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Frequently Asked Questions
What is Erectile Dysfunction?

Erectile dysfunction or impotence is the inability to attain or maintain an erection of the penis sufficient for satisfactory sexual performance. This most common sexual disorder can occur and affect men of any age. Small periods of erectile difficulties are not uncommon and there is nothing to worry about. However, if the problem persists for a longer duration (weeks or months), then medical help is required. Recent data has indicated that the prevalence of erectile dysfunction of any degree is 39% in men 40 years old, and 67% in those aged 70 years.


There are various and often multiplying underlying causes of ED. Many medical and psychological factors are responsible for the development of ED. The most important organic causes are heart diseases (high cholesterol levels and hypertension) and diabetes. Both these conditions cause the narrowing of arteries and veins in the penis, thereby affecting the blood flow. Other causes include decreased levels of testosterone, trauma to the pelvis and bladder; high intake of unhealthy diet; medications (anti-depressants and tranquilizers), high consumption of alcohol, imbalance in hormone levels and low fiber diet. Psychological factors including stress, depression, anxiety, relationship issues, and performance pressure are also responsible for causing erectile dysfunction.


Diagnosis is made on the basis of complete sexual, medical and psychosocial history. Your physician will ask details about this delicate topic to assess the condition and rule out other medical causes. Investigations like blood tests for evaluating your hormone levels, glucose, and thyroid function are done. Once these tests are done, your doctor will perform penile or pelvic blood flow studies. The penile function is evaluated by directly injecting PGE1 into the penis.


Apart from putting a strain on your relationship with your partner, erectile dysfunction for a long time can cause low self-esteem. Therefore, the first thing is to consult and talk about the problem in detail with your doctor. He will assess the situation and try to find out the physical cause, if any, behind the problem. In 75% of the cases, it is due to physical causes. Psychosocial counseling is an important part of the treatment during which any emotional or sexual issues are discussed with the therapist. If anxiety or stress is known to be causing erectile dysfunction, sessions with sex therapists help in solving the issue.

Treatment of ED is done by assessing the underlying cause. There are many reasonable treatment options ranging from oral medications to hormonal injections to surgical methods. If erectile dysfunction is due to any existing medical conditions like diabetes or heart diseases, treatment is given accordingly. If it is due to the prescribed medicines, talk to your doctor about any alternative medicine that can be taken.

Making small changes in your lifestyle can reduce ED symptoms. This includes reducing bodyweight, increasing physical activity, reducing the intake of alcohol and avoiding mental stress. Medications used for treating ED are known as Phosphodiesterase-5 (PDE-5) inhibitors. These include Viagra, Levitra, and Cialis. The action of these medications is similar to nitric acid, causing the relaxation of penis muscles and increasing blood flow. This leads to harder and stronger erections. However, these medications are taken after talking to your physician as they are not advisable in patients with heart diseases and diabetes.

Hormonal injections and vacuum pumps are recommended in some cases where the medications are not advisable.

What causes sexual problems in men?

Sexual problems or sexual dysfunctions are problems that occur in any phase of an individual’s sexual response cycle, preventing him or the couple from getting sexual satisfaction. Sexual problems associated with men include delayed ejaculation, diminished libido, inability to achieve or maintain erection and premature ejaculation. For many years, men have believed that these problems are just a normal part of aging, unfortunately, this is not the case. So what causes sexual problems in men?

Generally, sexual problems may develop gradually or occur out of the blue as a partial or total inability to engage in one or more stages of a sexual act. Sexual problems in men result from either emotional or physical problems.

Emotional causes:

Emotional causes can either be interpersonal or psychological problems. Usually, interpersonal problems can result from a relationship or marital problems, lack of trust, performance anxiety and even lack of open communication in a relationship. Psychological factors that cause sexual problems in men include sexual fears, past sexual trauma, depression, feelings of guilt, and even work-related stress. Men who are depressed at work, usually lose interest in sex and their performance also decreases. This may reduce their motivation to try to have sex altogether, making their partners be sexually unfulfilled.

Physical causes:

Sexual problems in men can also result from physical related issues. Physical factors can also be medically related factors which include: diabetes, heart and vascular diseases, hormonal imbalances, neurological disorders and chronic diseases like liver or kidney failure. Some medicines used to treat some illnesses are also known to cause sexual problems in men. These medicines include diabetes drugs, antidepressants, and some blood pressure medications.

