Appreciable progress in the treatment of impotence has been achieved only in the late 30′s of previous century, when some doctors began to closely examine the possibility of anti-impotence by implantation of elastic plastic materials into the penis of their patients who suffer from male impotence. Doctors were led to the right idea by the genital anatomy of marine mammals, males who have never suffered from lack of erection because their penis has a bone or cartilage framework. Dense cartilaginous structure that bears the name of “penis bone”, can reach giant length. Bone penis male-whale reaches a length of two meters, and a similar formation in male walruses almost one meter. We, humans, simply use Viagra.

The best results of Viagra appearing only after taking of pills over a long period. Generic Viagra can play a significant role in the development of your intimate relationships, be a good help for you and your partner, but do not think about Viagra as a sort of miracle cure like a magic wand.

How does Viagra work?

Viagra wonderful drug, but its effect is limited only by intensification of an erection. Viagra facilitates the perception of nerve impulses, corresponding to arousal, which you feel, and increasing impulses in such way that they successfully causing an erection. Viagra should not be used when there is no mood to have sex, or when it is just no time, or any other similar case. The most important, if you or your partner has decided to take Viagra, is to trust to your passion and desire of intimacy. The main and unique advantage of this drug its naturalness, the ability to imperceptibly, influence your sexual relationship. All your effort will only be swelling of the pill with a glass of water. However, if you want to take the pill Viagra for the same reasons for which some people climb Mount Everest “because it exist”, you are relying upon the drug more than upon own desire. Intimate relationships cannot be regulated by orders, so Viagra in such cases will lead to the only possible result – disappointment. However, if the flame of passion slumber under ashes, Viagra will help fan the flame and your love will get a strong support.

Viagra is the first representative of a new group of drugs called phosphodiesterase inhibitors 5-th type. The drug dilates the blood vessels of the penis during sexual stimulation. This resulting in an increase of blood flow to the penis, and contributes to approach of normal erection.

Indications for the use:

Viagra is served for the treatment of men with a malfunction of erection, which is also called impotence. With impotence, normal erections required for sexual intercourse does not occur. Viagra works only in response to sexual stimulation. Viagra does not affect reproductive function.

Contraindications

Do not take Viagra if:
1. You have had in the past an allergic reaction to Viagra or any component of the drug specified in the “Ingredients”. Allergic reactions can occur as a rash, itching, swelling of face or lips, shortness of breath. If you have had similar symptoms, then notify your doctor.
2. You are taking medications containing nitrates or nitric oxide donators are, for the treatment of stenocardia. Viagra may cause undesired enhancement of such medications. If you are taking such drugs, inform your doctor or pharmacist.

Children use:
Viagra should not be given to children!

Application of the elderly and patients with kidney disease or liver:
Special recommendations for the treatment of the elderly and patients with kidney disease or liver do not exist. Special precautions while driving are not required.

Interaction with other medicines:
You should inform your doctor about all medicines that you are taking. Viagra may interact with some medications. Viagra may cause undesirable amplification of other drugs, which are called donators of nitric oxide or nitrates (they are used in the treatment of stenocardia). If you receive these drugs, you SHOULD NOT TAKE VIAGRA!

In 1992 the urologists in the whole world came to an agreement to use the term of “erectile dysfunction” to define a condition inability of the patient to get or maintain adequate erection.  Such a condition restricts or makes it impossible to have normal sexual relationship.
Unfortunately, erectile dysfunction today is a common and widely spread disease.
Very often a question arises: What is the difference between erectile dysfunction and impotence.  Actually there is no difference except erectile dysfunction is a more modern and more frequently used term, especially in the US. The rest of the world usually use “impotence” to describe this condition.
Impotence (or erectile dysfunction) affects 40% of men aged 35-40. Most men feel awkward consulting a doctor about this problem; however, weak erection or loss of erection during sexual intercourse is already a reason for seeing an urologist or sexologist.

