Cialis helps with erectile dysfunction

Cialis is a phosphodiesterase inhibitor. It works by helping to increase blood flow into the penis during sexual stimulation. This helps you to achieve and maintain an erection.Cialis is a phosphodiesterase inhibitor. It works by helping to increase blood flow into the penis during sexual stimulation. This helps you to achieve and maintain an erection.

Some medical conditions may interact with Cialis . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

* if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
* if you have allergies to medicines, foods, or other substances
* if you have a deformed penis (eg, Peyronie disease, cavernosal fibrosis), blood problems (eg, sickle cell anemia, leukemia, multiple myeloma), or any other condition that may increase the risk of a prolonged erection (priapism)
* if you have a history of certain eye problems (eg, retinitis pigmentosa, sudden vision loss, optic neuropathy, macular degeneration)
* if you have a history of liver or kidney problems, dialysis, high or low blood pressure, ulcers, bleeding problems, blood vessel problems, heart problems (eg, heart failure, irregular heartbeat, aortic stenosis, angina), or blood vessel problems
* if you have a history of heart attack, stroke, or life-threatening irregular heartbeat

Some MEDICINES MAY INTERACT with Cialis . Tell your health care provider if you are taking any other medicines, especially any of the following:

* Alpha-blockers (eg, doxazosin), medicines for high blood pressure, nitrates (eg, isosorbide, nitroglycerin), or nitroprusside because severe low blood pressure with dizziness, lightheadedness, and fainting may occur
* Azole antifungals (eg, itraconazole), HIV protease inhibitors (eg, ritonavir), macrolide antibiotics (eg, erythromycin), or telithromycin because they may increase the risk of Cialis 's side effects
* Rifampin because it may decrease Cialis 's effectiveness

This may not be a complete list of all interactions that may occur. Ask your health care provider if Cialis may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

Treatment of impotence of Egypt. Photo

Different people have different ways of folk medicine: if there is grass, then treated with herbs, and if by hand only the sand - the sand cure. In Egypt, near the oasis Ziba (752 km west of Cairo), people bury in the sand from the mountains Dakrur to get rid of rheumatism, pain and sexual disorders.

35-year-old Abu Al Kassem Alosh decided to get treatment.



The man buried in the sand at 50-degree heat.



After the people and digs, so as not to lose precious heat, wrap in blankets.



In the middle of the desert tents people after sand continued healing hot tea.



Judging by the number of tents, medicine in the Libyan desert area is thriving.

Increased potency or as a treat impotence

At the dawn of the 60's concluded that 90 percent of impotent men who are experiencing emotional difficulties. Elderly doctor practicing general practitioners (family doctors) are usually prescribed to patients with problems of this kind of injection of testosterone, which, apparently, was quite useless. The new generation of young and well, as if it was considered trained therapists look at the practice as something "shamanism" and send their patients for physiotherapy, which also had no success.

But since the mid 70's, doctors began to detect a purely physical causes impotence or erectile dysfunction, but in the last 10 years with the trouble started slowly to cope. Now specialists andrology convinced that in most cases, the potency disorders are purely organic (ie non-psychological) causes. Some of these patients come to the attention of the family doctors, but most of the rest fall into the hands of specialists and urologists andrologists.

Should determine that all methods for the treatment of impotence or improve potency divided into conservative - invasive and non-invasive and rapid.

By conservative techniques improve potency is primarily oral medical therapy, the use of vacuum devices and konstriktornyh intrakavernoznye injection.Drug therapy impotence (erectile dysfunction)

Most recently, the main drug used to enhance the treatment potency was Yohimbin. However, the effectiveness of its use does not exceed 10%. When the need for a relatively long application of funds (up to a year) and its low efficiency, together with a large number of adverse reactions, make this method of treating impotency malopriemlemym.

