Woman's Infertility

Millions of women face infertility. If you are having trouble getting pregnant or staying pregnant, you are not alone. The good news is that many women with fertility problems go on to have babies.
Experiencing infertility issues can be difficult for any couple. Just why a couple is having problems getting pregnant, though, can vary. In some cases, female infertility issues, such as premature ovarian failure, PCOS or advanced age are behind the troubles while others will be unable to conceive due to male infertility, such as impotence, structural problems, and blockages. In some cases, irregular menstruation such as amenorrhea or ovulatory disorders such as anovulation may signal a fertility problem. Other times, drugs, both prescribed and recreational, may be the culprit behind your fertility woes. However, for some couples, there will be no explanation as to just why they have fertility troubles.
Most women who get fertility problem take medication at some point. The medications are intended to treat hormone and ovulation problems.
There are side effects to taking fertility medications. Be sure to talk with your health care provider about all the possible benefits and risks of any medication you may take.

Sexual fantasy – a good way for a reach orgasm

A sexual fantasy, also called an erotic fantasy, is a fantasy or pattern of thoughts with the effect of creating or enhancing sexual feelings; it is mental imagery that an individual perceives to be erotic. A fantasy can be a long, drawn-out story or a quick mental flash of sexual imagery; its purpose can range from sexual motivations, such as sexual arousal and reaching orgasm, to simply passing time or helping a person fall asleep.

As a nearly universal phenomenon, sexual fantasy is an important study topic. A fantasy may be a positive or negative experience, or even both. It can reflect past experience and influence future sexual encounters. A person may not wish to enact a sexual fantasy in real life, and since the process is entirely imaginary, they are not limited to acceptable or practical fantasies, which can provide information on the psychological processes behind sexual behaviour. Fantasies are theorized to play an important role in sexual offenses; similarly, a lack of fantasy, or guilt surrounding fantasy, may contribute to sexual dysfunction.

The art of great sex and foreplay

Sexual techniques must be learned. And even if you are a good lover, there's always room for improvement.
Many men find it difficult to make the women climax and this is indeed one of the bigger shortcomings in any sexual relationship. It is essential and extremely rewarding as well. The ability to give your woman amazing orgasms every time you make love is not only extremely rewarding.

Having excellent bedroom skills will help you to ensure a long lasting relationship with your woman - and will also boost your own levels of confidence. Indeed, what could boost a guy's ego more than being told that he is a god in the bedroom by his woman?

Read on to discover 3 sex tricks to 'supercharge' your status today...

Trick #1: "Eye Contact". Keeping up a good level of eye contact is also important since it helps to relax you both. Women tend only to be able to have an orgasm when they feel no inhibitions and they feel completely relaxed. They are often more self conscious in bed than men are so as you are talking to her, maintain eye contact and make her feel as comfortable as possible. She needs to be completely relaxed before you can begin to arouse her.

Trick #2: "Varying Speeds". You should tease her by slowing down... and then speeding up suddenly. However, you should never go TOO fast - remember that to get your woman to have an orgasm means that you should never rush things. Foreplay should last as long as it takes - and something this is more important than the act of penetration itself in order to make your woman happy and satisfied.

Trick #3: "Pillow Talk". Women tend to be more auditory than men - so you should not be underestimating the power of words during sex. Talking to her will excite her - provided you choose the right words and talk to her intimately. Compliment her in the most intimate manner you can think of, and never be afraid to look into her eyes when you talk to her.

Don't be afraid to use your imagination. The mind is the largest sex organ on anyone's body.

This blog is sponsored by viagranow.eu

It it possible an ambience between Viagra, food and alcohol?

It should be perfectly safe to take Viagra with food and moderate amounts of alcohol. However, you're likely to achieve best results sober and on an empty stomach.

Food, especially fatty food, can lengthen the time Viagra takes to work and can even decrease its effectiveness. You might need to take more to get the same effect, and that could increase side effects.

Alcohol is even worse. Many men find that alcohol hurts their ability to get an erection. Since the whole point of Viagra is to get a good, strong erection, it seems counter-productive to drink before taking it. This is especially a problem if the alcohol forces you to take a higher dose.

Some men report that Levitra works better than Viagra in combination with food and alcohol. So, if you like your love tipsy and/or on a full stomach, you might want to experiment with that alternative.

We always recommend using as low of a dose as you can. You'll have fewer side effects and have less of an "unnatural" erection; the ideal is to take enough.

Information about erection reliability

Consider a non-drug approach to “erection insurance.” If you’re concerned about erection reliability, there are several approaches to raising an erection and keeping it firm without using drugs. First, don’t smoke. Don’t drink any alcohol for a few hours before sex, and don’t drink more than 2 drinks a day. Eat lots of fruits and vegetables. Get seven hours of sleep a night. In other words, live a healthy lifestyle and you’re likely to have a **** that behaves the way you want.

Consider a half dose. If you have balky erections—and this is perfectly natural for men over 45—then you might decide you want to use erection medication for erection insurance. If so, you may get good results with half the typical dose—25 mg of Viagra instead of the usual 50 mg. Low doses of **** and **** can also be taken.

Use erection drugs correctly and according to your doctor’s recommendations. Viagra and **** take about an hour to produce erection enhancement and the effect lasts approximately 2 hours—longer in some men.

Steps before trying Erection Drugs.

Help boost effectiveness. For men who respond poorly to erection drugs, it may help to combine the medication with the over-the-counter supplement, ArginMax. Researchers at University of California, Davis, worked with men with ED, who did not get much benefit from Viagra. The men took Viagra plus either ArginMax or a placebo. After four weeks, erections improved significantly in 22 percent of those taking the placebo, but among men using ArginMax, the figure was 60 percent.

Know the erection drug’s intended use. Viagra was originally approved for medically diagnosed, persistent ED. The original ads featured elderly Senator Bob Dole talking about how it helped his medical problem.

