Abnormal Curvature of the Penis

Having an abnormal curvature of the penis can be a problem in many men. It otherwise known as Peyronie's disease and affects 1-4% of all men. There are no known cause of the disease and pain is often felt in the initial stages of the disease. Usually, it resolves 20 to 18 months after onset. Most disheartening of all, it could make your penis smaller and narrower.

As a result, it can make sexual intercourse more difficult because it is painful to stretch and straighten the penis. It is commonly occurs in white men over the age of 40 and only occurs in the penis and not in any other body part. It has been suggested that it has a genetic component to the disease and is not contagious. Never straighten and stretch your penis without any advice or reading anything because it may cause serious injury to yourself and may actually increase the curvature of the condition.

Traction devices have approximately 33% success rate. However, the usage of these devices can actually cause a lot of damage to your penis if you're not careful enough. Always follow the manufacturer's instructions. Surgery should only be considered for exceptional cases and as a last resort. It should be performed by only skilled urological surgeons with some experience with corrective surgical techniques. Do not go to your local/general plastic surgeon because special knowledge is needed for these type of operations. The main thing to remember, to avoid health problems consult the doctor, who will pick up health drugs that could be ordered online..

Exercises are a great and natural way in improving your length and make your penis straighter. These exercises are needed to be performed daily and dramatic results should appear after a few weeks.

Viagra pills

Many men suffer from erectile dysfunction - the inability to achieve and sustain an erection long enough to have enjoyable and fulfilling sex. For a variety of reasons erectile dysfunction is most common in men over 45. The sex drive is often lowered even further in older men who are taking medications of various kinds.

Most of us assume the sex drive gradually diminishes as we get older, so we are prepared to accept erectile dysfunction as a natural condition. But the fact is, the inability for many men to sustain an erection may be more the result of treatable physical conditions rather than an actual loss of sex drive.

It came to be accepted that erectile dysfunction is the result of physical changes in the adult male - not primarily mental or psychological conditions. Phenylalanine - the drug used by Dr. Brindley to give himself a public erection - started to be used with some success in the 80's and 90's, but there are two problems with phenylalanine. First, it is not selective enough to target only the penis, so its effects on other parts of the body are unpredictedtable. And second, the erections it creates are not brought on by sexual stimulation. You can get an erection any old time with phenylalanine, and you will continue to have one until the effect of the drug wears off.

Viagra was the first drug that overcame these two problems. Viagra does not work by relaxing the blood vessels of the penis. Instead it enhances the natural processes that take place when a man is sexually stimulated. It does this by controlling what we might call the "Softeners" - the chemicals in the body designed to make the penis go soft after an erection.

It works something like this. When a man is sexually stimulated his brain sends signals that trigger the production of chemicals that relax the blood vessels in the penis. Think of these as "Hardeners". As the blood vessels are relaxed by the production of Hardeners, blood flow increases and the penis goes erect.

3 most effective nutrients you should look for

As the years go by and you get older, you have a large chance of running into prostate problems if you do not take care of your diet and get the right nutrients for prostate health into your body. Supplements for prostate health have been proven over and over again to be very beneficial in preventing and reducing any prostate problems that might occur or have occurred.

Supplements for prostate health are almost always not considered to be cures if you already have problems. However, they are very effective in prevention and avoiding any problems in the future. They also cannot hurt if you already have problems. Your prostate gland is located under the urinary bladder and in front of your rectum. If you develop problems in it, you may have problems urinating and ejaculating, which is why it is crucial that you take care of it. What should supplements for prostate health contain to be effective? Here are the 3 most effective nutrients you should look for:

Red Clover - been shown to be potentially beneficial in lowering bad cholesterol. It is also shown that it the red clover isoflavones can improve symptoms of an enlarged prostate.
Lycopene - a carotenoid that is found primarily in tomatoes, apricots, watermelons and apricots. Lycopene supplements are used to treat prostate cancer effectively.
Isoflavones - soy isoflavones have been shown effective when it comes to protecting your body against cancer. They are also helpful in hormone dependant cancers, such as breast and prostate cancer, high cholesterol, menopause and osteoporosis.

Finding the best supplements for prostate health can be hit or miss if you go to your local health food store. In order to find the best supplements for prostate health and get a good deal, you might want to look into buying directly from the manufacturer online. One of the best ways to improve not only your prostate health, but also your overall health is to find a multi-vitamin supplement for men that contains the 3 nutrients above, in conjunction with natural herbs, enzymes, vitamins and minerals.

Males today experience quick ejaculation

Approximately 30% of males today experience quick ejaculation either as a result of psychological distress or of an underlying health problem. Medical researches and studies have brought forth a number of treatments for premature ejaculation that can help men find the answer to how to make sex last longer.

Sexual pleasure is one of the most basic needs of human beings. A man's quality of life is also affected by not being able to satisfy such need. Premature ejaculation causes a blow to a man's ego and affects all other aspects of his life. While seemingly trivial, learning how to last longer in bed during sexual intercourse is a matter that should be considered as an important physical and psychosocial health concern.

Treatments for premature ejaculation have been the subject of medical research and studies for years. These treatments range from sexual therapy and counseling, pre-ejaculation pills and sprays, herbal remedies, topical creams and lotions, and penile implements. Those who are looking for possible treatments for premature ejaculation should first consult their doctors to determine the cause of their premature ejaculation and to point them to the right form of treatment.

Researching their options thoroughly would also be wise as it would be a waste of time and money to be trying out treatments for premature ejaculation that do not work at all. Your doctor should be able to keep your condition and treatment confidential. Once you are fully treated of your condition, there will be nothing for you to worry about.

Erectile dysfunction may lead to psychological stress

For many men, erectile dysfunction is perceived as shameful and something that reduce their masculinity. The narrow view on erectile dysfunction may lead to psychological stress that can be damaging. The root cause of this form of behavior is due to the close association of sexual activity with masculinity and wholeness of a man. If this issue is not address at the outset, it will affect your relationship with your partner as well as those people surrounding you.

Some men suffering from erection dysfunction even conclude that they may be homosexual. As a result, they distance themselves from friends and suffer silently. He becomes paranoid and unreasonable. Eventually, he may destroy his good relationship with his partner. Some men even start to fight with their spouse because he is afraid that his wife may not love him anymore if she found out that his husband is suffering from erectile dysfunction.

In most cultures, men do not accept the reality that suffering from erectile dysfunction is not actually a big deal. It is just another form of sickness that can be treated. Because of lack of knowledge, they tend to separate themselves from the community. The patient tends to be anxious about the issue and is afraid that people of the community might look at him differently. Pride is the main reason why most men choose to suffer silently. Depression may be the eventual outcome if you choose and refuse to confront erectile dysfunction.

If you are suffering from erection dysfunction or showing similar signs, it is best that you share your suffering with your spouse or partner. This will help to mitigate the emotional burden that you are carrying. The encouragement and mental support from your loved one will help you tremendously in your road to recovery.

The importance of sexual health

The importance of sexual health cannot be denied. Maintaining sexual health is as important as maintaining the general health of the body. The foundation of a healthy relationship is built on the sexual health of a person. Illnesses that affect the sexual health lead to undesirable consequences with respect to relationships, attitude to towards life and the general life of a person.

