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Urinalysis, ultrasound, and other more sophisticated tests may be required.

The treatment of erectile dysfunction depends on the underlying cause.

Medications, penile injections, penile implants, and vacuum devices may be used. Treatment for erectile dysfunction is usually successful.

The patient should manage heart disease risk factors (high blood pressure, high cholesterol, diabetes) as they are related to erectile dysfunction risk. Having diabetes can mean early onset and increased severity of bladder symptoms (urinary incontinence and urinary tract infections) and changes in sexual function.

Men may have erectile dysfunction; and women may have problems with sexual response and vaginal lubrication. Keep your diabetes under control, and you can lower your risk of sexual and urologic problems. Sexual health information including birth control, impotence, herpes, sexually transmitted diseases, staying healthy, women's sexual health concerns, and men's sexual health concerns.

Learn about the most common sexual conditions affecting men and women. Is Viagra the World's Most Popular Male Sexual Performance Drug? by Michael Castleman, December 11, 2013 | Comments: 0.

In four studies where couples used Viagra, then Cialis (or vice versa), the women strongly preferred the latter.

En espanol | In the pantheon of globally recognized brand

names

In terms of

user

effective

If a man takes Cialis on Friday evening, he can count on erection assistance through part of Sunday.

Both men and women say they like the fact that Cialis allows them to take their eyes off that ticking clock and make love whenever they wish. So for dating couples or new lovers who prize sexual spontaneity, Cialis has a clear advantage. Oddly, Cialis is favored by a less sexually impulsive group as well: long-term spouses, who are likelier to schedule sex dates. The drug's more wide-open window of opportunity apparently makes for friendlier spousal negotiations over time and place. Except for their duration of action, all erection medications function in similar fashion. They work equally well if taken on an empty stomach or after a meal.

None produce spontaneous erections, so no mortifying bulges in the produce aisle; they enhance firmness only in the context of erotic stimulation.

Their side effects are quite similar, too: headache (16 percent of users), upset stomach (7 percent) and nasal congestion (4 percent). (Important note: Never use erection medications if you're taking nitroglycerin for angina; the combination can be fatal .

Remember how close we came to losing Jack Nicholson in Something's Gotta Give?

) And you might be surprised to learn how few older men use any erection drug at

all

reported

A "

fact

Even with drugs, erections may be iffy; even with lubrication aplenty, vaginal dryness or atrophy may cause pain during intercourse. That's why many older lovers move on from intercourse to other pleasures.

And if you're no longer having intercourse, erections aren't necessary, so why take a drug?

In addition, men don't need erections to have orgasms.

You read that right: Given sufficient fondling, a man can have a marvelous orgasm with a semifirm or even flaccid penis.

Among men who try erection medications, only half refill their prescriptions. The manufacturers claim the drugs are 70 to 85 percent effective, but research shows their effectiveness to be more in the 50 to 60 percent range; for men with diabetes, heart disease, or high cholesterol or blood pressure, it can be even lower. And wait until you hear how the studies define "effectiveness": buy professional viagra We're not talking rock-hard porn-star erections here, but rather any increase in firmness that enables intercourse. That means even drug-fueled erections can be on the soft side, leaving many men feeling disappointed. Bottom line: If you've never tried an erection

medication

But if you use one, you — and your partner — will likely be happiest with one that lasts the longest. For now, according to the latest surveys, that's Cialis. Michael Castleman, publisher of

the

See the AARP home page for deals, savings tips, trivia and more. Viagra (sildenafil) Viagra is a brand-name prescription drug that’s approved to treat erectile dysfunction (ED). With ED, you’re unable to have or maintain an erection.

Viagra is approved for this use in males ages 18 years and older. It belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors.

(A class of drugs is a group of medications that act in a similar way.) Viagra works by increasing blood flow to your penis, which helps you have and keep an erection. But this drug only works if you’re sexually aroused. In most cases, it should be taken about an hour before sexual activity, but it can be taken 30 minutes to 4 hours beforehand.

