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Erection and flaccidity of the penis is a vascular phenomenon. The penile erectile tissue or the corpora cavernosa plays a key role in the erectile process. Sexual stimulation triggers the release of chemicals which cause relaxation of smooth muscles. This increases blood flow in the arteries and the smaller arterioles. The incoming blood is trapped by the vascular spaces. The venous outflow is reduced by compression of the veins. The partial pressure of oxygen in the blood rises from 35 to 90mm/hg and the pressure in the cavernosa climbs to 100mm/hg which erects the penis. A rigid erection occurs with further contraction of the pelvic floor muscles. The rigid penis becomes flaccid with a slow opening of the venous channels and then a fast pressure decrease with a fully restored venous outflow.
Common side effects of Viagra include dizziness, headache, flushing, upset stomach or indigestion, abnormal vision (such as increased sensitivity to light, blurred vision, or blue-tinted vision), nasal congestion or runny nose, back pain, insomnia, rash, and muscle pain. Less common side effects of Viagra include priapism (a prolonged, painful erection that won’t go away), heart attack-like symptoms such as chest pain, eye problems such as sudden vision loss, ringing in ears or hearing loss, seizures, or swelling in the extremities. (If you experience any of these, you should seek medical advice right away.)
These are products like Testim gel or Testogel, available only on a prescription basis. There is also the possibility of receiving testosterone implants under the skin (with a local anesthetic). They slowly release the hormone and can be replaced every four months. The gel can be applied anywhere except the breasts, the only problem being that it is not yet authorized for women, so some gynecologists may be reluctant to prescribe it. However, to increase the level of testosterone there is another variant, authorized for women – Intrinsa patch with testosterone, which is usually applied on the buttocks.
Sexual concerns in young men – PDE5’s are not the answer! Most young unmarried men especially in India , do not need pills like Viagra ! They need reassurance and positive feedback saying that they are normal . It is important to query the physicians about possible side effects before commencing treatment! To sum up, most young men do not need PDE5 inhibitors ! It is essential to get evaluated before commencing treatment ! It is imperative that the lowest possible dose is started first ! Finally, I would put these men on micronutrients and antioxidants which go a long way in maintaining general well being without the potential side effects of other pills. Read more information at instadocnow.com.
Timing matters. You need to plan for a minimum of two hours between the last thing you eat and ingesting the tablet. The dose should be taken one hour before sexual activity. There are limitations as to how often you can take Viagra. You should NOT take the dose more than once per day. What and when you eat can impair the effectiveness of Viagra. Avoid fatty meals on days when you plan on taking Viagra. This can cause Viagra to take effect more slowly. Try eating light meals throughout the day before taking Viagra, and avoid heavy meals with red meat, fried food and other high-fat components.