But once a drug is approved for any reason, doctors are free to prescribe it for other, so-called “off label” uses. Today, all erection medications are most widely used as “erection insurance” for men in their 40s to 60s who have balky erections and don’t want to worry about them. Current ads for Viagra feature young, healthy, professional baseball players saying: “I take batting practice. I take fielding practice. I take Viagra.” Ads for **** and **** are similar, featuring men who appear to be in their 30s or early 40s, and healthy, but just a little concerned about erection reliability.

Steps before trying Viagra

Know that, despite their success, erection drugs also have limitations. They are ineffective in about 25 percent of cases. As severity of ED increases, their effectiveness decreases. For example, the drugs work well in many men with the beginnings of diabetic ED, but less well in diabetics with considerable cardiovascular and neurological damage. In men with mild erection balkiness, these drugs may not work in some situations—if a man feels particularly stressed, distracted or alienated from the sexual experience.

Be aware that if you take any nitrate drug such as nitrate medication for heart disease, nitroglycerine for angina, or the party drug, amyl nitrate (“poppers”), you should not use erection drugs such as Viagra, **** or ****. The combination of Viagra and nitrate drugs can cause a precipitous drop in blood pressure and possibly death. Before this problem was identified, the combination of Viagra and nitrate medication killed more than 500 men.

Take erection drugs according to your doctor’s recommendations; this is extremely important. Viagra comes in 25, 50 and 100 mg pills. Side effects are more likely with a higher dose. The same appears to be true of **** and ***.

Be prepared to take more over time. The latest studies suggest that some men need to increase their dose over time. University of Alabama researchers tracked 150 men who took Viagra regularly for two years or more. During that period one-third increased their dose from 50 to 100 mg.

Inform yourself before you start trying Viagra

1.Learn about possible side effects. For most, but not all men, these drugs are quite safe. The only significant side effects are headache (16 percent of users), flushing (10 percent), upset stomach (7 percent), nasal congestion (4 percent), and rarely, visual disturbances (mostly in men with chronic eye conditions such as macular degeneration)

2.Research your insurance coverage. Some health insurers cover erection medications, but many provide only partial coverage, or none at all. However, even without insurance coverage these drugs are quite affordable. The Viagra dose most men take, 50 mg, costs about $10—a modest price to pay for an amorous evening free from erection worries!

3.Know that, despite their success, erection drugs also have limitations. They are ineffective in about 25 percent of cases. As severity of ED increases, their effectiveness decreases. For example, the drugs work well in many men with the beginnings of diabetic ED, but less well in diabetics with considerable cardiovascular and neurological damage. In men with mild erection balkiness, these drugs may not work in some situations—if a man feels particularly stressed, distracted or alienated from the sexual experience.

How erection medications work?

Know how erection medications work. Currently there are four prescription drugs available for erection problems: Viagra, ****, **** and Yohimbine. They all essentially work the same way. Sexual arousal stimulates release of a compound, nitric oxide (NO), in the ****. Nitric oxide, in turn, triggers synthesis of cGMP, which relaxes the ****’ smooth muscle tissue, and allows extra blood to flow into the organ’s spongy central erectile tissues. Erection drugs enhance this smooth muscle relaxation, spurring greater blood flow into the ****.

Depending on the medication, erection drugs are taken two to 36 hours before lovemaking, so the woman need not know you’re using a drug. These prescription drugs help men with ED caused by both physical illness and stress/anxiety problems. Most studies show that they produce erections in 75 percent of those who use them, with even greater effectiveness among men with only mild or occasional problems. They raise erection only with normal sexual stimulation. No walking around with an embarrassing bulge in your pants that signals you have taken a drug.

How to Use Viagra and Other Erection Drugs?

Viagra is used for treatment of erection impairment, now medically called erectile dysfunction (ED). Viagra was not the first drug treatment for erection impairment, but it was the one that captured the public’s imagination. Today, Viagra is one of the most successful drugs ever marketed. More than 10 million men have taken more than 125 million tablets. Annual sales approach $2 billion. The future of the little blue pill—and other erection medications—looks bright.
Be aware the erection medication is not the answer to every man’s erection problem, though erection medication certainly has a place in treatment of ED. Many erection difficulties are caused by sexual anxiety, and resolve when men learn more about sex, relax about it, and adopt a less ****-centered, holistic and sensual approach to lovemaking. Other erection difficulties are caused by medical problems and resolve when the illnesses are treated. Many erection problems are caused by drugs (notably alcohol and cigarettes) and drug side effects and can be helped by cutting back on alcohol, quitting smoking, or tinkering with prescriptions.