Viagra is available in three strengths: 25 mg, 50 mg, and 100 mg. In several clinical studies, Viagra was effective in treating ED.

In these studies, men who used the

drug

To learn more about Viagra’s effectiveness, see the “Viagra uses” section below. A generic drug is an exact copy of the active drug in a brand-name lady era buy amazon medication.

The generic is considered to be as safe and effective as the original drug.

The following lists contain some of the key side effects that may occur while taking Viagra.

These lists don’t include all possible side effects. For more information on the

possible

They can give you tips on how to deal with any side effects that may be bothersome. Note: The Food and Drug Administration (FDA) tracks side effects of drugs it has approved.

If you would like to report to the FDA a side effect you’ve had with Viagra, you can do so through MedWatch. Mild side effects of Viagra can include:* headache flushing indigestion mild and temporary vision changes, such as a blue tinge in your vision, blurred vision, and sensitivity to light nasal congestion (stuffy nose) back pain muscle pain nausea dizziness rash.

Most of these side effects may go away within a few days or a couple of weeks.

But if they become more severe or don’t go away, talk with your doctor or pharmacist.

* This is a partial list of mild side effects from Viagra.

To learn about other mild side effects, talk with your doctor or pharmacist, or view the drug’s patient information .

Serious side effects from Viagra aren’t common, but they can occur. Call your doctor right away if you have serious side effects.

Call 911 if your symptoms feel life threatening or if you think you’re having a medical emergency.

Serious side effects and their symptoms can include: Non-arteritic anterior ischemic optic neuropathy (NAION), which is an eye condition that causes damage to your optic nerve.

Symptoms can include: sudden decrease in vision in one or both of your eyes sudden loss of vision in one or both of your eyes Sudden decrease or loss of hearing.

This condition may also involve other symptoms, such as: tinnitus (ringing or buzzing in your ears) dizziness. Other serious side effects, which are explained in more detail below in “Side effect details,” include: allergic reaction priapism (long-lasting and sometimes painful erection) low blood pressure, if Viagra is taken with certain other medications cardiovascular problems, such as heart attack, irregular heartbeat, or stroke, all of which occur mainly in people with heart disease.

You may wonder how often certain side effects occur with this drug .

Here’s some detail on

several

It’s not known how often allergic reactions occurred in people who took a placebo (no active drug). Symptoms of a mild allergic reaction can include: skin rash itchiness flushing (warmth and redness in your skin) A more severe allergic reaction is rare but possible. Symptoms of a severe allergic reaction can include: swelling under your skin, typically in your eyelids, lips, hands, or feet swelling of your tongue, mouth, or throat trouble breathing. Call your doctor right away if you have a severe allergic reaction to Viagra.

But call 911 if your symptoms feel life threatening or if you

think

Rarely, Viagra can cause priapism, which is a long-lasting and sometimes painful erection.

But it’s not known how often priapism occurs in men who take Viagra.

Priapism is a medical emergency that needs to be treated right away.

If it’s not treated, the condition can damage the tissues in your penis and cause irreversible erectile dysfunction (ED).

If you have an erection that lasts longer than 4 hours, go to the nearest emergency room or call 911. Viagra can temporarily lower your blood pressure after you take the drug. In clinical studies, less than 2% of people who took Viagra had low blood pressure after taking the drug.

It’s not known how often low blood pressure occurred in people who took a placebo (no active drug).

But keep in mind that a sudden drop in your blood pressure could be dangerous if you have certain heart conditions.

Sudden low blood pressure may also be dangerous if you’re taking certain other medications.

For example, you shouldn’t take Viagra if you take nitrate medications to treat chest pain. You should also avoid taking Viagra if you take a drug called riociguat (Adempas). Taking Viagra with these medications can cause a dangerous drop in your blood pressure that leads to heart attack or stroke.

If you have low blood pressure, taking Viagra could make you feel dizzy or lightheaded, or cause you to faint. You’re also more likely to have these problems if you take Viagra with certain drugs used to treat high blood pressure or enlarged prostate.