Nowadays, to improve potency or to combat impotence, as such, quite successfully used the product «Viagra» or art analog prolonged action - Sialis, called "pill for the weekend (see related article on the site). The effectiveness of drugs is beyond dispute, and reaches 70-80%, but they are possible side effects, such as a sudden reddening of the face and neck, a slight headache, congestion nasal cavity, the change tsvetooschuscheniya and visual acuity. Hence, in any case to determine the indications for the use of a drug should be a specialist - urologist or andrologist.
Vacuum-konstriktornaya therapy erektilnoy dysfunction (impotence)

The method is to create a negative pressure in the cavernous bodies of the penis with the help of the vacuum cylinder and pump, which leads to the inflow of blood and erection retained through the overlay at the base of the penis special compressed ring that restricts venous outflow. As a result, it is possible to perform sexual intercourse, up to 30 minutes.

The effectiveness of this method to 40-50 per cent. Its disadvantages are the indisputable practical use of the device in front of partner (which is not very эстетично), a painful ejaculation (semyaizverzhenie), as a result of the compressed ring, as well as the occurrence of hemorrhages in the penis, a sense of numbness in the penis etc.
Intrakavernoznye injection of vasoactive drugs

In order to improve the potency and the development of a full erection microinjections vasoactive drugs are carried out directly in the penis before coitus. This method of direct introduction of vasoactive drugs in the male member was the most common and most effective among conservative treatment methods erectile dysfunction (impotence). For the treatment of prostaglandin used as a monotherapy or in various combinations.

The combination of the same drugs used to reduce the side effects of each of them, due to decreased concentration, and potentiation (synergies), the pharmacological effect. Program integrated approach specialist urologist or andrologist to the appointment of the method of increasing the potency allows the use of this method is effective and safe.

Intrauretralnaya therapy impotence

For intrauretralnyh (directly in the male urethra) applications use different drugs, such as alprostadil. Because the urethra drug absorbed and the blood enters the cavernous body of the penis, where the reactions occur, resulting in erection. This technique, compared with the previous one, avoids the need for injections in the penis.

Because of the high cost of drugs and adverse reactions (burning feeling in the urethra), and the need for mandatory use of condoms, - it is now a means of improving the potency has not received wide distribution.

Surgical treatment of erectile dysfunction

It is true that surgical intervention in the latter being used less and less because of the relatively high effectiveness of pharmacological treatment of disorders of potency. Only when conservative treatment does not give the desired results, with some evidence - in the extreme case, the surgical methods.

Operation with venous insufficiency of the penis is performed in case of defeat venozapiratelnogo mechanism genitals. Despite the long use of the technique, its effectiveness does not exceed 50%. But even with such low results of venous surgery of the penis is used in clinical practice, especially as additional to other previously described methods, allowing a result to achieve high rates of cure.

In case of insufficient arterial inflow of blood to the cavernous tissue of penis shows surgical treatment of arterial insufficiency of the penis. Used microvascular arterial bypass, the effectiveness of which varies from 30 to 50 percent. This operation is highly effective only in young patients.

Prosthetic penis is currently the main method of recovery of its rigidity (stiffness). Implantation of prosthetic devices is the final phase of therapy impotency, when all previous methods of treatment have been exhausted and did not give the expected result.
Psychotherapeutic techniques improve potency
In the matter of increasing the potency or the treatment of erectile rasstoystv an essential part of medical research councils sounded in unison to some heads of well-known since ancient «Kama-sutras». The primary role of the so-called "three-technique" focus of sensuality. This method is recommended during coitus a lot more attention paid to the satisfaction of their partner.

In the beginning (first stage) is a pleasure to partner with each other without direct contact with the genitals. Then (in the second stage) who love each other relating to the genitals and erogenous zones, but have not yet come into sexual intercourse. It was only the third finals taking place sexual intercourse, sexual partners, bringing the true pleasure of closeness.

Some experts claim that nearly 65% of cases for the treatment of disorders of potency is sufficient to visit the psychotherapist. After all, no secret that it is often a random failure in bed leaves a deep trace in the psyche vulnerable men, and as a consequence, the uncertainty comes in its own «masculine force».

Main believe in yourself and you all will no doubt succeed!