Usually, these medicines have some side effects that may include a reduction in sexual desire and sometimes erectile dysfunction. Pain and physical injuries also cause sexual problems in men. Some illnesses like back pain, shingles, arthritis, and injuries on the penis can cause pain that can result in uncomfortable sexual intercourse. Some of these conditions can also change a man’s moods and attitudes which results in sexual dysfunctions like lack of interest to have sex. In addition to this, surgical procedures especially those results in the removal of a part or whole of man’s prostate can also lead to impotence. Old age can, therefore, be classified as an unpreventable cause of sexual problems.

Sexual problems can also result from bad lifestyle or habits. For instance, men with habits of drinking alcohol in excess and those who smoke are prone to develop sexual disorders. Research has shown that nicotine substances in cigarettes interrupt the flow of blood in the penis, leading to late arousal. In addition to that, excessive use of alcohol can cause impotence.

As men grow up, they experience changes in their sexual function, as a result of a drop in testosterone levels. These changes include fewer sperm production, a decrease in the force of ejaculation, an increase in recovery time and erections may not be hard enough. Old age can, therefore, be classified as an unpreventable cause of sexual problems.

In conclusion, there are several causes of sexual problems in men. Some of these causes are preventable while others just occur naturally. These problems can cause distress in a man and problems in a relationship. Fortunately, most sexual problems are treatable through medication while others just disappear as time goes by. However, it is important to talk a doctor to know what the cause of the sexual problems in a man; so that the necessary procedures and treatments can be administered.

How Are Male Sexual Problems Diagnosed?

Millions of men across the globe suffer from various sexual problems that affect both their relationships and their lives. These issues are not only bothersome but also very embarrassing for those who experience them. Among the most common male sexual problems, there is premature or inhibited ejaculation, erectile dysfunction, orgasm disorders and such. Here you will find detailed information regarding how are male sexual problems diagnosed.

First and foremost, it is highly important to know that approximately 30% of men suffer or have suffered from the above-mentioned male sexual problems. In other words, these dysfunctions are very common and most of them can be easily cured with medication and/or therapy. It must be mentioned that male sexual problems are caused either by psychological factors (such as anxiety or stress) or by physical factors (various medical conditions or the use of certain medication). Either way, it is essential to correctly diagnose dysfunction in order to treat it properly.

In what regards diagnosing these sexual problems, the first step is to identify the problem and seek professional help. The doctor will start with the history of the symptoms and he may order a series of tests in order to identify the culprit behind your sexual dysfunction. These tests are of utmost necessity since they help the doctor figure out whether the dysfunction has a physical or a psychological cause. For instance, blood tests may reveal low levels of testosterone, which is responsible for the lack of libido.

After the tests, the patient may be referred to other specialists that will order further tests. Most of the time, the patient is referred to a psychotherapist that specializes in sex therapy. A sex therapist can help men who suffer from low libido, sexual addiction, undesired sexual fetishes and such. The sex therapist plays a crucial role in the process of diagnosing sexual dysfunction, due to the fact that he or she can identify the psychological cause behind the problem.

Putting it in a nutshell, diagnosing a sexual dysfunction is not an easy task – in order to diagnose it correctly, the patient may have to visit several different doctors that will slowly rule out the possibilities until they reach the culprit. Besides the specialists mentioned above, the patient may have to see a neurologist or a urologist. Initially, the health care provider will give the patient a thorough physical exam to rule out some of the most common causes of sexual dysfunction (diabetes and high blood pressure).

Regarding the treatment for sexual dysfunction, it must be mentioned that some men only need psychotherapy in order to overcome the issues that are interfering with their sexual life. On the other hand, some men need medication to treat an existing condition.

In conclusion, this is how male sexual dysfunctions are diagnosed. Nonetheless, prevention is also very important – treating a dysfunction is not enough, it must be prevented from reoccurring in the future. This is why men who suffer from various sexual problems are encouraged to stop smoking or drinking in the long run.

Viagra – Is it effective in what it claims to do?

There is no doubt that every man and his dog has heard of Viagra due to it being used to treat erectile dysfunction problems amongst men and it has certainly gained a reputation for helping men to regain some confidence at least in the bedroom. However, before taking it you are certainly best to find out more about it in order to see if it is a medication that could be good for you so continue reading to find out more.

What is it and how does it work?

