Erectile Dysfunction: Causes and Treating with Indian Viagra

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Erectile dysfunction (or ED) is an extremely common disorder of sexual activity. One Canadian study has found that about 50% of men over 40 have certain difficulties with achieving an erection. Among the general population, this rate ranges from 5 to 20% (according to various studies). The disease leads to problems not only in sexual life, but also in personal relationships. Therefore, treatment of ED is extremely important both for patients and for their partners. Modern medicine offers a number of ED drugs that are non-invasive and highly effective. One of these meds is sildenafil. In this article, we will consider the causes of ED and treatment options for this disease using Indian sildenafil.

Causes of ED

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ED can be caused by a large number of factors, which are divided into physiological (or organic) and psychological (psychogenic) ones. In older men, the first group of causes predominates, while young individuals often suffer from psychological problems. Often the disease can be multifactorial, i.e. caused by both organic & psychogenic factors. For example, due to cardiovascular problems, the sexual function of a patient slightly worsens. The patient begins to worry because of this and the situation deteriorates even more. It should be noted that the elements of psychogenic ED are somehow present in any form of this disease, since the fact of sexual failure itself becomes the catalyst of a powerful stressful condition.

As indicated earlier, the incidence of ED increases with age. Of course, age has a negative impact on the quality and duration of penile function. In elderly people, there is a decrease in the elasticity of blood vessels, reduction of testosterone production and worsening of the sensitivity of the genital nerves. However, in many people who do not suffer from serious diseases (such as diabetes), the sexual function is maintained until old age. Therefore, in most cases, the cause of ED is not necessarily age, but some organic disease.

Organic ED

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The most frequent causes of organic ED are:

  • Atherosclerosis. This dangerous cardiovascular disease leads to narrowing of the vessels, reducing their elasticity. Therefore, the penis does not receive sufficient amount of blood and the erection becomes inadequate. Risk factors associated with atherosclerosis are smoking and increased levels of triglycerides and “bad” cholesterol in the blood. ED provoked by atherosclerosis often occurs in men over 50. Therefore, the severity of ED can serve as a marker for this and other cardiovascular ailments.
  • High blood pressure. A number of studies have shown that ED is more common in the presence of arterial hypertension than in the general population. Thus, according to the survey conducted by Cuellar De Leon AJ et al. (2002) among more than five hundreds patients aged 30 to 86, ED occurs in 46.5% of males with hypertension. The occurrence of ED is particularly prevalent in cases associated with the use of thiazide diuretics and β-blockers. Therefore, men with hypertension should take into account the possible negative consequences of taking antihypertensive meds and discuss this issue with a healthcare professional.
  • Diabetes. In individuals suffering from diabetes, ED develops 3 times more often and 10-15 years earlier than in healthy men. What is the reason for this situation? Among the negative consequences of diabetes are polyneuropathy (nerve damage) and angiopathy (damage to blood vessels and capillaries). As the normal state of nerves and vessels is necessary for good erection, diabetes leads to worsening of sex function sooner or later.
  • Hormonal imbalance. Obesity, hypogonadism and various metabolic disorders may decrease testosterone levels. This can cause a decrease in the relaxation of smooth muscle cells of cavernous tissue, as well as a decrease in the production of nitric oxide necessary for enhancing blood flow in the male organ. Deficiency of testosterone does not always lead to the erectile mechanism damage, but is a factor for reducing libido.
  • Kidney problems. In the case of chronic kidney failure, more than half of the patients complain of a deterioration of sexual function (Procci WR et al, 1986). Dialysis improves sexual function, but it doesn’t normalize it. The renal transplant is more effective if it functions normally.

If ED is caused by organic factors, it is usually characterized by the following symptoms:

  1. gradual onset of the disease;
  2. normal libido and ejaculation;
  3. absence of spontaneous erections at night;
  4. frequent sexual failures.

