Questions of Mens Sexual Health and Performance Older men may have the same problems that affect people of any age. But they may also have the added concerns of age, retirement and other lifestyle changes, and illness. These problems can cause sexual difficulties. Talk openly with your doctor or see a therapist. These health professionals can often help. How to Remain Sexually Active and Satisfied ? How to Increase Your Sexual Strength ? Learn how to stimulate the womans G-Spot Learn Tricks to Stay Hard for a Long Time Viagra and Cialis as well as their Clones have two different active ingredients even though they do the same thing. Viagra has sildenafil citrate and Cialis has tadalafil. People react differently to the same drug. I would give it a another try just to be sure. Make sure you use comparable doses (I.E. Viagra 50mg and Cialis 10mg are the same doses). If Viagra works best for you, stick to it. Frequently Asked Mens Health Questions: I suffer from the "too quick on the trigger" syndrome. Will Viagra or Silagra effect the staying power? After the first ejaculation (cum), will I still be able to get an erection? I was given the 100mg dose and told to cut it in half. Does this work and if it does, is it possible to cut it down even further? How Viagra or generic Silagra medicine works is, when you are sexually excited, the penis fills with blood to cause an erection. It will last about 4-hours if you do not ejaculate and stay excited. The prescription drug will not help premature ejaculation. You would need another medication for that problem. * After you have an orgasm (climax) and ejaculate, the erection goes away. After some time you will be able to get another erection. My doctor recommended the 25mg dose because of less drug side effects. The higher the dosage the worst the side effects in some men. I cut my 100mg pills in half then half again with a sharp knife. Now I use the 50mg dose and only have to make one cut with the 100mg pill. Compare Silagra (Generic Viagra / ViagraClones to Pfizer's Viagra (Sildenafil Citrate) Does it work the same way and does the drug has other side effects, duration and penile erection firmness compared to Pfizer's? - The active ingredient sildenafil citrate, is the chemical equivalent of Viagra. - The active ingredient sildenafil citrate is also in generic Viagra. What are the causes and symstoms of erectile dysfunction? Historically, when an individual consulted his physician concerning sexual/erectile dysfunction he was usually informed there were no known physiological answers concerning his condition. Today, a generation of men's impotence research has resulted in significant advances in both the diagnosis and treatment of erectile dysfunction in men. Physicians now understand that approximately eighty-five percent of erectile dysfunction is attributable to physical/organic conditions while only fifteen percent is due to psychological or mixed origin (both psychological and organic). Some important causes of physiological impotence are as follows: . - Medication Drug Treatments - Thinking about taking Viagra? Viagra or Clones prescription drugs are a treatment option that are beneficial for most impotence issues in men. It can help many men who have erectile dysfunction get and keep an penile erection when they become sexually excited (stimulated). Before ordering online read the health advice and medicine information. Viagra drug doses Viagra drug side effects Viagra is not for everyone How to Order Viagra pills with no prescription Generic Cialis impotence drugs available for international shipping. If a prescription drug is not for you, >Click for herbal aphrodisiacs. These natural formulations not only increase libido in men and women, they also enhance the sexual experience and improve performance and pleasure. Silagra is a generic version of Viagra. The active ingredient sildenafil citrate, is the chemical equivalent of Viagra. Viagra is the brand name of Pfizer and Silagra is also a brand name for generic sildenafil citrate. Since active ingredients are the same, it therefore works the same way. Generic Viagra Q&A's Sildenafil Information Buy generic Cialis at best low sale prices online compare generic Cialis pills with ViagraClones Vascular Disease is the leading cause. Vascular disorders including arteriosclerosis (hardening of the arteries), hypertension, hypercholestremia and other conditions which interfere with the blood flow to the penis. Additionally, "venous leakage" also contributes to poor erections. This condition occurs when the penile veins are unable to constrict efficiently during an erection. When these veins "leak" blood escapes to the periphery resulting in a poor erection Diabetes is another common cause. Approximately fifty percent of men with diabetes (insulin dependent) experience some degree of erectile dysfunction after the age of fifty-five. Diabetes results in poor circulation and/or peripheral neuropathy. When the nerves are involved sexual stimuli are not transmitted appropriately to or from the brain and erectile dysfunction develops. Prescription medications often causes drug side effects Some two hundred known medicines fall into this category including: 1. Beta-blockers pills e.g. Atenolol, Propanolol and Tenorium. 