As was just mentioned it is used to help men that have problems getting an erection when they are sexually excited as well as being used as a treatment for pulmonary arterial hypertension due to the effect it has on the blood flow around the body. What happens when a man is sexually excited is his body releases nitric oxide, which in turn kick starts various enzymes with this resulting in an erection. The main result is the body creating cGMP with this then relaxing cells in the penis allowing blood to flow through the arteries and Viagra is responsible for maintaining a high cGMP level so the erection is maintained.

Is it successful?

The success is evident in the number of men it has helped since it was launched in the 1990s and it at one point it had 92% of the entire market and it is still at 50% right now. However, in a clinical sense, which involved a series of trials, it has also shown to be extremely effective in helping maintain an erection when compared to a placebo so if the sales are so high and the scientists say it is effective, then it is indeed successful.

Are there any side effects?

As with any medication, there is always the risk of side effects, but only a small percentage of people will get them when taking Viagra. The most common ones include headaches, flushing, and some people may have slight changes to their vision. There are some other more severe side effects such as a heart attack or a stroke, but these are extremely rare and in some cases, it is not even certain if the Viagra caused it in the first place. Overall it should, therefore, be said that apart from a sore head you have nothing to worry about when taking this drug.

In conclusion, it has to be said that Viagra is a fantastic product that is safe to use and has helped change the lives of so many men around the world since the 1990s. It has been shown to work in medical trials and it helps your body to do something that comes naturally to it so if you are having erection problems, then it may very well be worth trying it out.

Cialis – Is it effective in what it claims to do?

Erectile dysfunction affects so many men throughout the world. It is no longer true that only men of a certain age worry about not being able to perform sexually, with the increased amount of stress and how busy so many are, this problem has started to affect some as early as their 20s. Erectile dysfunction can be incredibly embarrassing and not being able to perform the way that you once did in the past, can be incredibly disheartening. But there is hope. Cialis is a prescription medication that helps men who suffer from the inability to perform sexually.

The great thing about Cialis is that it works for a myriad of different erectile dysfunction symptoms. While some men cannot achieve an erection at all, others can get one but not sustain it. Then there is a portion of men that reach climax too prematurely and want to maintain their erection and stamina for a longer period of time. Cialis will help in whatever specific form of sexual proclivity you are currently lacking as a man. Don’t be worried or embarrassed about your lack of erection any longer. Don’t be preoccupied with how long you will last with your partner. Cialis makes sure that you have a rewarding and fulfilling sexual experience without fear of erectile dysfunction.

Many men who have tried Cialis have experienced sensational sexual encounters. They no longer walk around with the fear that they will not be able to give the performance that both they and their partner are looking forward to. Cialis is one of the best, if not the best, medications currently on the market for those who suffer from erectile dysfunction. You don’t have to keep feeling helpless and hopeless with your lack of sexual prowess that you used to so freely and effortlessly use on a whim. Regain your sexual power as a man. Ask your doctor about Cialis today.

Levitra – Is it effective in what it claims to do?

Erectile dysfunction is a bothersome sexual problem that affects the lives of millions of men all across the world. Despite the fact that there are many male enhancement pills and supplements available on the market, they are not all equally efficient – besides, some of them maybe even dangerous. In this Levitra review, you will find detailed information regarding the main benefits of this impotence treatment.

When it comes to Levitra, it must be mentioned that this drug is one of the most popular and most efficient erectile dysfunction (ED) treatments at the moment, next to the well-known Viagra. In addition to being highly effective, Levitra is also known for its long-lasting effects: it takes approximately a quarter of an hour for Levitra to take effect, and the results last for hours (the average time is 5 hours). This happens due to the fact that Levitra is a powerful drug that aims to treat both mild and serious EDs. In other words, this ED drug can significantly improve your sex life and your relationship with your partner.

Another important benefit associated with Levitra is that men who use this drug are very unlikely to experience serious adverse reactions (unlike it happens with many male enhancement products). This is what makes the product safe to use – even so, some men may experience mild and temporary side effects (like headaches). Last but not least, Levitra is also known to be one of the safest ED drugs available for men with health problems like cholesterol or high blood pressure.

Despite the fact that this is a popular impotence treatment, it is highly recommended to consult your doctor before starting to use Levitra because it can interact with other medications. In addition, be very careful when purchasing Levitra, since there are numerous illegal versions of this product.

To sum up, these are only some of the most important advantages of Levitra, the impotence pill that only requires 15 minutes to take effect.