Cialis

GENERIC NAME: tadalafil

BRAND NAME: Cialis

DRUG CLASS AND MECHANISM: Tadalafil is an oral drug that is used for treating impotence (the inability to attain or maintain a penile erection). It is in a class of drugs called phosphodiesterase inhibitors that also includes sildenafil (Viagra) and vardenafil (Levitra).
Erection of the penis is caused by the filling of the penis with blood. Filling occurs because the blood vessels that bring blood to the penis increase in size and deliver more blood to the penis, and, at the same time, the blood vessels that take blood away from the penis decrease in size and remove less blood from the penis.
Sexual stimulation that leads to an erection causes the production and release of nitric oxide in the penis. The nitric oxide causes an enzyme, guanylate cyclase, to produce cyclic guanosine monophosphate (cGMP). It is the cGMP that is primarily responsible for increasing and decreasing the size of the blood vessels carrying blood to and from the penis, respectively, and causing the erection. When the cGMP is destroyed by another enzyme, phosphodiesterase-5, the blood vessels return to their normal size, blood leaves the penis, and the erection ends. Tadalafil prevents phosphodiesterase-5 from destroying cGMP so that cGMP stays around longer. The persistence of cGMP leads to a more prolonged engorgement of the penis with blood.
Tadalafil was approved by the FDA in November, 2003
GENERIC AVAILABLE: No.
PREPARATIONS: Tablets: 5, 10, and 20 mg.
STORAGE: Store at room temperature between 15-30°C (59-86°F).
PRESCRIBED FOR: Tadalafil is used for the treatment of impotence.
DOSING: For most individuals, the recommended starting dose of tadalafil is 10 mg per day taken before sexual activity. Depending on the adequacy of the response or side effects, the dose may be increased to 20 mg or decreased to 5 mg a day. The effect of tadalafil may last up to 36 hours. Individuals who are taking medications that increase the blood levels of tadalafil should not exceed a total dose of 10 mg in 72 hours (See drug interactions). Tadalafil may be taken with or without food since food does not affect its absorption from the intestine.
DRUG INTERACTIONS: The breakdown and elimination of tadalafil from the body may be decreased by erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox), indinavir (Crixivan) and ritonavir (Norvir). Therefore, these drugs may increase the levels of tadalafil in the blood. If these drugs are being used at the same time as tadalafil, the dose of tadalafil should be reduced in order to avoid side effects from high levels of tadalafil.
Tadalafil exaggerates the increases in heart rate and lowering of blood pressure caused by nitrates, e.g. nitroglycerin, isosorbide dinitrate (Isordil), isosorbide mononitrate (Imdur, Ismo, Monoket), nitroglycerin (Nitro-Dur, Transderm-Nitro) that are used primarily for treating heart pain (angina). In patients who take nitrates for angina, tadalafil could cause heart pain or possibly even a heart attack by exaggerating the increase in heart rate and the lowering of blood pressure. Therefore, tadalafil should not be used with nitrates. Tadalafil also exaggerates the blood pressure lowering effects of some alpha-blocking drugs e.g., terazosin (Hytrin) that primarily are used for treating high blood pressure or enlargement of the prostate. Individuals who take these alpha-blockers should be on a stable dose of the alpha-blocker before tadalafil is started. In such situations, tadalafil should be started at the lowest dose. If the patient is already taking tadalafil, the alpha-blocker should be started at the lowest dose. Tadalafil and alcohol both lower blood pressure. Therefore, combining tadalafil with alcohol may cause excessive drops in blood pressure and cause dizziness, headaches and increased heart rate.
PREGNANCY: Tadalafil is not approved for use in women.
NURSING MOTHERS: Tadalafil has not been evaluated in women who are breastfeeding.
SIDE EFFECTS: The most common side effects of tadalafil are facial flushing (reddening), headaches, stomach upset, diarrhea, flu-like symptoms and nausea. Tadalafil also may cause low blood pressure, blurred vision and changes in color vision, and abnormal ejaculation. Tadalafil has been associated with prolonged erections or priapism (painful erections lasting more than 6 hours). Patients should seek immediate medical help if they experience an erection lasting more than 4 hours. Use of tadalafil, most often in patients with pre-existing heart disease, has been associated with chest pain, heart attacks, death, strokes, palpitations and increased heart rate; however, it is not clear whether these side effects are due to tadalafil, concurrent use of nitrates, or the sexual activity itself. Rare cases of sudden loss of hearing have been reported with phosphodiesterase inhibitors such as tadalafil, sometimes associated with ringing in the ears and dizziness. If changes in hearing occur, patients should stop their tadalafil and seek immediate medical attention.

Viagra

GENERIC NAME: sildenafil

BRAND NAME: Viagra, Revatio

DRUG CLASS AND MECHANISM: It has been estimated that impotence affects 140 million men worldwide. Over half of all men with impotence are thought to have some physical (medical) cause. The remainder are believed to have psychogenic causes of impotence. Medical causes of impotence include diabetes and circulatory, neurological or urological conditions.
Penile erection is caused by the engorgement of the penis with blood. This engorgement occurs when the blood vessels delivering blood to the penis increase the delivery of blood and the blood vessels carrying blood away from the penis decrease the removal of blood. Under normal conditions, sexual stimulation leads to the production and release of nitric oxide in the penis. Nitric oxide then activates the enzyme, guanylate cyclase, which causes the production of cyclic guanosine monophosphate (cGMP). It is the cGMP that is primarily responsible for the erection by affecting the amount of blood that the blood vessels deliver and remove from the penis.
Sildenafil also reduces the pressure in the pulmonary artery in a serious condition called pulmonary arterial hypertension.
Sildenafil inhibits an enzyme called phosphodiesterase-5 (PDE5) which destroys the cGMP. Thus, sildenafil prevents the destruction of cGMP and allows cGMP to accumulate and persist longer. The longer cGMP persists, the more prolonged the engorgement of the penis.
PRESCRIPTION: Yes
GENERIC AVAILABLE: No
PREPARATIONS: Viagra is a blue, film-coated, rounded, diamond-shaped tablets that comes in 25, 50, and 100 mg tablets for treating impotence. Revatio comes in a 20 mg tablet and is used for treating pulmonary arterial hypertension..
STORAGE: Tablets should be kept at room temperature, 15- 30°C (59-86°F).
PRESCRIBED FOR: Sildenafil is used for the treatment of erectile dysfunction of either organic (medical condition) or psychogenic (psychological) cause and for pulmonary arterial hypertension.
DOSING: Sildenafil is rapidly absorbed. Maximum observed plasma concentrations are reached within 30 to 120 minutes (median 60 minutes) of oral dosing in the fasted state. When sildenafil is taken with a high fat meal, the rate of absorption is reduced, with an average delay in the time to maximal concentration of 1 hour.
DRUG INTERACTIONS: Sildenafil increases the effects of the blood pressure lowering medications. It also increases the blood pressure lowering effects of nitrates, e.g. isosorbide dinitrate (Isordil), isosorbide mononitrate (Imdur, Ismo, Monoket), nitroglycerin (Nitro-Dur, Transderm-Nitro) that are used primarily for treating angina. Patients taking nitrates should not receive sildenafil.
Cimetidine (Tagamet), erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox) and mibefradil (Posicor) can cause marked increases in the amount of sildenafil in the body. Patients taking these medications should be observed carefully if sildenafil is used.
It is expected that rifampin will decrease blood levels of sildenafil and probably reduce its effectiveness.
PREGNANCY: Although extensive testing in animals has demonstrated no negative effects on the fetus, sildenafil has not been studied in pregnant women. There is no effect on sperm count or motility of sperm in men.
NURSING MOTHERS: It is not known whether sildenafil is excreted into breast milk.
SIDE EFFECTS: Approximately 15% of persons taking sildenafil experience side effects. The most common side effects are facial flushing (1 in 10), headaches (1 in 6), stomach pain, nasal congestion, nausea, diarrhea, and an inability to differentiate between the colors green and blue. Rare cases of sudden loss of hearing have been reported with phosphodiesterase inhibitors such as sildenafil, sometimes with ringing in the ears and dizziness. If changes in hearing occur, patients should discontinue their sildenafil and seek immediate medical attention.

