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NKF Controlled Document No. Telephone: (01909) 544999 Fax: (01909) 481723 HELPLINE: 0800 169 09 36(free from UK Landlines and mobiles(some business mobiles may be charged)) .
cialis for daily use The condition has several causes and is almost always treatable, yet less than 10 percent of affected men seek treatment for it. With modern medical technology, most men with ED can overcome the problem to continue enjoying a healthy sexual relationship.
Causes Impotence has several causes, and treatment begins with pinpointing the cause to tailor treatment to it. Male sexual arousal, which triggers an erection, involves hormones, nerves, emotions, blood vessels and muscles. If something affects any one of these factors, achieving an erection becomes difficult. For some men, ED is caused by emotional or mental difficulties. When a man is feeling high levels of stress or an emotional disconnection from his partner, the emotions necessary to achieve an erection are not there. Impotence may also be caused by problems with the cardiovascular system. Heart or vein disease, including high blood pressure and arteriosclerosis, limits the amount of blood flow to the penis, making erection difficult. Other outside health conditions, like diabetes or obesity, can also contribute to blood flow problems. Men who have low testosterone levels may have problems with erections. Finally, medication or tobacco use can create the problem.
Wholesale cost of cialis. Treatments Treatments for impotents revolve around treating the cause. Men with other health conditions, like high blood pressure, obesity, or diabetes, often find that their condition improves once they treat the other health condition.
Others with chronic issues respond well to medications designed to increase blood flow to the penis. Those who have nerve damage may not respond to medical intervention. In these cases, surgical implants that allow the man to achieve an erection artificially provide a workable solution. A penis pump, which artificially draws blood into the penis using a vacuum, provides a less invasive solution for cases that do not respond to other medical treatments. For most men, medical conditions cause impotence, and these medical conditions can be treated to resolve the problem. The first step in enjoying a fulfilling sex life again is seeking the advice of a qualified medical professional who can pinpoint the cause of the condition and choose the most effective treatment. It is estimated that almost 1 in 2 men between 40 and 70 years of age suffer from some degree of ED. This extrapolates to some 30 million men in the U.
Order cialis mexico. Men with ED often suffer from a loss of self-esteem and self-confidence, and it may have a huge detrimental impact upon their relationships, both physical and emotional. What is not well appreciated is the link between ED and other medical conditions.
ED may be the first sign of other significant medical conditions such as diabetes, lumbar disc disease, multiple sclerosis, abdominal aortic aneurysm and potentially coronary artery disease (heart attack). How do erections occur? Erection is a hydraulic event. Simply stated, it involves the inflow of blood into the erectile body (corpus cavernosum) followed by entrapment of this blood. Paired cylinders that run on the dorsum of the penis (the corpora cavernosa) contain the pressurized blood and form the rigid structure of the erect penis.
Do cialis pills expire. Each cylinder is composed of a tough outer lining (tunica albuginea) which surrounds a centrally located spongy network of muscle (corporal sinusoids). Blood flows into these cylinders and causes rigidity when it is trapped and high pressure develops.
The key event in the development of an erection is relaxation of the smooth muscle inside the erectile cylinder. This event is primarily mediated by the chemical (neurotransmitter) nitric oxide (NO).
Cialis forum where to buy. Blood flows in to fill the relaxing muscle, the muscle mass expands and pressure increases typically reaching 200 (mm of mercury). Loss of rigidity is dependent upon the contraction of the muscle in the erectile bodies. As this muscle contracts, the size of the spaces shrink, allowing the drainage veins to open, which results in loss of rigidity. This process is under adrenaline control. The effect of cigarette smoking on the prevalence of ED has been evaluated in a survey of 4,462 male military veterans. After adjusting for age, race, marital status, vascular disease, psychiatric disease, hormonal factors and substance abuse, the risk of ED in a smoker is approximately 1.
This indicates that cigarette smoking may cause ED through its serious threats on cardiovascular health rather than its immediate pharmacological effects. Endocrine disorders such as low testosterone levels, hyper-prolactinaemia, hypothyroidism and hyperthyroidism may also result in ED, but are the cause in only a small proportion of cases in the overall population.
Cialis soft tablets. Pelvic trauma, pelvic surgery (radical prostatectomy, radical cystectomy or abdominoperineal resection), and radiation therapy to the pelvic area are associated with ED. Direct trauma to the perineum (bicycle straddle injury) can cause vascular inflow problems to the penis and may lead to ED that may be amenable to arterial revascularization. Many medications and drugs, including certain blood pressure medications, cold medications, hormones, antidepressants, tranquilizers, alcohol, tobacco, and other so-called recreational drugs, are associated with ED. ED is commonly classified as psychological or organic (physical). Psychogenic erection usually stems from anxiety and inappropriate release of adrenaline at the time of attempted intercourse. It is characterized by a sudden onset, intermittent problems and normal night-time and morning erections.
There is, however, a significant number of younger men with physically-based ED. Organic ED can result from abnormalities in blood flow, nerves, hormones or structural components of the penis. Vascular alterations involve diminished inflow or failure to halt outflow (venous leak). Scarring of the smooth muscle itself (associated with diabetes mellitus, radiation and disuse) is under investigation as a potential factor of ED. How is the patient with ED evaluated? A careful patient interview and physical examination is important prior to commencing any form of ED therapy. Disease states, medications, trauma and prior surgeries should be noted. Is there a history of any urologic problems? A standardized questionnaire that is filled out by the patient prior to his appointment helps to gather this large amount of information.
