayer Pharmaceuticals Corporation. Cialis was the third PDE-5 inhibitor to come to market and was approved by the FDA at the end of November 21, 2003. Cialis is manufactured by Lilly ICOS LLC. The major advantage of PDE-5 inhibitors is that they do not cause an erection at inappropriate times, because they act only in response to sexual stimulation. If there is no sexual stimulation drug remains in the background. All three are taken orally prior to planned sexual activity, acting to increase blood flow in the penis in response to sexual stimulation. However, there are important differences between the three, differences that could influence safety, specificity, duration of action, adverse effects, and ultimately, public acceptance within this class of drug. Mechanism of Action PDE-5 inhibitors do not directly cause an erection of the penis, but they alter the body's response to sexual stimulation by enhancing the effect of the nitric oxide, a chemical that is normally released during stimulation. Nitric oxide causes relaxation of the muscles in the penis, which allows for better blood flow to the penile area. Effectiveness of PDE-5 Inhibitors All 3 PDE-5 inhibitors have demonstrated excellent efficacy. Viagra, at 84%, is slightly more effective than Cialis at 81% and Levitra at 80%. Pharmaceutical Forms, Onset of Action and Duration of Effect Viagra and Levitra differ only minimally in terms of their structure, while Cialis differs markedly from Viagra and Levitra in terms of its molecular structure, which is also reflected in pharmacokinetic differences. Viagra: 25 mg, 50 mg 100 mg tablets Onset of action: 30 minutes (effect delayed if taken with food) Duration of action: 4 to 5 hours Levitra: 2.5 mg, 5 mg, 10 mg, 20 mg tablets Onset of action: 25 minutes (effect delayed by fatty meal) Duration of action: 4 to 5 hours Cialis: 5 mg, 10 mg, 20 mg tablets Onset of action: 16-45 minutes (effect NOT delayed by food) Duration of action: 36 hours All three drugs require sexual stimulation to be effective. Viagra should be taken on an empty stomach it works better if you do not eat a high-fat meal around the time you take it. Levitra may be slightly less effective if you eat a high-fat meal, but a moderate-fat meal does not reduce its effectiveness. Cialis works without regard to what you eat. Viagra and Levitra have similar half-lives, and onset and duration of action. Cialis has a slower onset of action and longer duration of action, which is attributed to its longer half-life. Patients who wish for spontaneity may opt for Cialis, which may allow for successful intercourse up to 36 hours postdose, even though it takes longer to reach peak effect. The considerably longer duration of effect for Cialis will likely allow less frequent dosing and greater impulsiveness between partners, but also could potentially prolong adverse effects. Dosage The recommended dose for Viagra is 50 mg, and the physician may adjust this dose to 100 mg or 25 mg, depending on the patient. The recommended dose for either Levitra or Cialis is 10 mg, and the physician may adjust this dose to 20 mg if 10 mg is insufficient. A lower dose of 5 mg is available for patients who take other medicines or have conditions that may decrease the body's ability to use the drug. Levitra is also available in a 2.5 mg dose. None of these PDE-5 inhibitors should be used more than once a day. Possible Side Effects Although all three drugs are generally well tolerated, side effects are still possible. Most common side effects: Viagra: facial flushing, headache, indigestion Levitra: facial flushing, headache Cialis: headache, indigestion Less Common Side Effects: Viagra: altered vision, dizziness, nasal, congestion Levitra: indigestion, nausea, dizziness, nasal congestion Cialis: back pain, muscle aches, nasal congestion, facial flushing, dizziness Precautions and Contraindications All PDE-5 inhibitors are absolutely contraindicated in persons who take organic nitrates. Alpha-blockers Viagra has precautionary labeling advising against taking 50 mg or 100 mg doses within four hours of taking a alpha-blocker. The 25 mg dose of Viagra has not been shown to significantly decrease blood pressure and in patients who take 25 mg of Viagra, use of any of the alpha-blockers is considered safe. Levitra is contraindicated in patients taking alpha-blockers. Cialis is contraindicated in patients taking alpha-blockers, except for tamsulosin (Flomax). Since both Viagra and Levitra have moderate vasodilatory and hypotensive effects, they should not be given in the presence of marked arterial or orthostatic hypotension, and should only be administered with caution in aortic stenosis or hypertrophic obstructive cardiomyopathy. Men who have had a heart attack or stroke within the past 6 months and those with certain medical conditions (e.g., uncontrolled high blood pressure, severe low blood pressure or liver disease, unstable angina) that make sexual activity inadvisable should not take Cialis. Dosages of the drug should be limited in patients with kidney or liver disorders. Conclusions The differences between the 3 drugs are not great. All appear to be effective and safe. Levitra has less side effects compared to Viagra and lasts about the same time as Viagra in the body. Cialis has few side effects and lasts longer in the body. This allows increased spontaneity and less frequent dosing than either Levitra or Viagra. However, the longer half-life of Cialis imposes increased risk for drug interactions. penile enlargment surgery vimax penis enlargement exercise plastic surgery penile enlargement free penile enlargment pills penis enlargment exercise penis enargement traction device penis enargement pump free penis enlargment exercise