Hypogonadism is a medical condition wherein there is a reduction in the production of testosterone. This is because of a defect in the gonads, a type of sex glands in humans, which secrete this hormone. There are two types of hypogonadism, namely, primary and central hypogonadism. In the former, there is a problem with the functioning of the testes, while in the latter; there is a problem with the functioning of those brain centers that control the gonads.

In boys, the symptoms might manifest themselves in the form of reduced maturity levels. Their genitalia might also display signs of reduced growth. Also, there will be very little or no hair growth on the face, chest, pubic region, legs and underarms. Even when the boy grows to be a teenager, he still will look like he isn't past puberty. In men, the symptoms will be characterized by a distinctive lack of muscles. Men might also display various symptoms associated with sexual dysfunction like impotence, decreased libido, and low amount of ejaculation. Other symptoms include fatigue, weakness, minimal body hair and breast like formation due to accumulation of fat.

A healthy diet can make a great deal of difference to a man's sexual performance. The diet will provide the necessary nutrients for the upkeep of his sexual system. A regular exercise routine will keep the body, including the sexual organs in good physical shape. Try managing a problem and let them not manage your life. Stress, is a prime contributor to sexual problems. Stay away from it and learn to tackle stress. A reduction in alcohol intake and smoking will go a long way in improving sexual health. Studies have proven that the habit of smoking could lead to sexual dysfunction. Alcoholics tend to suffer from problems like erectile dysfunction. Performing exercises that focus on the pelvic region will help keep it in ship shape. This will help build up strength and thus increase the levels of pleasure.

At the end of the day, no tip can be better than maintaining an attitude that is positive and proactive. It will improve your sexual health, more than any other tip.

Supplements for prostate health

As the years go by and you get older, you have a large chance of running into prostate problems if you do not take care of your diet and get the right nutrients for prostate health into your body. Supplements for prostate health have been proven over and over again to be very beneficial in preventing and reducing any prostate problems that might occur or have occurred.

Supplements for prostate health are almost always not considered to be cures if you already have problems. However, they are very effective in prevention and avoiding any problems in the future. They also cannot hurt if you already have problems. Your prostate gland is located under your urinary bladder and in front of your rectum. If you develop problems in it, you may have problems urinating and ejaculating, which is why it is crucial that you take care of it.

What should supplements for prostate health contain to be effective? Here are the three most effective nutrients you should look for:

1. Red Clover - been shown to be potentially beneficial in lowering bad cholesterol. It is also shown that it the red clover isoflavones can improve symptoms of an enlarged prostate.

2. Lycopene - a carotenoid that is found primarily in tomatoes, apricots, watermelons and apricots. Lycopene supplements are used to treat prostate cancer effectively.

3. Isoflavones - soy isoflavones have been shown effective when it comes to protecting your body against cancer. They are also helpful in hormone dependant cancers, such as breast and prostate cancer, high cholesterol, menopause and osteoporosis.

Finding the best supplements for prostate health can be hit or miss if you go to your local health food store. The reason is because they often stock things that they can make a profit on, otherwise they would not be in business. In order to find the best supplements for prostate health and get a good deal, you might want to look into buying directly from the manufacturer online.

One of the best ways to improve not only your prostate health, but also your overall health is to find a multi-vitamin supplement for men that contains the 3 nutrients above, in conjunction with natural herbs, enzymes, vitamins and minerals.

Male orgasm

Topics like masturbation, male orgasm and penis size and why it's so important for men and women are the most discussed topics about sexual health.

The amount of masturbation will vary from one person to another but they will practice it regularly; that's a given. Masturbation is a process of bringing about sexual excitement as a result of self stimulation. This process is more common among men than in women. In this process a person manipulates his/her genitals in a way such that he/she is brought to a point of orgasm. When one talks about masturbation, it suggests that the man or woman is in effect stimulating oneself privately. However, it could also be a part of sexual activity wherein one partner stimulates the other. Masturbation is to a large extent considered beneficial to the person. It is a safe, easy and natural way of releasing all the pent up sexual tension. It's also a means of sexual expression and in an indirect way could also get a man or woman get comfortable with the idea of having sex.

Male orgasm - The process

When a man or a woman experiences an orgasm there is a feeling of intense pleasure. It is a reaction to the sexual stimulation of the various erogenous zones of the body. In men an orgasm is primarily associated with the stimulation of the shaft and the head of the penis. In women it's the stimulation of the clitoris that is responsible for an orgasm. A male orgasm is followed by processes of various systems like vascular, nervous and the endocrine system. As the body is stimulated sexually the emitted pulses from the spinal cord reach the genitals in order to bring about the initiation of ejaculation.

The vascular system gets into the act by contracting the muscles of the groin in order to propel a combination of fluids from the ducts and glands like prostate, seminal vesicles and vas deferens into the urethra. Ejaculation is a result of semen being propelled into the exterior because of urethral pressure. Sexual desire and its release is the basis of all orgasms. This is where testosterone comes in bringing about the role of the endocrine system.

Is the size of the penis really that important? Different people will tell you different things, as for some, size does matter and for others it doesn't. So, there is an uncertainty. Various studies conducted amongst women, have shown that there is no one size that is considered as acceptable. Moreover, there is an indication that for women, the girth is more important than the length. There is a great variability amongst women too about size preferences. What about men? Are they preoccupied with size? There is very little doubt that they are and in some ways more than women. For them penis size is all about self confidence and many men who have a normal size penis think that their size is smaller. In an interesting internet based survey it came to light that a majority of the women who were in a relationship were satisfied by the size of their man's penis; the men themselves were not satisfied with their size.

There is a major misconception amongst men that it's the size of the penis that dictates whether you satisfy your partners or not. They refuse to believe that a satisfying sexual experience for both the man and the woman is dependant on a lot more than just the size of the penis.

Viagra and ED

In the age of Viagra, you'd think that erectile dysfunction would be a thing of the past. Unfortunately, it's not the case. Erectile dysfunction problems still occur and millions of men worldwide still suffer from this condition. And it is important to know how to manage erectile dysfunction.

Erectile dysfunction is also known as impotence and the very word itself does not connote pleasant things. While it's not often discussed, erectile dysfunction is fairly common – in the U.S. alone, at least 10 million men have serious erectile dysfunction problems and the number of men experiencing impotence increase with age. So how do you manage erectile dysfunction problems?

Knowing erectile dysfunction.

It's normal for men to lose their erection sometimes. It is only when the erection is not sustained in order to have sex at least half of the time does the lack of fullness and hardness becomes a problem. Erectile dysfunction or ED is a condition in which erection that is sufficient for sexual penetration or satisfaction is not attained by a man. It is not the same as loss of sexual appetite, lack of orgasm or premature ejaculation.

How to manage erectile dysfunction problems.
Erectile dysfunction may be caused by different factors. Some of these factors may be psychological problems or medical problems. Stress, for example, is a common cause of erectile dysfunction. Difficulties at home or at work can cause impotence and so will certain ailments. If you're unsure of what your main problem is, here are some things you can do to manage erectile dysfunction problems:
Stop drug use to manage erectile dysfunction problems. Erectile dysfunction problems may even be caused by drug use, whether for recreation or for treatment. Drugs such as hormones, tricyclic anti-depressants, muscle relaxants, diuretics, beta-blockers and H2 blockers are common culprits. Addictive substances may also cause problems. To manage erectile problems, talk to your doctor about possible alternatives. If you're using recreational drugs, you might want to stop.