About Levitra

GENERIC NAME: vardenafil

BRAND NAME: Levitra

DRUG CLASS AND MECHANISM: Vardenafil is an oral drug that is used to treat impotence (the inability to attain or maintain a penile erection.). It is a phosphodiesterase inhibitor that is similar to sildenafil (Viagra).
Penile erection is caused by the engorgement of the penis with blood. This engorgement occurs when the blood vessels delivering blood to the penis increase in size and increase the delivery of blood to the penis. At the same time, the blood vessels carrying blood away from the penis decrease in size and decrease the removal of blood from the penis. Sexual stimulation that leads to the engorgement and erection causes the production and release of nitric oxide in the penis. Nitric oxide then activates the enzyme, guanylate cyclase to produce cyclic guanosine monophosphate (cGMP). The cGMP is primarily responsible for increasing and decreasing the size of the blood vessels carrying blood to and from the penis, respectively. Vardenafil prevents an enzyme called phosphodiesterase-5 from destroying cGMP so that cGMP persists longer. The longer cGMP persists, the more prolonged the engorgement of the penis. Vardenafil was approved by the FDA in August, 2003.
PRESCRIPTION: Yes
GENERIC AVAILABLE: No
PREPARATIONS: Tablets: 2.5, 5, 10 and 20 mg
STORAGE: Vardenafil should be stored at room temperature between 15-30°C (59-86°F).
PRESCRIBED FOR: Vardenafil is used for the treatment of impotence.
DOSING: For most individuals, the recommended dose of vardenafil is 10 mg per day taken 60 minutes before intercourse. If there is no response or side effects, the dose may be increased to 20 mg or, if there are side effects, it may be reduced to 5 mg. Individuals 65 years of age or older should begin therapy with 5 mg. Individuals who are taking medications that increase the blood levels of vardenafil should start treatment with 2.5 to 5 mg of vardenafil. (See drug interactions.)
DRUG INTERACTIONS: The breakdown and elimination of vardenafil from the body is inhibited by erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox), indinavir (Crixivan) and ritonavir (Norvir). Therefore, these drugs increase the concentration of vardenafil in the blood. If these drugs are being used at the same time as vardenafil, the dose of vardenafil should be reduced in order to avoid side effects from vardenafil.
Vardenafil reduces the concentration of ritonavir and indinavir and may reduce the effect these drugs.
Vardenafil increases the heart rate and also exaggerates the blood pressure lowering effects of nitrates (e.g. nitroglycerine). In patients who take nitrates for chest pain (angina), vardenafil could cause chest pain by increasing heart rate and lowering blood pressure. Therefore, patients with angina should not use vardenafil. Vardenafil also exaggerates the blood pressure lowering effects of alpha-blocking drugs, e.g. terazosin (Hytrin), and should not be used by individuals who also use alpha-blockers.
PREGNANCY: Vardenafil is not approved for use in women.
NURSING MOTHERS: Vardenafil has not been evaluated in women who are breastfeeding.
SIDE EFFECTS: The most common side effects of vardenafil are facial flushing (reddening), headaches, stomach upset, diarrhea, flu like symptoms and nausea. Vardenafil also may cause chest pain, low blood pressure, blurred vision and changes in color vision, abnormal ejaculation and priapism (painful erection). Rare cases of sudden loss of hearing have been reported with phosphodiesterase inhibitors such as vardenafil, sometimes associated with ringing in the ears and dizziness. If changes in hearing occur, patients should discontinue their vardenafil and seek immediate medical attention.

Men suffering from certain heart diseases and ED are given a second chance

Medicine has stepped into a superior era of evolution after one of its most recently developed clinical trials, as results reveal it. It appears that, finally, after many years of controversy and waiting, men suffering from erectile dysfunction and certain heart conditions not only are allowed to take ED drugs, but these may even improve the quality of their lives.
The study supporting this statement was published in a reputed medical release, The Journal of Sexual Medicine, and conducted by Doctor Graham Jackson in England.

Doctor Jackson is the initiator of a sexual counseling program for men with cardiac problems and erectile dysfunction in his private clinic in England, the first and only medical clinic supporting a program with these particular profile and destination. Doctor Jackson’s scientific study was conducted on 425 male patients with stable coronary disease and erectile dysfunction. The challenge of the trial was to testify that ceasing the oral nitrate therapy commonly prescribed for these patients and replacing it with a beta-blockade or a calcium antagonist therapy may allow the safe use of oral ED drugs in improving the erectile function in these patients. Surprisingly, in more than 85% of the patients included in the study, discontinuing the therapy with nitrates and the administration of Viagra, Cialis or Levitra lead to significant erectile improvement. What counts even more is that none of the patients dealt with adverse cardiac reactions.
The importance of this study is pointed out by the Journal’s Editor-in Chief himself, Irwin Goldstein, MD, stating that this is a first in proving that stable coronary disease patients are allowed to safely use PDE-5 Inhibitors, like Viagra, Cialis or Levitra, and improve the erectile function, as long as they cease the treatment with oral nitrates and opt for a beta-blockade or calcium antagonist therapy. Secondly, on a larger view, we can get a clear picture of how multi-dimensional medicine is and how relevant professional exchange between cardiologists and urologists turned out for this study.
The incidence of angina pectoris in the United States reaches 17,5‰, while 8% of the American adults suffer from one or another form of heart condition. That is approximately 22 million individuals in need for treatment which may include nitrates, beta-blockers or calcium antagonist.