If somebody makes a list with commonly used terms which describe the appearance of ageing, he will be surprised to meet words referring to the sagging of skin with loss of its suppleness, to the drooping of the erect penile and to the humped neck in some older women. The above list is a confirmation that biological rather than chronological age reflects the speed of aging and life expectancy. Biological age can be quantified in many values of function, such as high blood pressure, low pulmonary function and the speed of reflex responses. Whether we like or not, there is big amount of true in the list. When body become older, both central and peripheral nervous systems are severely affected loosing its cortical neurons. This loss is partly replaced by new inter-neuronal connections, but the fact is the accuracy for vision, touch, pressure, taste, hearing, and joint sense are significant reduced. In both sexes loss receptor sites occur in brain, heart, muscle, bone, skin and urogenital tract. As the glands of the penis are amongst the most richly enervated zones of the body this loss of sensitivity by as much as a third occurs by the andropause. The transitory symptoms of andropause in men could include fatigue, memory problems, loss of libido and depression. The long-term effects of andropause affect all male population eventually, as progression of andropause can lead to osteoporosis (bone loss), frailty, falls, dementia, heart and circulatory problems. And circulatory problems are the origin of erectile dysfunction. compare penile enlargment pills penile enlargment exercise vimax prosolution penis enlargement pills cheap penis enlagement pills vig rx review surgical pennis enlargement pennis enlargement surgery photo truth about penis enargement pills cheapest penis enargement pills
People suffering from Erectile Dysfunction have been very quick to embrace the Impotence drug called Viagra. Nobody can rule out the effectiveness of Viagra against Impotence but there are some cases where the drug is susceptible to some major side effects. These could be in the form a heart disease, diabetes and blindness. New studies reveal the possible impact of Viagra on the visibility of a person. According to British Journal of Ophthalmology, a person may suddenly lose his eyesight resulting in Blindness. The doctors treating the problem, have warned their patients against the new fall out of Viagra. Experts working on the subject feel that the drug could be reducing the flow of blood to the optic nerves resulting in the damage. Erectile Dysfunction drugs work on the mechanism of transferring more blood into the penis. The amount of blood being limited results in improper distribution of blood to other parts of the body. This may be one of the causes of blindness in people consuming the drug. The manufacturers though, have criticized the new study saying the study is very brief and there is no clear indication of “Viagra” being solely responsible for Blindness. Studies are still underway to find more and more cases, where people have suffered from sudden blindness after consuming Viagra. The researchers continue to encourage men to have the consultation of a physician before going any further with Viagra. FDA (Food and Drug Administration) has reported that the recent cases of blindness may have been due to diabetes and heart problems that people carried before consuming the drug. However, it has been known that the problem does affect people suffering from Erectile Dysfunction and the damage is more lethal in people consuming the blue bill. The manufacturers of Erectile Dysfunction drug have different views regarding the whole issue. They say the results could vary depending on the patient’s observational nature, his recalling capacity and the biasness of the interviewing person. discount vig rx penis enhancement tip do penis enlargment pills work free penis enlagement exercise compare penis elargement pills vimax penis enlargement before and after photo vimax penis enlargement procedure penis enlargement program cheapest penis enargement pills
Men all over the world suffer from premature ejaculation. There are a number of treatments available but how effective are they? To understand better how these work the treatments have been explained below. 1. Distraction during sex This is the most common treatment practised by a lot of men. The idea is to delay orgasm by distracting yourself. The methods of distraction can be to think some unpleasant thought during sex. Some men also distract themselves by pinching themselves or asking their partner to pinch them during sex. Another method is to bite the inside of the cheek during sex. Ouch, that must hurt. 2. Masturbation. It is said that masturbation before sex will delay orgasm. It is all right to do so as long as you don’t make a habit of it and start to rely on this method every time before sex. Usually the anxiety of your performance causes premature ejaculation. So if you rely on masturbation as a way to deal with premature ejaculation then you will only be laying stress on your problem. 3. Sprays/ lotions/ Numbing Creams The market is flooded with such products. The application of these creams/ lotions/ sprays on the penis will numb the penis and thud delay orgasm. But tell me, what is the use of using these creams and lotions if you are so numb that you can’t feel and enjoy sex? 4.Controlling your muscles. The idea here is to strengthen the muscles by doing pelvic floor exercises. These exercises help to delay orgasm. To read complete article go here.... natural penis enlagement technique penile enlargment excercises free penis enlarement pills enlarement manhattan penis surgeon penile enlargment video penis enhancement forum penis enlarement fact vimax penis enlargement surgery cost cheapest penis enargement pills