2. Diuretics medications e.g. HydroDiuril and Lasix. 3. Ace Inhibitors/Calcium Channel Blockers medicine e.g. Vasotec, Lotension, Cardizem, Norvasc periodically cause male sexual dysfunction, however, they are generally represent an excellent alternative medication for individuals with drug induced sexual dysfunction. * Antidepressant/Antipsychotic medication products of almost any label can also result in sexual dysfunction e.g. Prozac, Elavil, Zoloft, Thorazine, Haldol pills. Note: Many other product medications in a variety of classes can periodically cause male erectile dysfunction. If you are taking a prescription medication or over-the-counter medication, regularly, please consult with your physician. However, never alter a pill dosage or discontinue a medication without the advice of your physician. * LH-RH Analogs/Antiandrogen medications e.g. Lupron Depot?, Eulexin, Nilandron?, Casodex?, etc. These product medications are used in the treatment of prostate cancer. They function by decreasing the production of testosterone in the testes and adrennal glands. The decrease in testosterone often results in sexual dysfunction. * Chemotherapy/Radiation therapy is also significant contributor. These prescription drug products are used in the treatment of cancer. Substance Abuses can also negatively effect male potency. The chronic use of cocaine, marijuana, alcohol, steroids etc. often results in impotence, as well as a decrease in desire. Excessive tobacco use can also attribute to sexual dysfunction by accentuating the effects of other risk factor such as vascular disease or hypertension. Radical Pelvic Surgery. Surgical procedures involving the prostate gland, bladder or colon may interfere with the nerves involved in the erectile response. Radiation therapy for cancer may also effect the erectile process. Neurological diseases health problems such as multiple sclerosis, Parkinson's disease, spinal cord injuries, long term effects of diabetes can also result in the disruption of the normal sequence of events necessary for an erection to occur. Deficiencies in the Endocrine System health problem are another source. Low levels of testosterone or thyroid hormone can interfere with the stimulation process necessary in the erection sequence. Excessive production of prolactin by the pituitary gland may contribute to decreased levels of testosterone resulting in a lack of desire. Diabetes once again enters the scenario as it is classified as an endocrine disorder. Psychological mental health issue is usually diagnosed when no physical causes can be defined. Pure psychological erectile dysfuntion symtoms usually occurs suddenly without warning as opposed to physical ED that may gradually develop over years. Some common causes of psychological male ED are as follows: Performance anxiety is one of the most common causes. When a Young or older man feels pressured to achieve or maintain an erection, he will commonly become anxious and nervous when in a sexually demanding situation. Stress increases the body's production of catecholamines such as adrenaline and nor-adrenaline, which act as erection inhibitors. The release of these inhibitors further contributes to failure resulting in more anxiety. Therefore, the cycle begins, increased stress resulting in increased catecholomines that further inhibits the erectile process. Depression is another cause of psychogenic sexual dysfunction. Unfortunately, many of the popular antidepressant medications (for a list see prescription medications in the next section) have side effects which include erectile failure. Anatomical Deviation of the Penis, Peyronies Disease may also cause erectile dysfunction. This condition usually develops from an inflammatory process and results in fibrous scaring of the penis. (The cause of this process is not yet understood) However, when an penile erection does occur, there is a bending of the penis secondary to the scar tissue. This curvature may interfere with penile erectile capacity and/or ejaculation. Viagra - Impotence Treatment Update Sildenafil (Viagra) is approved for the treatment of impotence (also known as erectile dysfunction). It was the first oral medication for this purpose. What are the causes of impotence? How does Viagra affect erection? Are there side effects and drug