Viagra woman tablet buy

However, it is important never to stop taking a prescribed medicine unless you are advised to do so by a qualified healthcare professional who is responsible for your care. Possible psychological causes of erectile dysfunction include: depression – feelings of extreme sadness that last for a long time anxiety – a feeling of unease, such as worry or fear. Erectile dysfunction can often have both physical and psychological causes. For example, if you have diabetes, it may be difficult for you to get an erection, which may cause you to become anxious about the situation.

The combination of diabetes and anxiety may lead to an episode of erectile dysfunction.

There are many emotional issues that may also affect your physical ability to get or maintain an erection.

These include: relationship problems lack of sexual knowledge past sexual problems past sexual abuse being in a new relationship.

Other possible causes of erectile dysfunction include: excessive alcohol intake tiredness using illegal drugs, such as cannabis, heroin or cocaine. Men who cycle for more than three hours per week may be recommended to try a period without cycling to see if this helps improve erectile dysfunction.

Riding in the correct position with a properly fitted seat may also help to prevent regular cycling from leading to erectile dysfunction.

Erectile dysfunction (ED) can often be diagnosed by your GP.

They will talk to you about your situation and may carry out a physical examination. Your GP may ask you about: your symptoms your overall physical and mental health your alcohol consumption whether you take drugs whether you are currently taking any medication.

If you do not want to talk to your GP about erectile dysfunction, you can visit a genitourinary medicine (GUM) clinic.

You can find your nearest GUM clinic on the British Association for Sexual Health and HIV (BASHH) website. Try not to be embarrassed because erectile dysfunction is a common problem.

You can request a male GP at your surgery if you prefer. You may be asked about: your previous and current sexual relationships what your sexual orientation is how long you have been experiencing erectile dysfunction whether you can get any degree of erection with your partner, on your own or when you wake up in the morning whether you have been able to ejaculate or orgasm your libido (your level of sexual desire) Erectile dysfunction that happens all the time may suggest an underlying physical cause. Erectile dysfunction that

only

Narrowed blood vessels are a common cause of erectile dysfunction and linked with cardiovascular disease (conditions that affect the heart and blood flow). measure your blood pressure to see if you have high blood pressure (hypertension) listen to your heart rate to check for any abnormalities measure your height, weight and waist circumference to see if you are a healthy weight for your height ask you about your diet and lifestyle, for example, how much exercise you do test a sample of your blood for glucose (sugar) and lipids (fatty substances), as high levels can indicate conditions affecting your heart or blood vessels. A physical examination of your penis may be carried out to rule out anatomical causes (conditions that affect the physical structure of your penis).

If you have symptoms of an enlarged prostate, such as weak or irregular urination, a digital rectal examination (DRE) may be suggested.

Blood tests can also check for underlying health conditions.

For example, measuring the levels of hormones

such

An intracavernous injection test involves injecting a man-made (synthetic) hormone into your penis to increase the blood flow. This helps assess any abnormalities in your penis and plan surgery.

If the injection doesn't result in an erection it

may

Arteriography and dynamic infusion cavernosometry or cavernosography.

These specialised tests involve injecting dye into the blood vessels of your penis and studying the dye on a scanner.

These are likely to be used if you are being considered for surgery or if a problem has been detected with your blood vessels. If the cause of your

erectile

If you have erectile dysfunction (ED), treatment will depend on what's causing it.

The various treatments for erectile dysfunction are outlined below. If your erectile dysfunction is caused by an underlying health condition, such as heart disease or diabetes, that condition may need to be treated first. In some cases, treating the underlying cause may also resolve the problem. If you are taking medication that can cause erectile dysfunction, there may be an alternative. It is important never to stop taking a prescribed medication unless you are advised to do so by your GP or another qualified healthcare professional responsible for your care. Erectile dysfunction can often be improved by making changes to

your

As well as helping to improve your erectile dysfunction, these changes can also improve your general health and may help to reduce your risk of cardiovascular viagra woman tablet buy disease (conditions that affect your heart and blood vessels).

Phosphodiesterase-5 (PDE-5) inhibitors are one of the most widely used and effective types of medication for treating erectile dysfunction.

They work by temporarily increasing the blood flow to your penis. In England, four PDE-5 inhibitors are available for treating erectile dysfunction. They are: sildenafil – sold under the brand name

Viagra

Depending on the type of PDE-5 inhibitor you are taking and the dose, it should take about 30-60 minutes before it starts to work. With sildenafil, vardenafil and avanafil, you should be able to have sex from one to 10 hours after taking the medicine.

After taking tadalafil, the effects will last for up to 36 hours. It may take longer to notice the effects if the tablet is taken with food, so it's best to take it on an empty stomach. You can then eat after an hour without affecting the medicine. Your GP should explain the benefits of each medication and how it works.

The choice may depend on: how often you are sexually active whether you have tried any of the medications before.

There have been many studies to test the effectiveness of these medications.

In general, at least two-thirds of men report having improved erections after taking one of these medicines. If you do not find that PDE-5 inhibitors are effective it may be because: you have not waited long enough after taking the dose you have waited too long after taking the dose the dose is not high enough you have not had enough sexual stimulation.

These medications are triggered by sexual stimulation, so you also need to be aroused for it to work. PDE-5 inhibitors should be used with caution in men who have cardiovascular disease, such as coronary heart disease.

However, sexual activity is also likely to be beneficial for your cardiovascular health. You should viagra tablets online buy discuss the risks and benefits with your GP.

PDE-5 inhibitors should

also

The combination of the two substances can have a dangerous effect on your heart. Organic nitrates are often used to treat angina, and butyl nitrate is a recreational drug that is more commonly known as 'poppers'.

You are also warned not to take PDE-5 inhibitors if you: have been advised not to take part in sexual activity or in activities that widen your blood vessels have low blood pressure (hypotension) have recently had a stroke – a medical emergency that occurs when the blood

supply

A vacuum pump consists of a clear plastic tube that is connected to a pump, which is either hand or battery operated.

You place your penis in the tube and pump out all of the air. This creates a vacuum that causes the blood to fill your penis, making it erect. You then place a rubber ring around the base of your penis to keep the blood in place, allowing you to maintain an erection for around 30 minutes.

It may take several attempts to learn how to use the pump correctly, but they are usually effective. After using a vacuum pump, nine out of 10 men are able to have sex, regardless of the cause of their ED. You should not use a vacuum pump if you have a bleeding disorder or if you are taking anticoagulant medicines,

which

Side effects of vacuum pumps include pain or bruising, although these occur in less than a third of men. Men who qualify for NHS prescriptions for erectile dysfunction treatments may be able to get a vacuum pump on the NHS (see above for more details).

The Sexual Advice Association produces a number of factsheets, including one on vacuum pumps that provides details of companies that supply them.