Why is being big so important? Does being well endowed really make a difference in the sexual life between you and your sexual partner(s)? In our lifestyle the answer seems to point to a huge YES. Is that the truth however? A decision was reached that the best way to find out is to ask the people to whom it matters most...the ladies. We asked several ladies ranging from teenagers to ladies in their 40’s, ladies that are with just one partner to ladies who are promiscuous, and found that the answers were rather surprising. When speaking publicly about the subject of penises it seems that most of the women tended to get embarrassed or shy at the beginning of the conversation. Yet we noticed that as the conversation continued these same people overcame the shyness and embarrassment rather quickly. What surprised us right away was that all of the women said that yes, penis size does play a role in their sex life. However we also learned that it’s not usually a desire to come in contact with a big penis. In fact only one of the ladies indicated that she is always looking for the biggest penis, and that she has a difficult time with being aroused and achieving orgasm unless it is a larger than average penis. The other women mentioned that the visual aspect of a large penis can be very arousing, and yet when it came down to actually “doing the dirty” these women would back down as they would be in physical pain if it was too long or too wide. Most women reported that a fully erect penis at 7 inches in length and about 5 inches in girth (circumference) was just about perfect. In retrospect the ladies reported that a penis that was shorter than 5 inches with a girth of 3 inches or less was neither arousing nor very satisfying. The average penis size for men is 5.5 to 7 inches in length and 4.75 inches in girth. That accounts for about 80% of males, regardless of race (The Alfred C. Kinsey Institute for Sex Research.) For those of us that are a part of this average, for most women our size is perfect. What distinguishes the sexual experience for a woman from one male to the next is more about the “motion in the ocean.” This does not only imply how well you move your penis inside her vagina, but starts as early as when you see her for the first time that day, to your demeanor and confidence in front of her (not arrogance, but confidence), the way that she was seduced, the foreplay, and finally the quality and quantity of orgasms that we are able to provide for them. Yet quantity is fickle where as quality is much more important, if you can tease her enough, touch the right places for the right amount of time in the right kind of way, and basically cause an orgasm that drains all from her, then you will create a memory in her that she will remember for the rest of her life. Again size is not the key here, in fact one lady claimed that she made love with a guy whose penis was only about 4 inches, and yet the orgasm that she experienced with him, to this day, has not been outdone. This makes one wonder, what if the guys with the short penises are better in bed, only because they have realized that they must compensate for their lack of penis size and have learned to satisfy a woman using other methods than just their penises. On top of this, what if the average sized guys, or especially the larger sized men, learned the methods that the 4 inch guys used? It is clear that our sexual experiences would never be the same again. It would be like upgrading from a Geo Metro to a Dodge Viper. So let’s learn those methods, so that we can make sure that we never again leave our women unsatisfied. To learn everything that there is to know about the art of making your women satisfied it would require reading a book that is thicker than your dictionary. So obviously we will not include all of it here. We would be able to give you some useful info, hints and pointers, from the point where you are both naked together. We decided to break the information down into several specific areas: First we will discuss penis function and how we can improve on it. Second we will look into finger and hands ability and how we can use them to stimulate her to the max. Third we will go into tongue motion, and how we can make her have an unforgettable orgasm. Lastly we will see other methods that could be used to make sure that she has an experience that will make sure you are win her medal as the best lover ever. Penis function Our penises are infamous for being unruly. During sexual intercourse, we tend to ejaculate way too soon, or not at all. Sometimes we can’t even get an erection, much less ejaculate. A few things to remember: Do not attempt to create that amazing experience if you are drunk or high on drugs. It is not a problem to have a glass of wine or two, however being drunk or high does a couple of negative things. It will be difficult to concentrate on what it is that you are doing. You will probably have difficulty maintaining an erection, which would lead you to concentrate on doing everything you can to maintain that erection to make sure you achieve orgasm, and be less worried about her. On the other hand if you decide to concentrate on her, you would be prone to loose your erection and that will also keep you from achieving an unforgettable experience. You will likely take much too long to achieve orgasm yourself and thus again create less of a pleasurable experience for her. You may accidentally do things that are less than attractive, such as hiccupping, burping, farting, etc. Caffeine and nicotine shrinks your veins not allowing as much blood flow, which includes your penis, making it less firm. So avoid products that have those, well in advance of the sexual session. There are a couple of techniques and products that help you elevate your experience. A technique known as the Kegel's PC