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Adult 25-100 mg PO 1 h before sexual activity; best absorbed when taken on empty stomach
Two placebo-controlled trials reported effectiveness in 42% and 32% of patients taking 50 mg compared with 9% and 13% in the control group, respectively. The erections occurred in 20-30 minutes. The drug was well tolerated, with mild-to-moderate adverse effects, usually headaches or lightheadedness, occurring in less than 10% of patients.
If the veins in the penis cannot prevent blood from leaving the penis during an erection, an erection cannot be maintained. This condition is known as a venous leak. Venous leakage may occur with vascular disease, but it also can occur as a result of poor muscle relaxation of the penis. Difficulty with smooth muscle relaxation of the penis can occur with diabetes or with Peyronie's disease, a condition that results in the buildup of scar tissue of the sheath (tunica albuginea) surrounding the erection tissue (corpora cavernosa). Venous leak also can occur when neurological diseases or high levels of anxiety are present because these conditions can prevent adequate smooth muscle relaxation.
Radiation treatment can cause both bladder and bowel incontinence. It can also lead to impotence, although that effect does not take place immediately.
Juices of neem, guduchi (giloya) and Embelica officinalis prove beneficial if consumed in early morning.
According to Orr, Men must consult with a licensed physician before using any medication, but in my experience, using an injection for impotence is just a tiny pinch. The benefits far outweigh any inconvenience. I wish I hadnt waited so long to learn about it.
Cut down on smoking, alcohol, and illegal drugs.
Medications can be injected directly into the corpora cavernosa to attain and maintain erections. Medications such as papaverine hydrochloride, phentolamine, and prostaglandin E1 can be used alone or in combinations to attain erections. Combining small amounts of each drug is preferred over using a single drug because of increased efficacy and fewer side effects. Even though such injections can be effective, they are not widely used because the injections are painful, there may be scarring of the penis, and there is a risk of developing priapism.
Research on drugs for treating ED is expanding rapidly. Patients should ask their doctor about the latest advances.
The researchers found that men who said they had sexual intercourse less than once a week had twice the risk of developing erectile dysfunction, compared with men reporting having sexual intercourse once a week.
In the study, adult male rabbits with severely damaged penises received a graft of specially engineered penile tissue. The animals then re-grew full penises that functioned normally -- even to the point of successfully impregnating females.
Set realistic goals and expectations.
The bottom line, as I see it, is that pharmaceutical companies don't care how their drugs are sold or who uses them, even if there's no justified medical use whatsoever. They simply want to sell more prescription drugs, generate more pharmaceutical profits, and fatten up their own bank accounts.
Ejaculation, the release of semen at climax, is triggered when the man reaches a critical level of excitement. Sexual stimulation causes nerves in the penis to send chemical messages or impulses to the spinal cord and into the brain. There, more chemical messages are sent back to the penis causing ejaculation.
To block veins that drain blood from the penis.
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