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Medication (tablets taken by mouth) In 1998, the first tablet to treat ED was launched. This made a huge impact on the treatment of ED. There are now four different tablets licensed in the UK to treat ED: Three of the tablets work by increasing the blood flow to your penis. They do this by affecting cGMP, the chemical involved in dilating (widening) the blood vessels when you are sexually aroused (described above). They are sildenafil (trade name Viagra®), tadalafil (trade name Cialis®), and vardenafil (trade name Levitra®). You take a dose before you plan to have sex. Because of the way they work, these medicines are called phosphodiesterase type 5 (PDE5) inhibitors. viagra store viagra online no prescription cialis online bestellen lastschrift buy cheap cialis Psychological impotence is where erection or penetration fails due to thoughts or feelings (psychological reasons) rather than physical impossibility; this is somewhat less frequent but often can be helped. Notably in psychological impotence, there is a strong response to placebo treatment. Erectile dysfunction, tied closely as it is about ideas of physical well being, can have severe psychological consequences. Diabetes mellitus: Erectile dysfunction tends to develop 10-15 years earlier in diabetic men than among nondiabetic men. In a population study of men with type I diabetes for more than 10 years, erectile dysfunction was reported by 55% of men 50-60 years of age. The increased risk of erectile dysfunction among men with diabetes mellitus may be due to the earlier onset and greater severity of atherosclerosis that narrows the arteries and thereby reduces the delivery of blood to the penis. When insufficient blood is delivered to the penis, it is not possible to achieve an erection. Diabetes mellitus also causes erectile dysfunction by damaging both sensory and autonomic nerves, a condition called diabetic neuropathy. Smoking cigarettes, obesity, poor control of blood glucose levels, and having diabetes mellitus for a long time further increase the risk of erectile dysfunction in diabetes. In addition to atherosclerosis and/or neuropathy causing ED in diabetes, many men with diabetes also develop a myopathy (muscle disease) as their cause of ED in which the compliance of the muscles in the corpora cavernosa is decreased, and clinically this presents as an inability to maintain the erection. viagra online with prescription buy viagra online order viagra online overnight shipping viagra In a study of mice, researchers "found a complex positive feedback loop in the penile nerves that triggers waves of nitric oxide to keep the penis erect," a release stated. After the initial release of nitric oxide, the nerve impulses that begin in the brain or from physical stimulation are sustained, thanks to a biochemical process called phosphorylation. This process ensures that nitric oxide continues to be released, maintaining the erections of both mice and men. The following are treatments for erectile dysfunction: Working with doctors to select medications that do not impair erectile function Making life style improvements (for example, quitting smoking and exercising more), Taking drugs to treat ED such as sildenafil (Viagra), vardenafil (Levitra) or tadalafil (Cialis), Inserting medications into the urethra (intraurethral suppositories), Injecting medications into the corpora cavernosae (intracavernosal injections) viagra at canadian online pharmacy price

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