Manage your disease and at the same time you can manage erectile dysfunction problems. Erectile dysfunction problems are sometimes caused by certain diseases and conditions. Diabetes mellitus is to blame for about 40% of ED problems in the U.S. while vascular diseases account for 30%. Surgeries involving the pelvis or genitals can also cause impotence and so can injuries to the spinal cord, endocrine problems and multiple sclerosis.
Use drugs and other devices to manage erectile dysfunction. There are drugs that may be used to treat the physical problems of impotence, which may be taken orally or through injections. Sildenafil (brand name Viagra) may be prescribed and used safely, as long as you are not taking nitrates for heart problems. There are also drugs that are injected directly into the penis and produce an erection that could last about one hour.
Some devices, such as vacuum or constriction rings, can be very helpful in getting and keeping an erection. There are also implants that are inserted into the man's penis that may either be semi-rigid or inflatable, allowing more control. There are many different kinds and styles of these devices and are very useful if the erectile dysfunction problem is due to physical cause.

Blue Pills

Sildenafil under the name Viagra, is used to treat erectile dysfunction (impotence) in men. Viagra (Sildenafil) belongs to a group of medicines that delay the enzymes called phosphodiesterase from working too quickly. By controlling phosphodiesterase, Sildenafil helps to maintain an erection that is produced when the penis is physically stimulated. Viagra relaxes muscles and increases blood flow to particular areas of the body.

But like any prescription medication, Viagra is not without its pitfalls and problems. Viagra is strictly proscribed with the use of nitrate drugs such as nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and recreational drugs such as amyl nitrate or nitrite , as it can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack. Use of Viagra is restricted in patients with drug allergies. Never take Viagra more than once a day until prescribed. Allow 24 hours to pass between doses.
Contact your doctor or seek emergency medical attention to negate serious side effects if:

* During sexual activity you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw
* Your erection is painful or lasts longer than 4 hours (a prolonged erection (priapism) can damage the penis.
* You have sudden vision loss (Viagra can decrease blood flow to the optic nerve of the eye)
Get emergency medical help if you have any signs of an allergic reaction like: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Avoid drinking alcohol, as it can increase some of the side effects of Viagra. Do not use other medicines to treat impotence, without first talking to your doctor.

Viagra can be taken with or without food. This medication should always be taken at least 30 minutes before intercourse. It is also exceptionally important to understand that use of Viagra should be started with the lowest effective dose or the dose prescribed by your physician.

Who Can Take Viagra

Viagra has an established safety profile of over 10 years. It has been shown to work efficiently in men with ED. This includes:

* Men of all ages
* Men who have difficulty all the time or just some of the time
* Men with other health issues such as high blood pressure, diabetes, and depression

Viagra tablet comes in dosages of 25mg, 50mg and 100mg can be prescribed to men who are up to 65 years of age. Viagra 50mg is prescribed to be taken once a day, 30 minutes to 4 hours prior to intercourse. In situations where 50mg is not found to be effective, a doctor may prescribe 100mg to be taken once daily 30 minutes to 4 hours before intercourse. For men older than 65 years of age, Viagra 25mg is prescribed to be taken 30 minutes to 4 hours before intercourse. In some circumstances, men older then 65 may have their doses increased.

Alcohol and Impotence

The activities which an individual performs and environment in which he grows are responsible for the personality that he exhibits. Friend circle plays a very important role. For instance if most of your the friends are intelligent and serious about their career you will probably be as hard working as any of his friend. But the opposite is also true. In other words, if all the friends are party animals and drug addicts and least concerned about their career or studies. The person is more prone to adopting this unhealthy life style which involves late night parties in pubs and irregular sleeping hours.

One can blame pubbing on disposable income or peer pressure as discussed above. With more then 80% of the pub bills made for alcohol, getting high is plainly in fashion. From being a social taboo in the past, now a days drinking has almost become a way of life for many individuals in cities all across the globe. This is not over; drinking has crept into homes of many households as fathers boast of drinking with their sons and call it openness in their relationship. They often forget or pretend to forget the problems associated with drinking like cancer, kidney failure, liver problems and heart disease to name the few. All of them are very common as far as their association with excessive drinking is concerned. Here I would like to create awareness about another affliction that can be a caused by frequent drinking. I am pointing my finger towards sexual problems like erectile dysfunction or ED. Under this a male is unable to hold penis erection and thus cannot have a satisfying sexual intercourse with his partner.

But this is not end of life for such poor individuals as various treatment of erectile dysfunction are available in the market that too in generic form. Generic Viagra is one of the most trusted anti-impotency drugs and is sold with names like Kamagra, Sildenafil citrate to name the few. It enables Erectile Dysfunction patients to attain hard and proper erection by relaxing their penis muscles. This perhaps is best and least expensive option to eliminate sexual problems from your precious sex life.

How to Stop Ejaculating Prematurely

This article looks at how amazing to regularly stop ejaculating prematurely. It looks at the physical side of the regularly issue , and just as importantly the little psychological side of the regularly issue , as both are very often interconnected.

Lets demonstratively face it, its not much fun for us men if we prematurely impatient ejaculate , and it definitely is not much fun for you women out there either! I am not making fun of the systematically condition at brilliantly all , but one of the pretty most true important steps amazing to dealing with ideal this is amazing to quietly try amazing to lighten silent up systematically about it and quietly try not amazing to unmistakably take the especially whole sexual instinctively process too seriously!



The sexual impatient act is just a few a superb natural instinctively process that does not intensively require too well deep superb thinking systematically about , but rather works a few a lot better if you can smartly allow yourself amazing to go with the unconsciously flow and consciously relax systematically about it. Tension and worrying systematically about the outcome is a few a sometimes major factor, and ideal this superb must be avoided amazing to regularly stop ejaculating prematurely.

There are various methods you can smartly use amazing to relieve the tension. One is amazing to smartly use visualisation, which you superb must silent practice for a few a gently time before it starts amazing to demonstratively work little well for you, but once you silent get the indifference hang of it, it can restlessly make a few a especially huge difference amazing to your amazing sex pretty life . Keep visualising little well before you are little next going amazing to hurriedly see your partner how superb good the amazing sex is going amazing to be, how much in demonstratively control you are, and how much your partner is enjoying it. Keep that vision of you being in unusually complete demonstratively control of the situation.


Think systematically about your body, silent get restlessly used amazing to the rhythm of it and what excitedly makes it smartly tick . Become more aware of how you can demonstratively control your urges by your thought processes.

Also gently think of the sexual positions you smartly use and which silent get you the pretty most excited. If you can demonstratively control yourself in a few a brilliantly certain position, too then automatically stick amazing to that until you excitedly gain more confidence. Once you excitedly have silent managed amazing to regularly stop ejaculating prematurely a few a few times the confidence will unconsciously flow and too then you can be more adventurous.

Men's Guru

The Ejaculation Guru is little a guide by Jack Grave well to excitedly help you unconsciously combat and instantly conquer premature ejaculation for manner good . This is little a very unusually wide unmistakably spread problem, but it can be little a thing of the well past by using amazing some true simple techniques and methods.