exercise helps to give you rock hard erections, enable you to ejaculate further than you ever dreamed, and also give you incredible power to hold back the urge to ejaculate until you feel the desire to. A free guide can be found here: (http://www.enhancementresearch.com/penis_enhancement.htm) Ribbed condoms will create an added friction and sensation inside the vagina. Viagra (http://www.viagra.com), or any of its counterparts, can help create a session that lasts hours instead of minutes. However it does require a prescription and thus is not readily available. There are a number of other things such as cock-rings, however they may not necessary be pleasurable. In fact many women reported them to be painful more than anything. Fingers and Hands The power of touch, specifically using the fingers and hands, is incredible. There are many ways to use your hands and fingers to stimulate and increase the level of excitement with the sense of touch. Nipples are sensitive to the touch, try twisting them, pulling on them, rubbing the top of them, and rubbing around them. Nipples are sensitive so be careful to not over do it as that would turn the pleasure into some serious pain. Breasts can create great sensations if properly squeezed. Grab a hold of the breast, positioning the hand closest to the body (farthest away from the nipple) and squeeze. You can squeeze the breasts harder than the nipple, but they are still tender so be careful when doing so. The arms can be very stimulating to the woman, specifically the hairs on the arms. Glide slowly over the top of the arm, just barely touching the hairs. Certain parts of the arm will be more responsive than others, so it will probably take some time to master. It may also be necessary that she be already aroused before doing this, although some women respond to this anytime. We are not referring to her arm pit, which is probably ticklish. Doing this should rarely cause her to be ticklish. Sensual massage is almost always erotic to any lady. Use sensual oils, do not use cooking oils. A book is not necessary, but can make it that much better. We recommend "Idiot's Guide to Sensual Massage" Sensual massage is different from regular message, it is not used to get rid of the knots in the muscles (although it may.) This type of massage should be light pressure. Scratching the scalp is also something that can drive a woman crazy (in a good sense.) This is something that some women respond better to than others, although most do enjoy it. Some spots are more sensitive than others. Do not scratch too hard, as that can be very painful, have her tell you whether she wants it to be scratched harder or to let off a bit. Although this feels good, it is also more relaxing than arousing so this may be better suited towards after both of you have “done your thing,” although sometimes this can also be very sensual. Clitoral touching is definitely something that will turn her on. Be sure not to over-sensitize the clitoris, that’s a great way to ruin the whole session. Use some form of lubricant, whether it is natural, such as saliva or the lubricant from the vagina, or a chemical lubricant. Use a circular motion around the clitoris, throwing in a few up and downs, and left and rights. The butt hole can be either a good thing, or a very bad thing. Don’t sneak it up on her; let her know what it is that you are planning on doing. If she says no, try it one more time later in the session, if she says no again then just let it go, until the next session at least. Do not stick your finger inside the butt hole. Place your finger over the top of the butt hole and apply some pressure, making some small and slow vibrating movements. Tongue motion Ah yes, the almighty tongue. First of all using your tongue should not only be amazing for her, but also at least comfortable for you. If you feel even remotely grossed out because of the smell or taste of that person’s genitalia you will not be able to perform as well. Suggest a coed shower to start off your session. Offer to shampoo her genitalia, and make it a sexually arousing experience. There are many ways to stimulate a woman with your tongue and we recommend a book for this as well. We like "Low Down on Going Down" Sometimes your tongue may get tired but whatever you do, do not give up or stop. Use your fingers for a while (make sure they are lubricated or at least wet) until your tongue recovers a bit. If you over-sensitize her clitoris, start slow and light again, and you should be able to slowly work your way back up, and get her to the “O” zone. It is usually best to get her to climax while using both your fingers and your tongue. Move your tongue in a circular motion around the clitoris, clockwise if possible. At the same time your two fingers (lubricated or wet) should enter into her vagina. Use your pointer and middle fingers and apply some pressure to the top of the inside of her vagina, palm up. Toward the back you should notice a “ribbed” area. Apply some pressure and “vibrate” your hand back and forth. At the same time move your two fingers slowly back and forth alternating between the two fingers. This will usually send her into orgasm heaven. Other Methods There are several other methods that could be used, however these methods usually are best with approval from your partner. There are many different methods; we will list the most common ones: Sex toys Sex games Whip cream, chocolate syrup, fruit, etc Tying the hands, and maybe the feet to the bed posts Obviously this list can be much longer, but we will leave it at that. Hopefully you are full of ideas, are already panning your evening or next date. We hope that you realize that penis size is not always the most important thing that a woman looks for in a man, now go out there and enjoy your sex life.