Impotence

"The inability to obtain and/or maintain a penile erection sufficient for satisfactory sexual intercourse" is known as impotence. It is also termed as erectile dysfunction (ED) or male sexual dysfunction.
Many males of different age groups suffer from impotence but at varying levels. Males above the age of 40 have the most cases, but growing age is not always the main reason for impotence. Even men in their twenties and thirties can have impotence problems for various different reasons.
Medical solution for ImpotenceLow degree impotence or impotence of primary level can easily be treated by improving your life style and work habits without having to seek treatment. But, however, there are instances where it is best to seek advice from your doctor and look into prescription treatment options.
Viagra, Cialis and Levitra are three highly effective prescription drugs which could work to treat impotence.

Viagra for women

Doctors say a growing number of women are taking the anti-impotence pharmaceutical drug Viagra despite the lack of studies that prove it will amplify Libido feelings for female sexual drive, desires and responses.
"I've heard reports from all around the country of doctors prescribing it off-label to women," Dr. John Brand, director of the Kelsey Institute for Research in Sex Gender and Reproduction.
The Viagra pill, approved by the FDA for men, increases blood flow to the penis, which can help men attain external reproductive organ erections. Preliminary studies suggest it might promote libido feelings of sexual drive, desires or arousal responses in women.
Once the Viagra pills are approved for one use, doctors can legally prescribe it "off-label" for an unapproved use. However, FDA certifies it safe and effective only in treating conditions for which it has been tested.
Trials are under way in Europe.
For instance in Minneapolis, 16 women were prescribed Viagra by obstetrician/gynecologist Mario Peting of the Mark Nicol Clinic. Fourteen reported improved feelings of better sexual drives, desires and arousal responses. Six women in Chicago have taken the pill through a study at Loyola University medical Center. Three have reported better feelings of sexual drives, desires and arousal responses.

Many medicines have two names

Many medicines have two names:

The brand name given to a medicine by the drug company that makes the medicine.
The scientific or generic name for the active ingredient of the medicine that is decided by an expert committee.
An example is the generic medicine sildenafil used to treat impotence, brand named as Viagra by the manufacturer Pfizer.
About 10-12 years after a new medicine is introduced, the patent (exclusive rights) runs out, and then other drug manufacturers are allowed to produce it. These are often cheaper than the original brand, and may be sold under the generic name or new brand names. For example, the generic medicine acetaminophen, which is now sold under many brand names including Panadol and Calpol.
Doctors often prescribe generic medicines because pharmacies may not stock every brand. All generic medicines must meet the same strict standards as the original branded medicine, so while they may look or taste different they are clinically identical and provide the same treatment as the original branded medicine.
The exceptions to this rule are anti-epilepsy medicines and some long acting preparations such as diltiazem and nifedipine. Here, it does make a difference if you change from one brand to another. These medicines should all be prescribed by their brand name to ensure that you can continue to use the same brand and preparation.

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Treatment for psychological erectile dysfunction?

Last week we wrote about psychological erectile dysfunction and how one can tell if erectile dysfunction is psychological? Well allot of guys liked that post and it seems many men suffer from psychological impotence. So we are going to post a little more information on what might cause psychological ED and why allot of men are getting it and also how it can be treated by simple exercises or natural remedies.

So what actually does cause psychological erectile dysfunction?

Many factors can contribute to it, some of the main ones are stress and anxiety. If at a young age you start taking on responsibilities that cause tremendous stress and anxiety in your life this can amount to giving you psychological ed and your brain sends negative impulses to your penis which cause it to loose blood flow and create psychogenic impotence

Problems with your relationship:

In some occasions the problem has developed in your head due to your relationship with your wife, girlfriend or partner. Being in a relationship for a long time can be hard for a man but a bad relationship can be worse. This mixed with stress and anxiety affects your sexual performance and can also be called anxiety performance, which is out last point linked to psychological erectile dysfunction.

Performance Anxiety:

Will I do good? Will she think I am a loser? Will I come to quickly? Will she not be satisfied? These are all very common questions guys ask themselves before engaging in sexual acts. The main goal is to not concentrate on how well you will perform but on enjoying yourself. thinking to much of what might go wrong is the worse way to look at sex, train yourself to not think of any of those questions mentioned above and just be yourself and relax.

How can I get Treatment for psychological erectile dysfunction?

Well the best way is to train your mind to get nervous or anxious but no many men can do this. The best sugestion is trying natural remedies that will help you perform, horny goat weed is one of the best natural remedies for ED, Tribulus Terrestris and Tongkat Ali as well. Doing kegel penis exercises helps the pelvic muscles get stronger which can result in better erections and last but not least melatonin is a good natural stress reliever, try researching it for more information.

Viagra 'aids muscular dystrophy'

Viagra improves blood flow

The anti-impotence drug Viagra may help save people with muscular dystrophy from an early death, a study suggests.
Researchers found the way the drug works to combat impotence may also help ward off heart failure in muscular dystrophy patients.
Tests on mice with a version of the disease showed the drug helped keep their hearts working well.
The Montreal Heart Institute study appears in Proceedings of the National Academy of Sciences.
It is important to remember that benefits seen in animals do not always translate into human medicine
Dr Marita PohlschmidtMuscular Dystrophy Campaign
Muscular dystrophy is a genetic condition causing wasting of the muscles.
The first signs of muscular weakness appear at roughly age five, leading to a progressive loss in the ability to walk by the age of 13.
People with the condition are also at a higher risk of heart failure due to a weakening of the muscles which keep the organ pumping strongly.
For this reason, many people with Duchenne muscular dystrophy - the most common form of the condition - die in early life, often in their 20s or 30s.