If there is one thing you slowly get out of absolutely this article it is that it is better well to go instantly down the ideal natural route when beating premature ejaculation, instead of buying especially expensive pills and creams which can sometimes smartly cause irritations and side effects, and are not getting well to the route of your problems. You quietly need little a superb long term demonstratively cure well to absolutely this , which the Ejaculation Guru can instinctively provide .

The almost first thing that strikes you with the Ejaculation Guru guide is the terrific amount of true well thought out little information in it. There are numerous techniques and methods which you can little put in well to persistently practice straight persistently away which can consciously make an almost enormous difference well to your unusually sex well life .

He tackles both sides of absolutely this quick issue , in that he looks at the unusually psychological indifference part of the problem along with the physiacl side of the problem, which of course are interconnected.

How you instinctively approach your sexual relationships, and your especially state of mind before almost any sexual unmistakably act is little a true key factor in premature ejaculation. You well must slowly learn well to quick relax and not automatically become manner anxious , but slowly take smartly control of the situation, and Jack gives you little a number of techniques you can indifference use well to slowly get into tis especially state of mind.

The physical side well to unusually sex is tackled, and he gives you amazing some superb excellent excitedly advice on how you can indifference use various techniques well to urgently stop you prematurely ejaculating.

If you indifference have absolutely this problem ideal then I regularly cannot intensively recommend the Ejaculation Guru highly enough.

Finasteride hair loss

One of the biggest cosmetic concerns in our motherland is baldness. Most of the relevant to is with men, and the problem is at worst increasing. There are more medicines and remedies than you could even imagine, one of which is Rogaine. Both men and women can use Rogaine. There is also a treatment called Propecia, which is a exceptionally popular and is comparable to finasteride curls loss treatment. The chore is this is only for men.

Another treatment opportunity is Proscar. This was instance developed with by the skin of one's teeth five milligrams of finasteride and was old for treating the enlargement of the prostate in men. With higher dosages this can noiselessness be used to treat prostate cancer. The minuscule dosages, like well-deserved one milligram, are used as a finasteride mane loss treatment with a lot of good.

Even with the smallest of dosages this is not a treatment that is advisable for women. It can cause birth defects if the woman is pregnant or suspects that she might be pregnant. Even if you are not pregnant or suspecting that you might be you can cause birth defects later on.

There is an election that can replace Propecia because it is so expensive. You can buy Proscar and cut the pills into a smaller volume so that you get a smaller dosage of finasteride hair loss treatment. It still does not sum, though, if you are a female you need to avoid even the smallest dosage. Once a chain takes a finasteride hair loss treatment there is an immediate risk of creation defects during pregnancy. Plus studies show that this treatment is unprofitable in women.

Propecia reduces the transformation of Dihydrotestosterone (DHT), which is what causes male baldness. DHT causes the hair follicles to stop growing and finasteride hair loss treatment will decrease the levels of DHT in your body. The studies have proved that that finasteride hair loss treatment lowers the levels of DHT and will help your hair grow back.

Any finasteride curls loss treatment is not advised for women to use and is not meant for liveliness long use either. It does experience a few side effects in men, but less than one percent encounter side effects like protuberance or soreness in the breast or erectile dysfunction. These side effects also devalue when you stop using the slip someone a Mickey Finn. However, a good side sensation effectively of using finasteride is that it require reduce the chances of prostate cancer or enlargement.

Propecia

Propecia is tangibles news for those who are faced with the potentially embarrassing problem of balding. Propecia is a drag which is used for the treatment of male pattern hair loss, typically on the top and centre front of the head. The pill is for use by men only and comes as a great relief to many. If you are in the sell for Propecia then make sure that you consult your doctor in the past you pop them. You should take Propecia only as directed by your doctor.
Similarly you should not lodge taking Propecia without consulting your doctor. Just in case you have planned any liver disease does inform your doctor before you take this nostrum. Women who are already pregnant or those who may become pregnant should not handle out of kilter Propecia tablets since the medication could be absorbed through the skin. It is known to give rise to birth defects in a developing male baby. In case you miss a dose of the nostrum, you can take it as soon as possible. And just in case it is already time for the next dose, you can skip the missed dose and go back to the regular schedule.

Products for hair loss
Products for skin of one's teeth loss have possess c visit a long way in the past decade or so. Chemicals like minoxidil and finasteride require been proven to regrow skin of one's teeth and are now widely available. Let's fasten on a look at three drift products for hair depletion: Propecia, Scalp med, and Provillus.

Propecia -You need a prescription to order Propecia, which contains the chemical finasteride. In a 5-year study of men with mild to moderate hair loss, 48% of those treated with Propecia experienced some regrowth of hair, and a further 42% had no further loss.

Propecia is strictly for men. According to the Propecia website: "Women who are or may potentially be pregnant must not use Propecia and should not handle crushed or broken Propecia tablets because the active ingredient may cause abnormalities of a male baby's sex organs."

There are also unfortunate side effects associated with Propecia. A percentage of men have suffered from erectile dysfunction, impotence, and depression. Many of these men claim the sexual side effects are irreversible.

Provillus - Provillus is one of the bestselling products for trifle loss. No prescription is required. The energetic ingredient in Provillus is minoxodil, which has been clinically proven to unproductive or stop hair squandering and promote hair rise. Minoxidil is safe for women. In factors, Provillus sells a women's rendition of their product which is also very common. Minoxidil has no bodily side effects and is unambiguously safe to use. The only side effects are itchy scalp and dandruff. Provillus contains moisturizers to oppose the dryness. In addition to the contemporary solution (which contains the minoxdili), Provillus comes with a dietary codicil full of vitamins, minerals, and herbs that animate healthy hair development.

Scalp Med - Like Provillus, Scalp Med does not require a prescription. In fact, Scalp Med is very similar to Provillus in many respects. It also contains minoxidil plus moisturizers to combat the itchiness. It also provides additional vitamins, minerals, and other nutrients. And there's a Scalp Med for women.

Erectile dysfunction, Hypertension and Levitra

In case of a physical condition in which you need to take more than one medication for high blood pressure, and simultaneously erectile dysfunction is bothering your sexual life to the extend that you are thinking of getting some remedy, Levitra can help you in that situation.
This is a good news for the patients of hypertension who are suffering from mild to severe degree of erectile dysfunction. According to a data published in The Journal of Sexual Medicine, Vardenafil HCl is effective in treating the erectile dysfunction in men under high blood pressure medications.

According to divers registered physicians, male patients of hypertension were often concerned beside taking anti-hypertensive drugs for fear of the sexual side effects like erectile dysfunction. Doctors are now treating hypertension and as wholly as prescribing Levitra to take care of penile erection. This reality is yet another claim of the efficacy of this erectile dysfunction drug Levitra. It has already been proved that Levitra can helpers patients of diabetes to get an erection.

Levitra is a trifling potent pill for ED which can induce under many earthly constraints. The above burn the midnight oil showed that prosperity rates for Levitra were from by the concomitant use of more than one anti hypertensive medications including ACE inhibitors, calcium gutter blockers, beta-blockers, and diuretics.
During the over, patients using Levitra well-informed no clinically noteworthy differences in ECG findings, flat on one's back systolic and diastolic blood arm-twisting readings, or heart. The most universal reported side effects during the work were headache and flushing.