Depression - a direct path to impotence!

Many studies show that one in four men with depression, has problems with potency, manifested in a permanent or recurrent inability to maintain erection of the penis sufficient for sexual intercourse. This problem is widespread, about 152 million men have problems such as experts predict, the number of them grows with each passing year.
The cause of the problems with potency can serve as different physiological breach. These causes can be divided into five groups.The first group of - psychological distress, fear, stress and depression.

The second group - disorder of endocrine system in violation of the hormonal functions. This could be obesity or diabetes.

The third group - the cardiovascular system disorders. This disorder can be atherosclerosis caused by diabetes, smoking, high blood pressure.

The fourth group - the organic changes of the penis because of the carry-over of inflammation or injury.

The fifth group - the nature of neurological disorders: a violation of circulation in the brain.

There are two types of erectile dysfunction treatment: medication and surgery.

Impotence - what's this?

The causes of impotence

Under the sexual potency refers to the ability of men to carry out sexual intercourse, therefore, impotence - the inability of men to carry out sexual intercourse. Impotence can also be defined as the inability of excitation.

Impotent or disturbed potency is considered to be a man if he:

1) does not feel sexual attraction;

2) does not reach as a result of attraction of erection;

3) no ejaculation (other than those. Cases where a man is able to control ejaculation);

4) did not have orgasm. About impotence generally should speak only when full and sustained failure of men to coition, and all the other cases more properly assigned to the functional disorders.

Before you treat impotence, it is desirable to find out what causes it is due. Perhaps the discovered causes and its neutralization may be more than sufficient to get rid of impotence. It has two main reasons:

1. Physical impotence.

2. Psychological impotence, which is sometimes referred to as nonspecific.

There are four basic organic irregularities that can lead to physical impotence:

1. Diabetes and its latent form.

2. Violation of blood, leading to a decrease of excitation: seal the aorta, hypertension, heart disease.

3. Diseases of the nervous system, prevents the flow of signals on the excitation of the brain or nerves of vertebrates. This is a neurological disease.

4. Low levels of testosterone, blocking sexual interest. Hormonal disorders - one of the rare causes of physical impotence.

Psychological impotence associated with stress factors (sometimes at an unconscious level), in violation of erection. Psychological impotence is usually caused by fear, stress, dissatisfaction and a life as a result of stress, troubles at work, difficulties in the family.

Some men with impotence erection is still there, but it is very short, ie, there is, but not for long. In this case, the difference may seem insignificant, but with a psychological point of view is essential. A man claiming to be impotent, is in a state of nervous tension and anxiety. If he looks at this problem in another way, and decides that it is difficult to retain erection, it can return the mental equilibrium.

Also one of the causes of impotence can be a difficult life decision, the congestion problems in the long term. In this case the treatment of impotence is to restore the normal rhythm of life or change in lifestyle that was not fraught with such overload, or long vacations.

The causes of the decline in male potency, is to focus on the sexual act without taking into account the conditions and the strong mental association. Even more harm is caused by man over-fixation of attention on the functioning of their genitals (such as emotions about the small size of their bodies).

Quite often, sexual function was deteriorating as a result of prolonged sexual abstinence (especially contraindicated long breaks in the sexual life of men over 40 years). Usually, after the restoration of a normal sexual life comes to normal.

The cause of impotence may be a violation of a certain stereotype of sexual activity that has for some time. There were cases when a man who does not have any complications with his wife, was untenable when you try to perform sexual act with another woman. Even with a constant partner might like, if the sex occurs in an unusual environment or situation.

In this context, to exclude an element of psychological habit, it is recommended from time to time to modify the environment within which the lessons of love, as well as the attendant for details.

One of the causes of impotence - smoking. According to studies tobacco abuse (more than 20 cigarettes per day) in 11 percent of men leads to a functional sexual disorders. At the same time, non-smoking potency in most cases, fully restored. Those who can not stop smoking, you need to remember that abstinence from smoking for 3-4 hours prior to the proximity further improves erection. As the results of a study conducted by the British Medical Association, most men and no idea about the possible existence of such a link. At the same time, to 120 thousand Britons aged 30 to 40 years became impotent is the fault of harmful addiction to tobacco.