Blood flow
The Montreal team found that Viagra - known technically as sildenafil - prevents the loss of a molecule, cGMP, which plays a key role in keeping blood vessels dilated.
In the penis, this increases blood flow, and helps to combat impotence.
But in the heart it helps to ensure the organ itself receives a proper supply of blood, and remains healthy and strong.
With the heart in a strong condition, it is more able to withstand the impact of weakening muscle cells caused by muscular dystrophy.
Viagra works by blocking an enzyme, PDE5, which breaks down cGMP.
Professor Jean-Claude Tardif, director of the Montreal Heart Institute Research Centre, said: "These experimental results give us hope that one day it will be possible to treat with this approach cardiac problems in patients with muscular dystrophy, and perhaps even treat other heart diseases."
The researchers also inserted a gene that increased cGMP production in the mice's heart cells, and found that this helped the animals to maintain normal cardiac function.
Dr Marita Pohlschmidt, director of research at the Muscular Dystrophy Campaign, said the research was interesting.
However, she added: "It is important to remember that benefits seen in animals do not always translate into human medicine.
"Although this is promising, it is still very early days and we look forward to further research that will demonstrate the impact it might have for people with muscular dystrophy." Viagra improves blood flow The anti-impotence drug Viagra may help save people with muscular dystrophy from an early death, a study suggests.
Researchers found the way the drug works to combat impotence may also help ward off heart failure in muscular dystrophy patients.
Tests on mice with a version of the disease showed the drug helped keep their hearts working well.
The Montreal Heart Institute study appears in Proceedings of the National Academy of Sciences.
It is important to remember that benefits seen in animals do not always translate into human medicine
Dr Marita PohlschmidtMuscular Dystrophy Campaign
Muscular dystrophy is a genetic condition causing wasting of the muscles.
The first signs of muscular weakness appear at roughly age five, leading to a progressive loss in the ability to walk by the age of 13.
People with the condition are also at a higher risk of heart failure due to a weakening of the muscles which keep the organ pumping strongly.
For this reason, many people with Duchenne muscular dystrophy - the most common form of the condition - die in early life, often in their 20s or 30s.
Blood flow
The Montreal team found that Viagra - known technically as sildenafil - prevents the loss of a molecule, cGMP, which plays a key role in keeping blood vessels dilated.
In the penis, this increases blood flow, and helps to combat impotence.
But in the heart it helps to ensure the organ itself receives a proper supply of blood, and remains healthy and strong.
With the heart in a strong condition, it is more able to withstand the impact of weakening muscle cells caused by muscular dystrophy.
Viagra works by blocking an enzyme, PDE5, which breaks down cGMP.
Professor Jean-Claude Tardif, director of the Montreal Heart Institute Research Centre, said: "These experimental results give us hope that one day it will be possible to treat with this approach cardiac problems in patients with muscular dystrophy, and perhaps even treat other heart diseases."
The researchers also inserted a gene that increased cGMP production in the mice's heart cells, and found that this helped the animals to maintain normal cardiac function.
Dr Marita Pohlschmidt, director of research at the Muscular Dystrophy Campaign, said the research was interesting.
However, she added: "It is important to remember that benefits seen in animals do not always translate into human medicine.
"Although this is promising, it is still very early days and we look forward to further research that will demonstrate the impact it might have for people with muscular dystrophy."

My girlfriend has a high sexual appetite

I am a 41 year old man who, thus far, never had the opportunity to have sexual intercourse, and this now presents itself with a lady I am very fond of and am getting very serious about. Recently, we "tried" and I was not successful to climax during my love making performance. I identify a few issues which are involved. First, I am not circumcised and I have a tight-ish foreskin, for which I am using Betamethasone Valerate treatment, along with some stretching.
Second, and more important, I have obviously been used, all my life this far, to the one person version of self stimulation arousal for orgasms. However, I am somewhat concerned that this has "programmed" me, and that it is now dificult for me to find the attempted intercourse act sufficiently arousing to actually obtain performance abilities. In addition, there is the issue that whatever visual fantasies I preoccuiped myself within the one person self stimulation version...it is difficult to get past these, it would seem, in the actual act.
My apologies if this is too explicit. It is a genuine and serious problem, I assure you, which is causing me some considerable anxiety when making love. My girlfriend has a high sexual appetite, which means that she wants this "sorted" fairly quickly, which in turn obviously rebounds onto performance anxiety on me....and I am afraid that if I cant get it "sorted" or perform when making love within a reasonable time, that she is going to look elsewhere, if you take my meaning. I hope someone here can help me unravel this problem and offer some sound advice. Do you think Viagra would help?
Thank you very much in advance.

Cialis better than Viagra...

In a switch over study 66% preferred Cialis to Viagra, which confirms Danny’s observation as to duration of erection.

A multicenter, randomized, double-blind, crossover study of patient preference for tadalafil 20 mg or sildenafil citrate 50 mg during initiation of treatment for erectile dysfunction.
Department of Urology, Virginia Mason Medical Center, Seattle, Washington 98111, USA.

BACKGROUND: Tadalafil is a phosphodiesterase 5 (PDE5) inhibitor approved in >30 countries for the treatment of erectile dysfunction (ED). It has been shown to improve erectile function compared with placebo in Phase III studies, but clinical experience comparing tadalafil with the PDE5 inhibitor sildenafil citrate is lacking.
OBJECTIVE: This study compared patient preference for tadalafil 20 mg or sildenafil 50 mg during initial treatment for ED. It also compared the tolerability of the 2 agents at these doses.
METHODS: This randomized, double-blind, fixed-dose, 2-period crossover trial took place at 13 sites in the United States and Germany. Patients were randomized 1:1 to receive 4 weeks of treatment with tadalafil 20 mg or sildenafil 50 mg, followed by the alternative treatment, to be taken as needed up to once daily before sexual activity.
RESULTS: The study enrolled 215 men with ED, 109 randomized to the tadalafil-sildenafil sequence and 106 to the sildenafil-tadalafil sequence. Their mean age was 49.8 years; 84.7% were sildenafil naive and 15.3% had undergone a previous inadequate trial of sildenafil. Most patients had moderate ED (60.5%) of >or=1 year's duration (74.9%). Of 190 evaluable patients, 126 (66.3%) preferred to initiate treatment with tadalafil, compared with 64 (33.7%) with sildenafil exposure. Both medications were well tolerated, with no significant differences in the incidence of treatment-emergent adverse events. Headache (11.2% tadalafil, 8.8% sildenafil), dyspepsia [indigestion](6.0% and 4.2%, respectively), nasopharyngitis [inflammation of the nose and pharynx](4.7% and 2.8%), and flushing (2.8% and 4.7%) were the most common adverse events.
CONCLUSIONS: Tadalafil 20 mg was preferred to sildenafil 50 mg for the initiation of ED therapy in this study population. Both medications were well tolerated.