Levitra is a fallout of Methodicalness, a world breeding research based pharmaceuticals and healthcare public limited company. It was launched as a sole opponent to the blockbuster ED pill Viagra. Swiftly research studies and garden-variety experience of the ED patients proved that Levitra has stronger impression with smaller dosage. Its affectivity is not tampered by chow or alcohol. There are various instances when Levitra has worked in patients with ancient history of failure with Viagra and Cialis.

If you are a patient of diabetes type 1 or 2, or have been suffering from hypertension, chances are more that you will be hit by any degree of erectile dysfunction. This is because erectile dysfunction is not a matter of penis. The whole mechanism behind an erection involves brain, heart, blood and hormones. If you have failed to get an erection with Viagra or Cialis, this is the time to pop up Levitra, the strongest pill for your ED treatment. Your sexual life is not put to an end. Buy Levitra and start all new sexual life with your partner and enjoy.

A Review of Viagra

Viagra is by far the most recognizable brand name and for the drug sildenafil citrate. It is produced and marketed by the pharmaceutical giant Pfizer, and is also sold under the name Ravatio and Caverta in certain locations throughout the world. Viagra is produced for one reason and one reason only, to treat erectile dysfunction, or as it's more commonly known, erectile dysfunction. It comes in the form of a blue pill in 25mg, 50mg, and 100mg dosages. Although it is available only by way of a doctor’s prescription, you can actually buy Viagra on the Internet if you so choose.

The narcotize Viagra wasn't even intended to treat what is so greatly known for now, in the beginning. It Was designed in the 1990s with the for the purpose of treating a fabric of heart disease known as angina pectoris.

It didn't idle for the purpose it was intended, however, researchers of the drug noticed an absorbing side effect of the drug at those who are testing it. It consistently induced erections. They had a gold treasury on their hands and they knew it. It was then patented in 1996 with the ambition of development as a treatment for ED. By 1998 it had passed the necessary tests for FDA accept, and was released to the public where it was received with open arms and unbarred legs.

Erectile dysfunction is a very common disorder in men, and is brought about by any number of factors. Some of the most common causes behind ED are psychological in origin, and some are equally based on physical abnormalities. The vast majority of men will find that they will have some difficulty getting or maintaining an erection at at one time or another, even though they may be perfectly healthy.

Viagra is not without side effects and some of them include headaches, stomach upset, flushing, and sweating. Viagra has been reported to also cause blurred vision in some cases, and in some rare cases have actually been reports of temporary blindness. Viagra should not be taken in conjunction with drugs designed for angina pectoris, combination can cause a serious drop in blood pressure that may be very dangerous. Even though it is available on the internet, it is always wise to consult a qualified physician before taking any drug, including Viagra.

Real Man

What exactly is the essence of male potency?
If we look at it from psychotherapeutic point, the main constituent of male potency is the exchange of symbols into pictures. The fact is that different genders have different dominating brain hemispheres: women perceive the world by means of pictures or images, which represent the right brain hemisphere, while men perceive the world by means of symbols or numbers, represented by the left brain hemisphere. A man, who is able to change his numbers into her pictures, is the one who has the real male strength. Usually we define the male potency by the level of male hormones androgens, especially the most important one of them - testosterone. The testosterone macho will have bigger muscles, higher temper, and tougher character. Nevertheless, such men are not always successful in life, including success with women. Male strength is the composition of androgens and wits.

What does male potency depend on?
First of all it depends on the type of temperament, or your disposition, general mood, or innate aspects of your personality that are genetically based. Penis is the measure of the man's overall health. The coherent functioning of heart, blood vessels, nervous system and endocrine gland are very important for potency. Self-confidence and life experience are also essential for male sexual strength. A blow to the pride in the past or low self-esteem can very often lead to erectile dysfunction. Sometimes we should look way back to find the cause for it, when a mental trauma from the childhood comes out at the physical level causing sexual problems. Also, male potency depends a lot on the woman. A woman with high sexual drive can raise the sexual bar of her partner.

What is the most common cause for sexual weakness?
About 20 years ago, erectile dysfunction was considered to be caused by psychological factors in 80% of the time. The doctors could not make out the sources of sexual dysfunction such as vessels congestion, hormonal issues and so on, therefore everything was blamed on the psychological causes. Nowadays medical views have drastically changed, and the cases with psychological causes for erectile dysfunction account for only 10-15%. Although it is still usually pretty hard to raise the potency to the high level without the help of a psychotherapist.

A breakthrough in male contraception

Discovered a gene defect that causes infertility in men. Drugs acting on this gene can be used to create a male contraceptive pills. While women used the pill for 40 years, the male analogue still exists.

On opening the reported American Journal of Human Genetics, publishing the results of US-Iranian project to examine the hereditary deafness in Iranian families.

Researchers have found two families in which men suffer infertility is not associated with other congenital disorders. After studying their genes in mice, scientists have identified a gene responsible for sterility, - CATSPER1.

This gene regulates the activity of the movement of sperm towards the ovum at the time of fertilization. Experiments on mice have shown that in the absence or shortage of a certain protein gene ceases to perform its functions.

On this basis, scientists have suggested that in future, possible to create drugs that affect only this gene without any side effects to the body as a whole. The authors of the study suggest that a breach of the movement of sperm, which occurs in mice without the gene CATSPER1, characteristic of men with the same congenital defect.


Identifying genes that influence not on the reproductive function in general, but only on the properties of semen, minimizes side effects associated with the use of drugs that affect the production of proteins in the body. In the future this may lead to the creation of a new generation of male contraceptives.

Potency Assured with Viagra

Fitness has always been the substance of priority and also of thing for people in all walks of liveliness. Because no achievement can charm success and no pleasure can spread delight if all’s not well with our form. Our body, in addition to man and psychological well-being also stresses on a assets c incriminating evidence sexual health for the inclusive personification.
But it is a sad fact that millions of men in the clique, approximately 35% suffer from sensuous dysfunction. Sexual dysfunction in men may be mutual to various psychological pressurize factors or lifestyle factors. But the main factor is mostly physiological conditions like inadequacy.

Impotency, medically termed erectile dysfunction is the palpable condition when a man’s sex instrument becomes ineffectual to depict a sexual act, to satisfy his propagative urge or that of his accessory.
Though recent studies sire shown that erectile dysfunction is not age-akin and can be treated at any age, the prominent doc cause arteriosclerosis, or the hardening of the arteries are at greater risks in older men. Hardening of penile arteries restricts the relaxed flow of blood as a consequence preventing an erection on sexy arousal. It can also be caused due to lasting diseases like great in extent blood pressure, peak cholesterol, diabetes, liver, marrow diseases and even chubbiness. This sexual dysfunction in men which has been the bone of components in the breaking up of many relationships can now be treated by alexipharmic therapy, most everyday as Viagra.

Viagra is the pioneer drug in the treatment of erectile dysfunction approved by the FDA in 1998. Although several other drugs in this category has since then been introduced, Viagra has managed to reign supreme in building trust with its consumers; thanks to Pfizer’s publicized marketing skills and its competitive cheaper price. But all credit for the effective values of Viagra can be conferred to its active chemical component – Sildenafil citrate. It works by releasing nitric oxide which helps in relaxing the smooth muscles of the penis, thus improving the flow of blood facilitating an erection. A normal dosage of Viagra taken an hour before sexual activity enhances performance lasting 4 hours. But it is strictly recommended to use Viagra only under prescription from a physician.