Wrong those who think that alcohol increases the potency. This can happen only in the initial period of alcohol consumption. But, first, the signs of increasing potency transient, and secondly, in the future, they will inevitably give way to decrease sexual interest, erection, and the weakening of serious sexual disorders.

For men, diabetes mellitus, impotence is a relatively common complication and may occur at a younger age than in healthy people. At the age of 30-40 years old impotence developed in 25% of men with diabetes, aged 50-60 years old - at 53%, aged 60-65 years at 75%.

One of the common causes of impotence - obesity. It is noted that when a man gets rid of extra weight - it grows and potency.

Positively affect the potency sports, but only if they are not excessive. Regular physical activity prevents the development of impotence. If you exercise too hard and the body can not manage to recover, it could decrease sexual function. Effect of load on the potency attributed to the improvement of blood circulation of the reproductive organs. Not only recommend cycling classes, which may increase the risk of impotence.

Tools to overcome impotency different. In our opinion, the best, if you are using multiple methods. But this is not always possible, and in some cases not all fit. Therefore, choose for yourself try to find that the most suitable for you, and eventually you will succeed.

Suggested questions below will help determine the nature of Erectile Dysfunction: physical or mental.

- The sudden manifestation: whether the problem started suddenly?

- Selectivity: whether a violation of erection only with a single partner?

- Frequency: Are you experiencing difficulty with erection only from time to time?

- Masturbation: unchanged whether the degree of hardness of the penis and maintain the time of erection?

- Experience: Is there pain in the testicles?

- Experience: Does the problem disappear when a new partner?

- Erotic dreams: there is erection during sleep?

Two or more affirmative answers may indicate a mental impotence resulting from stress. However, this does not exclude the possibility of somatic illness or depression.

An important factor is age. In 40 years, the causes of impotence by 80% mental and only 20% - natural. For 80 years the picture changes: 80% are cases of physical impotence and only 20% - mental. All men should know that regardless of the cause of impotence can be cured in 95% of cases.

It is necessary to refer to a specialist because impotence, regardless of the reasons causing it seriously damages lives. Refer to an oncologist specializing in the treatment of Erectile Dysfunction.

Treatment methods depend on the causes of impotence and its causes. If impotence is linked to psychological causes, psychological counseling is needed, it is better when both partners are involved. Impotence can be eliminated if the patient realizes that it is not connected with the defeat of the nerves and blood vessels. Treatment of impotence related to hormonal disorders, occurs through the prescribing drugs.

Recommendation scholars - sex every day!

Sex daily improves the quality of semen and sperm makes more active, say researchers. 
The study of men with low ability to fertilize showed that daily semyaizverzhenie in the week leading to the improvement of the quality of sperm. 

Speaking at a scientific conference on problems of fertility, Dr. David Grining of Australia gave the board the men and women: to have sex at least once every two to three days. 
Preliminary test results show that this practice gives good results. 
Monitoring of the 118 men have allowed scientists to better understand how to increase the quality of sperm. 
Speaking at a conference of the European Society of Human Reproduction and Embryology, Grining doctor from the medical center SydneyIVF reported that eight of the 10 men who participated in the experiments, the defects in the DNA of sperm in the week declined by 12%. 
Although the number of sperm per week fell from 180 million to 70 million men still retained the ability to fertilize. At the same time, spermatozidy become more active. 

Treatment of infertility 

According to the researchers, the longer the sperm in the testicles in men, the greater the chance that the DNA will be damaged. 
There is still determine whether the useful daily sex for men who have no problems with fertilization. Dr. Grining believes that is likely to benefit. 
However, he cautioned that daily sex for too long period of time - for example, two weeks - would lead to too large a reduction in the number of sperm. 
Conclusions David Grininga may affect the procedure for the treatment of infertility. Now the men are usually told that they should abstain from sex a few days to increase the number of sperm - informs BBC.
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Impotence was left in the past.