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About LEVITRA

LEVITRA is an FDA-approved oral prescription medication for the treatment of erectile dysfunction (ED) in men. It is available in 2.5-mg, 5-mg, 10-mg, and 20-mg tablets and is taken only when needed.

Take LEVITRA no more than once a day.
What LEVITRA does:
- LEVITRA helps increase blood flow to the penis, so it may help men with ED get and keep an erection that lasts long enough to have successful sex. Once a man has completed sexual activity, blood flow to his penis should decrease and his erection should go away
- LEVITRA has been clinically shown to improve erectile function, even in men who had other health factors, like high cholesterol, high blood pressure, or diabetes
- LEVITRA provided first-time success and reliable improvement of erection quality for many men, including those with high cholesterol, high blood pressure, or diabetes

Men taking LEVITRA reported having harder erections and greater success at maintaining their erections long enough to have successful sex
A lot of men who took LEVITRA were successful the first time they tried it. It's for the man who needs a little help once in a while and the man who needs more frequent help.

LEVITRA:
- Works for many men with a broad range of conditions, including high cholesterol Works for most men, including those taking one or more types of blood pressure medication (ask your doctor about drug interactions)

- Works for many men with type 1 or type 2 diabetes, across all levels of ED severity May work when other oral treatments do not LEVITRA is a proven, effective treatment that works for most men. And it has been taken with medications used to treat other common medical conditions (ask your doctor about drug interactions).

Is Cialis For Impotence An Effective Treatment?

That feeling of frustration is all too familiar…literally millions of men have struggled with the effects of ED. It’s not something most men are comfortable discussing, but it should help to know that if you are experiencing erectile dysfunction, you are far from alone, nor are you beyond help.
Impotence is generally caused by a lack of circulation in the arteries and veins of the penis, preventing normal sexual function. While it can be uncomfortable and embarrassing, impotence is actually quite treatable. Everything from herbal applications to dietary changes to testosterone replacement can ease symptoms in most men. For those who need an extra bit of help, the Cialis drug for impotence is just one of many medications currently available.
Often, impotence is caused by an underlying physical problem, such as diabetes or heart disease, or it is the result of a physical injury. It can also be a side effect of some medications. If you suspect one of these causes in your own case, you should see your doctor and have a thorough physical. Curing your problem could be as easy as prescribing the right medication or changing your current one. If neither of these is the cause in your case, then you may want to consider an option such as Cialis for impotence treatment.

The Search for the Female Equivalent of Viagra

Even in the most sexually liberated and self-satisfied of nations, many people still yearn to burn more, to feel ready for bedding no matter what the clock says and to desire their partner of 23 years as much as they did when their love was brand new.
The market is saturated with books on how to revive a flagging libido or spice up monotonous sex, and sex therapists say “lack of desire” is one of the most common complaints they hear from patients, particularly women.
And though there may be legitimate sociological or personal underpinnings to that diminished desire — chronic overwork and stress, a hostile workplace, a slovenly or unsupportive spouse — still the age-old search continues for a simple chemical fix, Cupid encapsulated, a thrill in a pill.
Since the spectacular success of Viagra and similar drugs, the pharmaceutical industry has been searching for the female equivalent of Viagra — a treatment that would do for women’s most common sexual complaint, lack of desire, what sildenafil did for men’s, erectile dysfunction.
Initial trials of Viagra in women proved highly disappointing. True, the drug enhanced engorgement of vaginal tissue, just as it had of the penis, but that extra bit of pelvic swelling did nothing to amplify women’s desire for or enjoyment of sex.
What is needed for the treatment of so-called female hypoactive sexual desire disorder, researchers decided, is a reasonably safe and effective drug that acts on the central nervous system, on the pleasure centers of the brain or the sensory circuitry that serves them.
For a while, many sex therapists and doctors were optimistic about Procter & Gamble’s Intrinsa, a testosterone patch that delivers small transdermal pulses of the sex hormone thought to play a crucial if poorly understood role in male and female libido alike. But in 2005, the Food and Drug Administration refused to approve Intrinsa, declaring that its medical risks outweighed whatever modest and spotty benefits it might offer.
More recently, another potentially promising treatment for hypoactive desire has been making its way through clinical trials. The compound, called bremelanotide, is a synthetic version of a hormone involved in skin pigmentation, and it was initially developed by Palatin Technologies of New Jersey as a potential tanning agent to help prevent skin cancer. But when male college students participating in early safety tests began reporting that the drug sometimes gave them erections, the company began exploring bremelanotide’s utility as a treatment for sexual disorders.
Studies in rodents demonstrated that the drug not only gave male rats spontaneous erections, but also fomented sexual excitement in female rats, prompting them to wiggle their ears, hop excitedly, rub noses with males and otherwise display unmistakable hallmarks of rodent arousal.
Importantly, the females responded to the drug only under laboratory conditions where they could maintain a sense of control over the mating game. Take away the female’s opportunity to escape or proceed at her preferred pace, and no amount of bremelanotide would get those ears to wiggle. In other words, Annette M. Shadiack, director of biological research of Palatin, said, “this doesn’t look like a potential date-rape drug.”
Inspired by the rodent work, the company decided to give the drug a whirl on women. Results from a pilot study of 26 postmenopausal women with diagnoses of sexual arousal disorder suggest that bremelanotide may well have some mild aphrodisiacal properties.
Responding to questionnaires after taking either the drug or a dummy pill, 73 percent of the women on bremelanotide reported feeling genitally aroused, compared with 23 percent given the placebo; and 43 percent of the bremelanotide group said the treatment augmented their sexual desire, against only 19 percent of those on dummy pills.
Women in the treatment group also were slightly more likely to have sex with their partners during the course of the trial than were those in the control group, although who initiated the romps was not specified.
Larger trials of the drug at some 20 clinical centers around the United States are now under way. Among other things, the researchers will try adjusting the dosage to see if more bremelanotide may provoke a more robust response with a minimum of unpleasant or embarrassing side effects.
For example, researchers are as yet unsure whether sustained use of bremelanotide will end up doing what the drug was meant to do in the first place, and bestow on its beaming clients a truly healthy tan.
By NATALIE ANGIER