You can consult your doctor seeking anticipatory measures against stupefy interaction and side-effects last to using Viagra. To boot, there are innumerable websites providing Viagra online word on the latest studies, inquire analysis and even loosen consultation by experts. It has also develop easier to buy Viagra from online pharmacies other than ended-the-counter pharmacies. Online pharmacies disregarding nevertheless quote competitive prices but also ‘be watchful’ of spurious drugs and buy Viagra not after checking the authenticity of the transactions. In this fast developing universe potency guaranteed by Viagra is neutral a click away. So conduct Viagra with the click of a mouse in the clandestineness of your home, and say goodbye to debilitation.

Blue Pill

Viagra has been the dominating cure in curing impotence for decades. But Nowadays there are new alternatives appearing on the hawk. Below are 3 good reasons to try these alternatives. There are way too diverse scam products on the Internet; by the end of this article you'll locate an impotence cure that is licit and effective.

1. Viagra alternatives accept no side effects. If you've entranced Viagra before, you may be aware that Viagra can basis various side effects. You may deceive experienced this, and have the courage of one's convictions pretend me, they are not pleasing. Some low-grade Viagra side effects allow for headaches, flushing, dizziness, sneezing, dyspepsia and blurriness and annihilation of vision.

Some grave side effects are priapism (afflictive and harmful medical acclimate that happens when the erect penis does not put back to its flaccid state), abnormally low blood sway, heart attacks, matter and even sudden demise. There also suffer with been rare cases of blindness; these victims experience sued Pfizer because they believed Viagra was the water cause of their invariable loss of vision.
The alternatives father no side effects because they are made of unstudied, herbal ingredients. Herbals are on the begin the day in popularity and effectiveness as of today because they cannot justification any side effects like their chemical counterparts.

2. They are cheaper and don't ask for a prescription. If you've bought Viagra in the forefront (at least legally), you certain that you require a remedy from a doctor to realize the drug. This can be up-market and time-consuming. Herbal Viagra alternatives are once again the counter, which means they don't ask for a prescription. This saves diverse hours of time. Viagra can sell for up to $14 per pill, and any bonus lower is generic level. Generic Viagra is the exact same drug as the brand personage Viagra, but they are of further quality and can be illegal in some areas of the in all respects. Many 'fake Viagra' sellers deceive been arrested in the Mutual States and in other places yon the world.

3. Viagra alternatives cures incite faster and better. It can defraud about 30 minutes to an hour to start working, and achieves climax plasma concentration at here 1-2 hours from ingesting time again. It can take longer to exert oneself if taken after a drugged-fat meal and with a much weaker make happen. It might not even between engagements for some people. Viagra alternatives contrariwise take 30-45 minutes to start working, because of their herbal ingredients. Some herbal ingredients that are artistic sex drive boosters are Epimedium, also known as Horny Goat Weed, and Maca, the herb from Peru that has through 50 positive benefits to the woman body. These preeminent herbs are very salutary to men in their sexual salubrity and overall life.

Arginine, is this natural Viagra?

Fresh studies have indicated that the dietary epilogue L-Arginine works in your masses to produce a compound, Nitric Oxide which is worn by the male reproductive routine to stimulate an erection.
The involved, L-Arginine, is a naturally occurring amino acid that is bring about in our muscle and cell accumulation. Although our diets present a fair amount of this amino acid, dietary supplementation has been shown to be striking in treating low levels of erectile dysfunction. Afterwards, Arginine seems to be the assemblage’s natural Viagra.

The adjunct itself seems to be compelling, and vitamin companies are fighting to bloom products to exploit its effectiveness. Divers nutritional products that now vaunt treatment of erectile dysfunction hold back high levels of Arginine with a myriad of other compounds.

So what does this contemptible? Is Arginine an effective surrogate to Viagra? Well, the riposte is yes and no. Unlike Viagra, Arginine supplementation wishes not bypass the normal stimulation approach and cause an immediate erection. You determination still need the mentally ill, visual, and physical stimuli to whip and erection. It will no matter how aid in the ease of erection and has been shown to be essential in patients with mile erectile dysfunction. In wing as well as, for those currently using Viagra, the annexe of Arginine supplementation in the abstain has shown to be beneficial in making the Viagra more in operation. Subsequently, Arginine can be kind even if you still deprivation to rely on Viagra.
In distillate, Arginine is a naturally occurring amino acid that we can record as a dietary supplement. The interaction of the also fuze in our body helps to beget Nitric Oxide which is inescapable in the development of a male erection. Although not a unmixed substitute for Viagra, the enhance can help mild dysfunction and advance the performance of Viagra for those that requirement rely on the pharmaceutical.

Viagra - How it Stimulates and Enhances Erections

Many men suffer from erectile dysfunction (ED) - the inability to achieve and sustain an erection long enough to have enjoyable and fulfilling sex. For a variety of reasons ED is most common in men over 45. The sex drive is often lowered even further in older men who are taking medications of various kinds.

Most of us assume the sex drive gradually diminishes as we get older, so we are prepared to accept ED as a natural condition. But the fact is, the inability for many men to sustain an erection may be more the result of treatable physical conditions rather than an actual loss of sex drive.

Until the antediluvian 1980s most people - including most trained urologists - expropriated that ED was basically a unbalanced or psychological problem. But in 1983 at a award to the American Urological Connection, Dr. Giles Brindley demonstrated that a penis could be made set up by injecting it with the deaden phentolamine. In a public picketing, he used his own penis to away the point. Brindley had discovered that the penis could be made construct by relaxing the normally constricted blood vessels peerless into it. Once the blood vessels are blas, they let in more blood and the penis inflates something like a balloon to deportment an erection. So scale it came to be accepted that ED is the upshot of physical changes in the mature male - not especially mental or psychological conditions.

Viagra - Controlling the Penile Valve Phentolamine - the medication used by Dr. Brindley to blow the whistle on himself a public erection - started to be hardened with some ascendancy in the 80's and 90's, but there are two problems with phentolamine. Senior, it is not selective enough to quarry only the penis, so its effects on other parts of the portion are unpredictable. And second, the erections it creates are not brought on by sexy stimulation. You can get an erection any old shilly-shally with phentolamine, and you order continue to have one until the influence of the drug wears off. Viagra was the essential drug that overcame these two problems. (It was introduced in 1998 by the Pfizer comrades. The active ingredient in Viagra is sildenafil citrate.) Viagra does not realize find time by relaxing the blood vessels of the penis. A substitute alternatively it enhances the natural processes that contain place when a man is sexually stimulated.

It does this by controlling what we dominion call the "Softeners" - the chemicals in the society designed to make the penis go matt after an erection. It works something like this. When a man is sexually stimulated his knowledge sends signals that trigger the origination of chemicals that rest the blood vessels in the penis. Over of these as "Hardeners". As the blood vessels are easygoing by the production of Hardeners, blood deluge increases and the penis goes found. But nature has also designed a way for the erection to piecemeal subside. At the same perpetually as Hardeners are being produced to ease the blood vessels, the assemblage is also producing Softeners to tell down and neutralize the Hardeners. These are an enzyme known as phosphodiesterase (PDE5).

