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Tree, is a centrally acting alpha(2) adrenergic-receptor citrate) is indicated for are three essential components of male sexual function: Interest and desire for sexual activity (libido) The ability to obtain and maintain an erection.

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· Measuring testosterone may not help determine women's need for therapy since tests aren’t accurate for women and normal levels have not been determined. · Women should avoid testosterone if they've had breast or uterine cancer or liver or heart disease.

· Men should avoid it if they've had breast or prostate cancer or have high prostate or sildenafil kroger breast-cancer risk, major prostate enlargement, or elevated red-blood-cell count. Treatment options include… Injections (Delatestryl, Depo-Testosterone, Testro-La), patches (Androderm, Striant, Testoderm), or gels (AndroGel, Testim). · For sildenafil price 50 mg women, some doctors use low doses of men's creams or gels or create special formulas, though their safety is unknown. While anxiety sometimes causes erectile dysfunction, that disorder usually stems from physical problems, often the same ones that cause heart disease. Sildenafil ( Viagra ), tadalafil ( Cialis ), and vardenafil ( Levitra ) can help improve men's potency by dilating blood vessels in the penis, to allow for the increased blood flow necessary for an erection.

However, such drugs should be used cautiously, since they can cause potentially serious side effects.

Those risks may include an increased chance of heart attack or stroke among men already at risk of such events-including those with coronary disease-as well as fertility problems and worsened sleep apnea. In some men, the drugs may also cause temporary vision or hearing problems.

And they can interact with many medications, most notably nitrates (used to relieve angina) and certain herbs, including St. What to do: Addressing coronary risk factors—reducing blood pressure, cholesterol levels, and weight, stopping smoking, exercising more, and rigorously treating diabetes—may help correct erectile dysfunction.

Pelvic-muscle exercises called Kegels—where you tightly tense the muscles that interrupt the flow of urine or passage of gas—may be worth trying as well.

If reducing risk factors and performing Kegels don't help, men could consider erection-boosting medication.

Tadalafil, which lasts for about 36 hours compared with 4 hours for the other two drugs, may be a good choice for men who value spontaneity, though side effects may also be prolonged. Men considering any impotence drug should first have a doctor assess their risk of heart disease and review all of their medications for possible interactions.

Reduced vaginal lubrication and clitoral sensitivity may sometimes stem from the same cardiovascular problems that can cause erectile dysfunction.

But more often those problems stem from declining estrogen levels after menopause.

Sildenafil ( Viagra ) and related drugs may improve sexual function in some women, including those who experience side effects from antidepressant drugs such as fluoxetine ( Prozac and generic), paroxetine ( Paxil and generic), and sertraline ( Zoloft and generic), according to preliminary research.

Supplemental estrogen can also help relieve that problem as well as vaginal dryness. But both treatments pose risks, so should be used cautiously.

What to do: In theory, reducing coronary risk factors may improve sexual function in sildenafil kroger women as it does in men. Extended foreplay and nonpetroleum lubricants like K-Y Jelly and Replens can usually provide sufficient moisture. Staying sexually active may also help keep the vagina moist and responsive. Those steps, combined if necessary with treatment of a partner's sexual problems or of issues that impair libido, may improve a woman's ability to achieve orgasm as well. Women who want to try estrogen for dryness or possibly insensitivity can use creams (Estrace, Premarin) or vaginal inserts (Estring), which allow you to use smaller doses that are less likely to increase the risk of breast cancer and heart disease. If those don't help, consider sildenafil kroger short-term use of low-dose estrogen pills or patches, provided you're not at high risk of those diseases.

Women with antidepressant-related sexual problems should try other measures before talking with their doctor about possibly trying sildenafil. For example, they could try a lower dose or switch to generic bupropion, since some research suggests it's less likely to interfere with your sex life than are other antidepressants.

There are currently no drugs approved for treating premature ejaculation, the most common form of sexual dysfunction in men.

But some doctors do prescribe antidepressants such as sildenafil kroger fluoxetine ( Prozac and generic), paroxetine ( Paxil and generic), and sertraline ( Zoloft and generic) for premature ejaculation, since one of their common side effects is to inhibit orgasm. Unfortunately, they probably have to be taken daily, not just before sex, and can cause a number of side effects.

Some other doctors prescribe topical anesthetics, such as lidocaine, but the evidence for such use is sparse.

What to do: You may be able to ease the anxiety and overexcitement that often underlie premature ejaculation by having sex more often, prolonging foreplay, and trying not to worry during or after sex, regardless of the outcome.



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