As part of the annual Congress of the World Association for Sexual Health (World Association for Sexual Health), held from 21 to 25 June in Gothenburg, Sweden, held a talk show with a theme, of course, interested in many men around the world. This is the so-called erectile dysfunction (old name - impotence), and medicines, the effect of which in the treatment of this pathology is proved.

Remember that erectile dysfunction (ED) - This disorder of sexual function, in which a man can not maintain erection for sufficient time to commit sexual acts in full.

In 1995, the ED in the world suffer 152 million men aged 40-79 years. By 2025, the estimated medical, the number of cases will reach 322 million people. The frequency of ED increases with age, but erectile dysfunction is a consequence of modern living.

The highest risk men with ED aged over 50, but many of them do not even think about it. It is shown that the ED can have a devastating impact on the lives of men. Scientific studies have shown an association between ED and depression, loss of self-esteem, low self-esteem and interpersonal relationships break.

However, in spite of the widespread prevalence of ED, the violation is still not detected and treated in full. Of the total estimated number of men with erectile problems, only about 30% go to a doctor for medical advice. Although, as noted by doctors to treat ED has made significant progress, and the majority of men with cancer can now be effectively treated.

Usually, sexual function disorders are not distinct diseases, but there are also being developed as a concomitant. Thus, the violation of erection can occur with endocrine disorders such as diabetes mellitus (causing neyropatiyu) and severe hormonal deficiency (decrease in testosterone levels), or be associated with a variety of urologic diseases, lesions located in the cerebral cortex points of regulation of sexual functions. Erectile Dysfunction caused by these factors, considered to be organic. It is about such violations and the methods of treatment, and referred to the talk show in Gothenburg Congress Center, which was attended by leading clinicians, sexuality, and journalists from all over the world.

As noted in the talk-show Professor Ridvan Shabsigh urologist from New York, the concept of ED has been proposed Institute of Health in 1996. The value of this step, explained Dr. Ruth Vesthaymer from New York, a pioneer in the field of media psychology, and world-famous sexologist. According to her, the diagnosis of «impotence», in the understanding of themselves as doctors or their patients, has meant that the restoration of man's health can not. The emergence of the concept of «erectile dysfunction» has made a revolution in this segment of health care: it was found that restoration of male sexual function is within reach on the average, so - in a significant number of cases - and in older age.

For most people sex is a very sensitive topic, so a man suffering from Erectile Dysfunction, seek to explain the problem of external factors, often even try to hide. Despite the fact that 95% of ED is curable medically, only 10% of men experiencing difficulties with the potency, seek treatment by a doctor. According to doctors attending on talk shows in Gothenburg, the main reason for retaining such a situation - insufficient efforts to promote treatment ED.

As noted in this regard, Dr. Ruth Vesthaymer, «Now is the time to talk about ED and the available treatment options to offer men and their partners a real help. We need to make them aware of opportunities to rediscover the truly satisfying sexual function ... The ability to lead a normal sex life is very important for men. Critical awareness, you need to know about a pair of effective treatments that can restore a man ».

It should be pointed out that the ED - one of sexual dysfunction observed in men. In normal sexual function sexual act consists of craving (libido), romantic love, erection, introduction of the penis, committing tens of friktsy for several minutes, finished semyaizverzheniem - ejaculation and the emergence of feelings of orgasm. The absence of a component determines the inability to fully commit sexual acts, and gradually leads to a breach of the remaining components. Most often this is due to violation of erection or semyaizverzheniya.

During the talk show, it was noted that there are many well-portable and effective therapy of ED. A significant breakthrough in this area occurred in 1998, when the oral inhibitors fosfodiesterazy (FDE) 5. When you receive this group of drugs blocking the action happens FDE5, resulting in relaxation of smooth muscles in the arteries of the penis. The latter contributes to filling the cavernous bodies with blood member. The drugs in this group have an effect only when a man is in a sexual initiation, they are ineffective in the absence of excitation. Depending on the drug, they take over 20 minutes - 1 hour before anticipated sexual intercourse. The drug may have effect within 3-36 hours.