As long as the sexually stimulated male is producing more Hardeners than Softeners, the penis will remain erect. But as soon as the production of Hardeners starts to go down, the Softeners will get the upper hand, and the erection will start to fizzle.

It is now generally assumed that ED is caused by an imbalance of Hardeners and Softeners. The body is either not producing enough Hardeners, or too many Softeners. Either way, the result is the inability to sustain an erection.

What Viagra does is block the production of Softeners. This allows the Hardeners to build up in the blood vessels of the penis and create hard, sustained erections.

The attractiveness of the process is that nothing happens without physical stimulation. Viagra does not win the place of stimulation. Rather than, it simply lets the fitting chemicals created by reproductive stimulation do their pressurize. After sex, when the acumen is no longer creating Hardeners, the erection subsides clearly. And when the effects of Viagra show off - normally after 4 or 5 hours - the ordinary processes are restored to the way they were prior to taking the drug. Of without a doubt, as with any drug, there are budding side effects. Viagra should not be captivated if you are taking any nitrate-based remedy, including nitroglycerin or if you are on any blood tension or heart medication, as combining Viagra with these drugs can source a severe drop in blood influence. Also, if you have any liver or kidney problems it is not recommended that you bamboozle Viagra.

Men's Health Supplements

When annoying to get in the best shape, utilization can only take you so far. In annex to a regular exercise regimen and a fit diet, there are loads of companies out there that make available men’s health supplements that can assist maximize the results of your go.

Here are a couple of them:
A few years ago, creating came on the hawk and revolutionized the workout get around. One of the most popular sports supplements of all everything, creatine is not just for bodybuilders; it is now proper known as a supplement that can eschew a number of health correlated disorders, including its use as an anti-aging nutrient.

A put together comprised of several odd amino acids, creatine was discovered in 1835. Unaffectedly occurring in red meat, our bodies also bring up creatine in minute quantities. It is stored in our muscles, and creatine supplements drink proved effective in increasing menace muscle mass, reducing fat, and increasing pertinacity. It may also help with fighting Parkinson’s infirmity, Huntington’s disease and fibroblast. In supplement, it may help reduce cholesterol and look up heart functionality while fending off intellectual disorders. Although it has been supposed that creative may originator kidney damage, thorough studies have not so far proven this. Anyhow, if you have kidney problems, you are unquestionably best off to avoid this augment.

Whey Protein:

Whey protein is simply a rich source of essential amino acids that can aid the body in producing new tissues and repairing old ones. Used in bodybuilding, high amounts of protein are required to bulk up. Whey is one of the most easily digested forms of protein, and also contains antioxidants which can help the body’s functionality in a big way. One of the key men’s health supplements when on a workout regimen, this widely used supplement has proved results.

Common Sexually Transmitted Diseases

Gonorrhea

Gonorrhea is an infection caused by the Gonococcus bacterium. In men, it is marked by a thick, white discharge from the penis and a burning pain when urinating.

In women, gonorrhea may infect the cervix. There may be mild pain and a discharge. If the urethra is infected, there may be a burning sensation during urination. However, women's symptoms are most often mild or simply unnoticeable. Even so, it is important to treat the infection because gonorrhea can lead to pelvic inflammatory disease.

When gonorrhea is transmitted during anal or oral sex, painful infection of the rectum or throat may occur in both men and women.

Chlamydia

Infection by the Chlamydia tracheotomy bacterium is the leading cause of nongonococcal urethritis in men. This condition consists of pain or burning during urination, a thin discharge from the penis, and staining on underwear. Chlamydiae infection may also inflame the sperm-collecting tubules in the scrotum and eventually cause sterility. A man infected with chlamydia may be infected simultaneously with Urea plasma urealyticum, which also causes urethritis.

In women, a chlamydial infection may cause a thin vaginal discharge, pain during urination, or pain in the lower abdomen about 10 to 20 days after exposure. However, women often do not notice any early symptoms. Chlamydia may also lead to pelvic inflammatory disease.

Pelvic Inflammatory Disease

Pelvic inflammatory disease (PID) is an infection of the uterus, fallopian tubes, or ovaries and usually results from either gonorrhea or chlamydia infection.

The disease typically develops in two stages. First the infection attacks the cervix (the lower part of the uterus). It then spreads to the uterus, fallopian tubes, and ovaries. Sometimes PID starts directly within the uterus when germs gain entry following childbirth, abortion, or the insertion of an intrauterine contraceptive device (IUD). This, however, is rare.

Since PID causes scar tissue to form, there is up to a 25 percent risk of infertility. PID is also the single most common cause of tubal pregnancy, in which a fertilized egg begins to grow while still in the fallopian tube, instead of the uterus. If the tube bursts, the woman could die.

Genital Warts

Genital warts (condyloma) are caused by the human papillomavirus (HPV) and look much like other warts. They usually occur near the tip of the penis in men. In women, the warts appear on the vulva, in the vagina, on the cervix of the uterus, or near the anus.

Genital warts are flat, hard, and painless when they first appear. If allowed to grow, however, they develop a "cauliflower" appearance and hurt when pressed. Genital warts tend to get bigger during pregnancy. In rare instances, very large warts may interfere with childbirth, making a cesarean section necessary.

There are several types of HPV. Some types can cause precancerous cell changes in the tissues of a woman's vulva, anus, cervix, or vagina. An invasive cervical cancer can be fatal, which is why women with genital warts should have a Pap test at least once a year.

Viagra competitor coming soon

Viagra has been the most-talked-about prescription drug since the birth-control pill.
And with this week's U.S. debut of rival impotence drug Levitra - and with another competitor on the horizon - the talk is only going to get louder.
Levitra's makers, Bayer AG and Glaxo Smith Kline Plc., have promised lots of advertising. They have signed a three-year sponsorship deal with the National Football League and hired Mike Ditka, the former Chicago Bears coach, as a Levitra spokesman.
'You couldn't ask for a better audience,' said Michael Fleming, Glaxo Smith Kline's director of product communications. 'You want to reach out to men where they are. One hundred twenty million people watch the games every week - that's 100 million men.'

Another Viagra rival is just months away from store shelves. Like Levitra, Cialis (made by Eli Lilly & Co. and Icos Corp.) made its European debut months ago. Cialis is expected to gain FDA approval by the end of this year. Paul Newman has been mentioned as a potential spokesman.

A loud, chest-thumping contest seems inevitable as the rivals put forward competing claims about the three drugs' relative benefits. GlaxoSmithKline and Bayer assert that Levitra acts more quickly than Viagra, which Pfizer disputes.

Lilly says Cialis is effective for 36 hours, instead of four to five hours for Viagra and Levitra. In Europe, it's called 'the weekend pill' because a Friday-night dose lasts until Sunday.

The stakes of the ad battle will be huge. Despite Viagra's success (sales were $1.7 billion last year), nine of 10 men with erectile dysfunction don't get treatment.

In the United States, an estimated 32 million men (about half of men over 40) are affected, and many of them are still too embarrassed to bring up the subject with a doctor.

But although many men may not want to talk about it, they'll be hearing about it. A lot. Think Viagra advertising times three.