Here are the factors which may cause erectile dysfunction:

* inflammatory diseases affecting the urogenital system and pelvic organs (prostatitis, orchiepididymitis, cystitis, etc.)
*insufficient arterial blood flow in the vessels participating in the mechanism of erection
* diabetes
* hormonal dysfunction
* spinal cord injuries
* penis injuries
* pelvic organ surgeries
* some medicines
* depression, stress

So, impotence may be caused by neurological, endocrine, vascular, medical and topical reasons. Impotence caused by these reasons is considered organic form of erectile dysfunction. However, psychogenic form of erectile dysfunction which is caused by psychoneurological peculiarities is more common.

Almost always when a patient has erectile dysfunction of organic nature a psychological factor is added and very often organic impotence transforms into psychogenic one even in case the organic cause is eliminated.  So, no matter whether you suffer from organic or psychogenic impotence, a complex treatment is needed.

Unwillingness of most men to consult a doctor about impotence is the greatest problem for the urologists in the whole world. Meanwhile, modern medicine disposes a huge arsenal of medicines and other means to help such patients.

Any measure aimed at normalization and enhancement of body functions may become a means for restoring erectile function.  That is why along with other therapeutic measures physiotherapy, laser and magneto-therapy are recommended as well.

Types of Impotence

Organic impotence

Organic impotence is a progressive worsening of erectile dysfunction characterized by erection quality reduction. The symptoms of organic impotence include absence of nocturnal and morning spontaneous erections. The most frequent causes are various vascular pathologies of arterial or venous nature. Researchers showed that sexually healthy men experience 4-6 episodes of erection lasting 10-15 minutes in the period of fast sleep.  General duration of spontaneous erections during night makes up 20% of the whole period of sleep. With age not all of nocturnal spontaneous erections are characterized by rigidity and the number of nocturnal erection episodes with decreased rigidity keeps on growing.

Psychogenic impotence

Psychogenic impotence occurs suddenly and is usually associated with some events in man`s life.  In such case the nocturnal and morning spontaneous erections are preserved. Erection is often induced in response to visual stimulation and erotic fantasies.

Differential diagnostics of psychogenic and organic impotence

I. Psychogenic impotence

1. Sudden start
2. Nocturnal spontaneous erections are preserved
3. Relationship problems
4. Erection problems in some certain circumstances

II. Organic erectile dysfunction (impotence)

1. Gradual start
2. Absence of nocturnal spontaneous erections
3. Normal libido and ejaculation
4. Erection problems in any circumstances

What you should do to do to avoid erectile dysfunction (impotence)?

* lead healthy lifestyle, do sports, eat regularly and healthy, take care for your health;
* do not smoke, do not abuse alcohol or use narcotics including “poppers”;
*do not use medicines which may cause erectile dysfunction or use them strictly as your doctor prescribed and as it is recommended in the instructions for these drugs.
* lead regular sex life without long periods of continence or sexual overindulgence.
* consult an urologist if you got injury in the region of small pelvis or crotch, or if you have diabetes or hypertension.

In sexual relations there is no such a notion as a standard, everything is very individual. One may lead a very active sexual life and be sure that something is wrong with his potency; others may have a less active sex life and be fully satisfied with it. Most sexologists think that a man could be diagnosed with sexual disorder only when he is bothered with his condition. People who number themselves among “sexually disordered” are usually pleased to know that they are not alone.  According to statistics 40% of men and 60% of women suffer from various sexual disorders. Half of men with sexual disorders complain about their potency, 25 %- about ejaculation, 15% – about decreased libido and 10 % are sexually dissatisfied with their sex life.
Women too are often dissatisfied with their sex life. 40% have difficulty getting orgasm and 10 % suffer from veganism (painful spasm of the vagina). Most sexologists think that half of all so called “disorders’ occur due to sexual ignorance. Most people just do not know their body and unwilling to study their erotic reactions; in general, they put all the blame on the disease. As a rule, half of the time a doctor spends on such a patient goes on his sexual education; the treatment itself consists in intensive psychotherapy and rarely includes medications.
In most cases, sexual disorders have psychogenic nature. Psychoanalysis considers that they are consequences of traumatic situations in childhood, which have to be recognized and overcome consciously.