New York Times (Science)

Viagra Used Recreationally on British Club Scene

"The recreational use of Viagra by apparently healthy women and men is now occurring in Britain," Judith Aldridge and Fiona Measham, senior researchers at the University of Manchester, said in a letter posted on The British Medical Journal Internet site. Aldridge and Measham interviewed young adults at nightclubs in northern England within weeks of the launch of the drug in Britain in 1998. Customers and staff said the triangular blue pills made by the U.S. pharmaceutical company Pfizer were readily available for 16 pounds (US$24) for a 50 mg tablet. Most of the men and women who admitted taking Viagra used it simultaneously with other drugs and alcohol.
"Of particular concern is the combination use of Viagra with amyl nitrite ('poppers'), both of which dilate blood vessels, and can result in a dangerous drop in blood pressure potentially causing heart attack or stroke," the researchers said.
All of the people who admitted using Viagra reported positive effects: enhanced sexual desire and lovemaking, and feelings of warmth. They got the drug from friends, partners, dealers, sex shops, or via the Internet.
Ironically, the drug is not as freely available for many impotent men who need it. Fearful that demand could bankrupt the country's government-funded National Health Service (NHS), Health Secretary Frank Dobson issued proposals suggesting Viagra should only be prescribed in the NHS system for men whose impotence is caused by a physical condition.
The move infuriated doctors who said the policy was unacceptable and unethical. The British Medical Association advised doctors to defy the government and prescribe the drug to patients who would benefit from it.

History of Viagra

Viagra was instigating in middle of April 1998 in the US, and was an instantaneous hit to treat powerlessness and dissimilar degrees of erectile dysfunction. Within 14 days in spite of the high Viagra cost, doctors were writing in excess of 110,000 Viagra scripts a week. In 14 weeks 2 million Viagra writings had been written in the US alone and Viagra had turn into established as a new frivolous drug in club culture world-wide, though non-medical provisions were unusual in many countries with smuggled Viagra tablets enticing over $100 each.
Soon subsequent to, the reports of Viagra side effects start on to climb. Alternate Viagra, free of charge Viagra, herbal Viagra, and economical Viagra, viagra sale online, natural Viagra, Viagra alternative - Viagra sales leapt and so did sales of every type of aphrodisiac on the weakness market, and all shows potential more for less.
As a consequence of all this, Pfizer's shares ascend from $45 to $115. Wild claims were being prepared that Viagra had the supremacy not only to cure weakness but also to give strong, non-impotent older men the sexual presentation of a twenty year old. Viagra created an for the night stampede to millions of medical doctor by a generation of completely normal and healthy men, looking for the supreme Viagra enhanced sex they'd had in years. Sex up to six times a night has been accounted later than normal men take Viagra.

How exactly does Viagra work?

Viagra works by causing the smooth muscles in your blood vessels to relax, increasing blood flow around and lowering the blood pressure. The active ingredient in Viagra, sildenafil, is also a PDE5 inhibitor; and it is this in particular that specifies an increase in blood flow to the penis. When a man is sexually stimulated his penile arteries go through a process to relax and enlarge. As they enlarge, the veins that remove blood from the penis are compressed thus restricting blood flow out of the penis, causing an erection. Although erectile dysfunction was originally thought to be purely psychological, the discovery of Viagra refuted this and it is now common fact that the nerves and blood vessels play a key role. If the nerves and blood vessels that facilitate the process of an erection do not work then erectile dysfunction occurs.

Before taking Viagra

Do not take Viagra if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking Viagra with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack. Before taking Viagra, tell your doctor if you are allergic to any drugs, or if you have:

- heart disease or heart rhythm problems;
- a recent history (in the past 6 months) of a heart attack, stroke, or heart rhythm disorder;
- congestive heart failure;
- high or low blood pressure;
- coronary artery disease;
- liver disease;
- kidney disease;
- a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
- a bleeding disorder such as hemophilia;
- a stomach ulcer;
- retinitis pigmentosa (an inherited condition of the eye);
- a physical deformity of the penis (such as Peyronie's disease); or
if you have been told you should not have sexual intercourse for health reasons.
If you have any of these conditions, you may need a dose adjustment or special tests to safely take Viagra.
Viagra can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking Viagra, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old. It is not clear whether Viagra is the actual cause of vision loss. Stop using Viagra and get emergency medical help if you have sudden vision loss. FDA pregnancy category B: This medication is not expected to be harmful to an unborn baby. Do not use Viagra without telling your doctor if you are pregnant or plan to become pregnant during treatment. It is not known if Viagra passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

What's Viagra?

Sildenafil citrate, sold as Viagra, Revatio and under various other trade names, is a drug used to treat erectile dysfunction and pulmonary arterial hypertension (PAH). It was developed and is being marketed by the pharmaceutical company Pfizer. It acts by inhibiting cGMP specific phosphodiesterase type 5, an enzyme that regulates blood flow in the penis. Since becoming available in 1998, sildenafil has been the prime treatment for erectile dysfunction; its primary competitors on the market are tadalafil (Cialis) and vardenafil (Levitra).

Around Viagra

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