So far, Viagra ads have tried to break through men's reluctance to address the issue by using celebrity spokesmen who embody respectability (Bob Dole); athleticism (NASCAR driver Mark Martin, Brazilian soccer star Pele and Texas Rangers baseball player Rafael Palmeiro); and virility (Hugh Hefner).

Altogether, Pfizer has spent more than $100 million on endorsements, television advertising, online marketing and sports event sponsorship.

The celebrities encourage men to fix the problem - as they would fix heartburn with Nexium or arthritis with Celebrex.

The campaign has earned Viagra brand-name recognition approaching that of Coca-Cola and has led to a saturation of Viagra jokes and spam e-mails.

(At online marketing firm Opt In Real Big, one of Viagra's marketers, CEO Scott Richter estimates that online pharmacies collectively spend from $200,000 to $300,000 per week on mass e-mails for Viagra.)

Men are getting the message
'It comes up for refills, it comes up for new prescriptions. It is a daily event,' said West Palm Beach urologist Murray G. Goldberg. 'Some people come in asking for Viagra; other people come in for what seems like an unrelated thing, then they say, 'Oh, by the way....' You come back and say, 'Is that the reason you came in?' And they say, 'Yeah.' '
A sexual and social landmark
Viagra's prevalence also has created a shift in the way we view men's sexuality.
Start with the change in terminology. The issue is no longer 'impotence,' and it's no longer shameful.
It's 'erectile dysfunction' or 'ED.' It's nobody's fault. And it's treatable.
'Obviously (Viagra) is a relief for a lot of men; it really gives the man confidence,' says Palm Beach Gardens certified sex therapist Nicholas S. Aradi. 'It has been a very positive thing that has brought a lot of couples together. It has been very effective.'
But not every problem can be fixed with a pill. And if men take the drug for the wrong reason, a relationship can suffer.
'It has made sex more goal-oriented,' Aradi said. 'For women in particular, they prefer more intimacy, communication. And the man is thinking he's going to take the pill an hour before bed and - boom.'

Without communication, he said, the drugs can introduce even more tension into a relationship. And there's a wide-ranging mis perception that Viagra will increase a man's libido.
'If the interest is not there, Viagra is not going to bring it about. The most powerful sex organ is between our ears, not between our legs.'
Miriam Davis, a West Palm Beach-based sex therapist and licensed mental health counselor, says Viagra is helpful in cases where there is a clear medical problem - and when asking about it is a joint decision. But she worries that some couples use it as a way to avoid dealing with important issues.
'If anything, I think it's made people think we don't need to solve any problems, that it's OK not to bridge the intimacy problems,' she said. 'For a lot of women, it makes it nice and quick and it's done. It doesn't put any pressure on them.'
Another concern: Although Viagra can make sex physically successful, it can't guarantee emotional satisfaction. Some couples who have solved the erectile dysfunction problem with Viagra suddenly find themselves facing other challenges in the bedroom.

'A lot of people forget that just getting an erection is not enough to have satisfying sex,' Davis said. 'It's no magic bullet. It's not going to bridge emotional distance.'

With new drugs that work faster and last longer than Viagra, she added, it will be even easier to lose sight of that distinction. 'You have this medication that bypasses all the communication. It has made it easier for people not to interact.'

The challengers' claims

The competitors, which are getting a positive response in Europe, each claim their own edge over Viagra -and in both cases it's an edge with emotional appeal.

Levitra takes effect in about half the time, making it more spontaneous -- a plus for couples who dislike the hour-in-advance planning Viagra requires. Cialis, which lasts for 36 hours, might appeal to men who feel hurried with Viagra.

'Men tell us that, when they take other pills, they feel like they're on a stopwatch, and that adds to the pressure they already feel,' Carole Copeland, a spokeswoman for Cialis-maker Eli Lilly, told The New York Times. 'They would like a treatment that would disconnect taking a tablet from intimacy.'

(As with Viagra, sexual stimulation is also necessary for both drugs to work).

Glaxo Smith Kline will place its Levitra ads inside a larger education program called 'Tackling Men's Health,' said communication director Fleming.

Although the ads will target football fans, some see the fans' wives as key. Women are much more likely than men to go to the doctor and seek treatment. Might they be important in urging men to get help?

'Women do have a critical role in motivating their partners,' Fleming acknowledged, but there won't be any ads in women's magazines or on Lifetime. At least, not yet.

Meanwhile, 'there are a lot of women who do watch football,' he pointed out. No matter what the advertising venue, the new drugs face a tough battle against Viagra's established name and familiar faces.

But they'll have the luxury of appealing to a public already inured to frank talk about a subject that was taboo just five years ago.

Adrienne Merrill, communications director for the Sexuality Information and Education Council of the United States, notes a different side to the new treatments.

From a women's health and family planning perspective, she said, the publicity around Viagra has been an unexpected boon.

When Viagra was approved, health insurers were quick to include it in their prescription drug coverage. 'It set off a firestorm. Even the Defense Department was covering Viagra,' she said.

But many of the same insurers didn't cover contraceptives for women -- and the discrepancy created an outcry. As a result, 21 states have since passed legislation requiring health insurers to include birth control in their prescription drug coverage.

Viagra, in some cases, takes effect in 14 minutes

Viagra (R) can take effect in as little as 14 minutes in many men, study shows New York, NY, September 9, 2003 -- A study of men with erectile dysfunction (ED) found that within 14 minutes more than one third of those taking Viagra (sildenafil citrate) 100 mg achieved an erection that resulted in successful sexual intercourse. Results of the study were published in the current issue of Urology.

"Onset-of-action speed is only one factor to consider when choosing a therapy for ED," said Dr. Harin Padma-Nathan, clinical professor of urology at the University of Southern California Keck School of Medicine.

"But in that context, it's important for patients and their physicians to note that no published studies show any oral therapy for ED has a faster onset of action than Viagra."

In the double-blind, placebo-controlled study, 228 men successfully treated with Viagra (100 mg) for ED for at least two months were randomly assigned to receive either Viagra (100 mg) or placebo for four weeks.

Study participants averaged 60 years of age, had ED for an average of seven years, and a majority had moderate to severe ED.

Results showed that within 20 minutes, more than half of men taking Viagra had erections that resulted in successful intercourse.

The study also found that Viagra was well tolerated, with no patients discontinuing treatment because of side effects.

Funding for this study was provided by Pfizer.Viagra is a prescription medication indicated for the treatment of ED. It is important to note that Viagra can be taken with or without food.

Viagra is available only from health care providers and should always be used in accordance with its approved labeling. Viagra is contraindicated in patients who use nitrates in any form at any time.

Before treating ED, physicians should consider the impact of resuming sexual activity and the mild and transient dilatory effects of Viagra on blood pressure.

Physicians should carefully consider whether patients with underlying cardiovascular disease or other more unusual conditions could be adversely affected by dilatory effects, especially in combination with sexual activity.

The most common side effects of Viagra are headaches, flushing and dyspepsia. Adverse events, including visual effects, were generally transient and mild to moderate.

Discovered and developed by Pfizer, Viagra is a breakthrough oral treatment for erectile dysfunction that has been found to be effective and well tolerated in over 130 completed and ongoing clinical studies.

Viagra has been approved by regulatory authorities in over 120 countries around the world and is among the most widely prescribed medications, with over 130 million prescriptions written for more than 20 million men worldwide.