Currently, there are several drugs for systemic use of a group of inhibitors FDE5. One of the inhibitors fosfodiesterazy 5 - sildenafil (better known in Russia as Viagra) - served as the prototype for the other two: tadalafila and vardenafila (not brand names - «Rosbalt»), with its advantages and disadvantages, a few inhibitors are in development.

With the emergence of this group of drugs for the treatment of ED, the focus of researchers was focused on the hardness of erection, while not studied the need to restore its normal length, which may be considered necessary for the pair to perform successful sexual intercourse. However, during a specially conducted survey revealed that 93% of men is important length of time during which they are able to maintain erection.

It is in this direction has recently conducted its research Dr. Matt Rosenberg, director of Mid-Michigan Medical Center in Jackson, sharing the results with participants in a talk show in Gothenburg. According to Rosenberg, he and his colleague, Dr. Martin Mayner, leading American urologists, first conducted two studies in which couples were instructed to use the stopwatch to accurately record the time duration of erection in men until the end of a successful sexual intercourse. All participants in the study, men were diagnosed with ED, and most of them also attended by other disorders such as dyslipidemia or hypertension. The second study sought to identify the level of security for the inhibitor FDE5 for the patient. Inhibitor in the process of research was selected vardenafil.

The results showed that the duration of erection in men taking vardenafil on-demand, increased by 2-3 times compared with the reception of placebo (dummy). These recent survey conducted Sexologists, indicate that the desired duration of sexual intercourse ranged from 7 to 13 minutes. The study revealed that the duration of erection in men with ED who received a placebo, ranged from 3.42 to 5.53 minutes. When using vardenafila men with ED can achieve an average duration of erection order 10-12,8 minutes.

Dr. Martin Mayner, a second study assessed the efficacy and safety vardenafila in men with ED and dyslipidemia. It should be pointed out that dyslipidemia - abnormally elevated levels of lipids and / or lipoproteins in human blood - is an important risk factor for cardiovascular disease is mainly due to the significant influence of cholesterol on the development of atherosclerosis. In addition, some dyslipidemia influenced the development of acute pancreatitis. In this regard, the perception of the danger FDE5 inhibitors for people with certain pathologies, particularly because of the combined action with other drugs such as statins.

The study doctor Maynera involved 395 men aged 18 to 65 years with ED for more than 6 months for patients to continue treatment for their stable dose of statins. At the initial stage, along with dyslipidemia in 61% of the men there was hypertension, 51% are obese, while 40% had diabetes. The results of the study, which also used a placebo and vardenafil, have confirmed the effectiveness of the inhibitor in the treatment of ED patients with dyslipidemia. Thus, the average duration of erection, leading to successful sexual intercourse, in patients with dyslipidemia and hypertension in the treatment of vardenafilom was 7.8 minutes (placebo - 2.6 minutes), with dyslipidemia and diabetes - 7.4 minutes (placebo - 3, 7). In patients with dyslipidemia with hypertension results - 12.7 minutes and 3.9 minutes respectively.

Thus, should the speech of Doctor Matt Rosenberg, treatments this inhibitor is quite effective in the case of a patient pathologies associated with ED.
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Impotence (erectile dysfunction) - the inability of men to achieve and maintain erection.

Today the specialists who are engaged in "men's problems" using the term "erectile dysfunction".

In 1992, urologists around the world have agreed that the term "erectile dysfunction" would mean the inability to achieve or maintain adequate erection of the penis. And this is very limiting and makes it impossible for a normal sexual relationship.

Unfortunately, erectile dysfunction is now widespread.

Impotence (erectile dysfunction) - the inability of men to achieve and maintain erection.

Impotence occurs in 40% of men aged 35-40 years. Many men are ashamed to deal with this problem to the urologist, but a weak erection or loss of erection during sexual intercourse are already a compelling reason for a doctor.