Psychogenic ED

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Many mental disorders can be causes of the erectile dysfunction. Unlike organic ED, the psychogenic one is characterized by a sudden onset, on and off nature and the presence of nocturnal spontaneous erections. In men who are depressed, the probability of developing ED varies from 25% (mild depression) to almost 90% (severe forms of this disorder) (Feldman HA et al., 1994). ED can be triggered by severe stress, such as the tragic death of relatives or friends. However, a psychogenic variant associated with a man’s unbelief in his own sexual capabilities is more prevalent. This is the so-called situational ED. It is caused by self-doubt, fear of failure, a shameful (in a man’s opinion) failure, because of which a male person does not dare to enter into sexual relationships at all. In addition, the following psychical conditions can lead to ED:

  1. mental disorders associated with another sexual dysfunction (for instance, fast ejaculation);
  2. lack of sexual desire because of a partner’s sexual preferences;
  3. strong suppression of libido, caused by fear of conflict with a sexual partner;
  4. an increased sense of shame, which prevents a male from revealing himself emotionally and physically;
  5. problems in personal relationships, such as mutual mistrust, cooling relations, constant quarrels, unreasonable jealousy, mocking behavior of a sexual partner.

Another reason for psychogenic ED may be the inability to perform sexual intercourse with a condom. The advertising policy of some pharmaceutical corporations, corroborated by the media, as well as the danger of being infected with sexually transmitted infections, leads some people to believe that sexual contact without a condom is unacceptable. However, due to a number of psychological, putting a condom on a penile organ can be a stress for a man, as a result of which he cannot get normal erection. Sometimes the replacement of a condom with another method of contraception (such as hormonal contraception, female condoms, use of spermicides) solves this problem. Of course, sex without a condom is recommended only if a man has a permanent partner. In the opposite case, the risk of getting infected with sexually transmitted diseases increases.

Treating ED with Indian Viagra

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The most progressive method of eliminating ED symptoms is the use of oral medications that are referred to a class of PDE5 inhibitors. The most famous drug of this class is sildenafil marketed by American company Pfizer (Viagra brand name). Unfortunately, branded sildenafil has a price unaffordable for some patients. However, there are exact copies of this drug (generics) on the market that cost several times lower. Most sildenafil generics are manufactured in India. Indian sildenafil is a good anti-ED product that is not inferior in quality to the original version.

How Effective is Generic Viagra India

According to an official study by Pfizer, seventy-two percent of patients taking sildenafil in a dosage of 25 mg received erection sufficient for successful intercourse. When the dosage was enlarged, the performance indicators increased too. Fifteen milligrams of sildenafil citrate provided 80% efficiency, and 100 mg of the drug worked in 85% of men. The study was placebo-controlled, only 1/2 of men who received placebo tablets achieved normal erection. This also indicates that many patients have erectile problems of a psychological nature and any pill (even a placebo) simply provides them with confidence. Of course, in case of organic ED, the placebo will be ineffective, unlike sildenafil.

Treating Organic ED

Sildenafil from India cannot address organic causes of the erectile function deterioration, but it will eliminate symptoms of this condition. It has a peripheral effect, improving blood flow in the penis by inhibiting the enzyme PDE5, which adversely affects blood circulation in the organ. Due to this, during sexual stimulation the penile organ is filled with blood as much as naturally possible and as a result erection occurs. Sildenafil citrate does not lead to unreasonable erection, but in very rare cases, it can cause a prolonged and painful hardening of the penis (this condition is known as priapism).

Curing Psychological ED

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Psychogenic ED is treated with a combination of psychotherapeutic and medicament-based methods. First of all, a man needs psychological support that a doctor (psychotherapist) can provide. The use of sildenafil helps to achieve the desired erection and restore self-confidence. Treatment based on this drug should be applied until the patient regains his psychological defense against his stresses. In addition, it is important to remember that the role of women in the treatment of ED is significant. If she can comprehend the problem with understanding and support her partner, the male will get rid of the ailment much quicker. It is possible to conduct couple sex therapy in combination with taking sildenafil by a male.

Precautions

Before using Viagra from India, consult with a healthcare professional and get his approval. This drug can be dangerous to your health or ineffective if you:

  1. take meds containing nitrates (for example, isosorbide mononitrate and nitroglycerin);
  2. suffer from severe hypotension or have very high and uncontrolled blood pressure;
  3. have a kidney ailment that needs to be cured with dialysis;
  4. suffer from severe hepatic dysfunction.

In addition, as you have already understood, ED can be the result of some organic ailment, therefore it is critical to undergo complex diagnostics in a clinic before starting to treat erectile problems with sildenafil.