interactions? Read on... Impotence is a consistent inability to sustain an erection sufficient for sexual intercourse. Impotence can be a total inability to achieve erection, an inconsistent ability to do so, or a tendency to sustain only brief erections. Incidence rises with age: about 5 percent of men at the age of 40 and between 15 and 25 percent of men at the age of 65 experience impotence. Yet, it is not an inevitable part of aging. > Medical professionals often use the term "erectile dysfunction" to describe impotence. Impotence and erectile dysfunction should be distinguished from other conditions that interfere with sexual intercourse, such as lack of sexual desire and problems with ejaculation and orgasm. Damage to arteries, smooth muscles, and nerves of the penis can lead to impotence. One common cause of impotence is blood vessel and nerve damage due to diabetes mellitus. Other causes of impotence include low testosterone levels, kidney disease, chronic alcoholism, multiple sclerosis (a disease of the nervous system), atherosclerosis (leading to blood vessel hardening), surgical damage to nerves and blood vessels (for example, prostate surgery), and injury to the penis, bladder, pelvis and the spinal cord. Some common medicines produce impotence as a side effect. These include certain high blood pressure drugs, antihistamines, antidepressants, tranquilizers, appetite suppressants, and cimetidine (an ulcer drug). Smoking affects blood flow in veins and arteries, and is also believed to lead to impotence. Psychological factors such as stress, anxiety, guilt, depression, low self-esteem, and fear of sexual failure are associated with impotence. If the underlying condition leading to impotence cannot be corrected, or if impotence problems persist, medications can help certain men achieve erection sufficient for sexual Intercourse as well as maintain erection after penetration. The penis contains two chambers, called the corpora cavernosa, which run the length of the organ. Erection begins with sensory and mental stimulation. Impulses from the brain and local nerves cause the muscles of the corpora cavernosa to relax, allowing blood to flow in and fill the chambers. The inflow of blood creates pressure in the corpora cavernosa chambers, making the penis expand. Erection is reversed when muscles in the penis contract, stopping the inflow of blood and causing the blood in the chambers to flow out. Cyclic guanosine monophosphate (cGMP), a signaling molecule within cells, tells the smooth muscle in the corpora cavernosa to relax and this lets blood flow into the chambers and be trapped for an erection. The erection is lost when cGMP is degraded by an enzyme (PDE5), lowering the level of cGMP, so the muscle of the corpus cavernosa contracts again, the blood flows out of the chambers of the corpus cavernosa and the erection is no more. Sildenafil (Viagra or its Clones) is an oral agent recently approved by the United States FDA for the treatment of erectile dysfunction. Its major mode of action is inhibition of the enzyme PDE5. Inhibiting this enzyme allows the cyclic GMP to stay around longer, thus maintaining erection. Viagra is not an aphrodisiac, it is not effective without sexual stimulation. It mainly enhances the normal physiologic erection. Clinical trials using Viagra have been conducted in patients with vascular diseases, diabetes mellitus, spinal cord injuries, psychogenic causes, and after radical prostrate surgery. Some 70%-80% of men reported improved quality of their erections. Over 50% of patients were able to have successful vaginal penetration using Viagra or ViagraClones. Viagra or ViagraClones are always taken orally if possible one hour before the anticipated sexual activity, preferably on an empty stomach. The absorption of Viagra can be decreased by a fatty meal. Sildenafil Citrate is eliminated mainly by the cytochrome p450 system in the liver. Elderly men and men with liver or kidney dysfunction have reduced ability to eliminate the drug. Therefore, these patients should start with the lowest dose (25 mg) to avoid problems with toxicity. Medications that interfere with cytochrome p 450 (such as erythromycin, cimetidine, and ketoconazole) can also decrease the elimination of Viagra. These other medications should preferably be stopped when using Viagra, or Viagra should be used cautiously starting with the lowest dose. This medicine may cause mild drop in blood pressure. But it should NOT be used together with nitrates (nitroglycerin, isordil, and other related preparations) because of significant low blood pressure (hypotension) that can develop. Side effects are dose related. Headaches were noted in 16%, flushing 10%, dyspepsia 7%, and abnormal vision (disturbance in blue/green color discrimination) 3%.