There are many causes of erectile dysfunction:

* Inflammatory diseases of the genitourinary system and the pelvic organs (prostate, orhoepididimit, cystitis, etc.)
* Lack of arterial blood vessels in the erectile mechanism
* Diabetes
* Hormonal disorders
* Various spine injury
* Trauma of the penis
* Operations on the pelvic organs
* Receiving drugs
* Depression, stress

That is, impotence can be caused by neurological, endocrine, cardiovascular, medical and local causes, which are the organic form of erectile dysfunction. More often than not found the psychological form, in which erection problems arise from the characteristics of psychoneurological men.

Almost always the problems with the erection of organic nature added a psychological point, which may or may not disappear, even after removing the main causes of the disease.

The reluctance of men to apply to doctors about impotence is the biggest challenge to urologists around the world. It is particularly relevant in our country, which does not apply to doctors with the problems of a personal nature. However, modern medicine has a huge arsenal of tools to help such patients.

Any activities aimed at normalizing and improving the functions of the organism, can be a means of restoring erectile function. Therefore, in combination with other therapeutic measures applied physiotherapy, magneto-and laser therapy.
Impotence. Types

Impotence

Organic impotence

Organic impotence - is the progressive loss of erectile function, which results in lower quality of erection. When the organic genesis of the disease ischeznovenyut night and morning spontaneous erection. The most frequent reasons - it is different vascular arterial or venous pathology of nature. Studies have established that in healthy men during the night, in the rapid phase of sleep, there is 4-6 episodes of erection, duration of 10-15 minutes. The total duration of spontaneous erection during the night is about 20% of total sleep time. With age, not all night accompanied by a spontaneous erection complete rigidity, and the number of episodes tumestsentsy with reduced rigidity increases dramatically.

Psychological impotence

Psychological impotence occurs suddenly and is usually associated with certain events in the life of men. In this case, night and morning spontaneous erection reserved. Erection indutsiretsya often with the help of visual stimulation or erotic fantasies.

Differential Diagnosis of psychological and organic impotence

I. Psychological impotence

1. The sudden start
2. Night spontaneous erection reserved
3. The problem of relations
4. Problems in certain circumstances

II. Organic impotence

1. Progressive Home
2. Night spontaneous erection no
3. Normal libido and ejaculation
4. Problems in any circumstances

Impotence

How to avoid impotency?

To prevent the development of erectile dysfunction, required:

* Maintain a healthy lifestyle, eat properly and regularly, do sports, to monitor their health;
* Do not smoke, not to abuse alcohol, do not use drugs;
* Not to use medication funds, which can cause erection, or use them only on strictly medical and agree to receive instruction on their use;
* Maintain a regular sex life, without long periods of abstinence and sexual excesses;
* Required to consult a urologist if you are injured pelvic area, perineum, if you will be an operation on a small tazu if you have diabetes mellitus or arterial hypertension.
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Smoking leads to infertility and impotence.

It is known that smoking causes serious damage to human health. It is believed that in the first instance of it suffers from cardiovascular and respiratory systems, and then - all other tissues and organs. But it turns out, is not less harmful nicotine causing ... reproductive system, resulting in infertility and impotency.

As studies conducted by specialists of the British Medical Association, the products of combustion of tobacco, in particular carbon dioxide (carbon monoxide), interfere with the circulation in the genital organs and sex glands. As a result, the men violated the development of sperm - sperm lose their ability to fertilize eggs, a female has a greater chance of abnormal ovarian cycles are not accompanied by the development of viable eggs. According to experts, only a relatively small British smoking each year causes the impotence of the 120 thousand men between the ages of 30 to 50 years! In addition, scientists also discovered a link between smoking and the likelihood of developing prostate cancer in men and cervical cancer in women.

In general, you can once again say with certainty - smoking - health harm. " And, it turns out, not only their own health but the health of unborn children, many of which are due to smoking and do not appear on the light.
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