Nearly every man has experienced that moment, when everything was set and ready to go except one detail. Your little soldier couldn’t salute, and at that moment, there was nothing you could do. However, if this problem occurs more often, you should seek medical help. We all have heard of popular Viagra revolution in 90ies. Since Viagra discovery, many new more effective Viagra generics have entered the market.
This article will explain what it is, and how to deal with this erectile condition.
Erectile Dysfunction in details
The term erectile dysorder, or erectile dysfunction (ED) refers to the persistent or occasional inability to achieve and/or maintain penile stiffness sufficient to complete sexual intercourse.
This sexual dysfunction is mainly classified into:
- primary, when the subject has always suffered from it (from the very beginning of his sexual activity);
- secondary, when it has arisen from a certain moment on;
- generalized, if it occurs in any type of context-situation or independently of the partner.
Erectile dysfunction, as you can imagine, can compromise marital or sexual relationships and can be the cause of unconsummated marriages and infertility.
How does erection happen?
The penis is an organ formed by two cavernous bodies, or two cylinders of tissues that act like a sponge: when there is sexual stimulation, a lot of blood flows into this area, the cavernous bodies fill up and the blood stagnates in these ”sponges’ thus keeping the penis rigid.
On the other hand, when the penis is at rest, the blood flows into the corpora cavernosa through the arteries and flows out through the veins.
Obviously, an erection is a complex physiological mechanism in which various components act, including the vascular, nervous and hormonal systems. All of these interact with the psyche and therefore excessive emotionality and worry can play an important role on the mechanism of erection.
Causes of ED
The progress made in the study of the physiopathology of erection and the continuous refinement of diagnostic methods have made it possible to shed light on the numerous factors responsible for erectile dysfunction: vascular, neurological, pharmacological, surgical and psychological factors.
- Vascular causes: They can cause changes in blood flow. Arterial insufficiency causes reduced blood flow to the corpora cavernosa of the penis, while venous pathologies prevent blood from being trapped inside the corpora cavernosa.
Underlying this situation are frequently atherosclerotic risk factors such as hypertension (causing erectile dysfunction in about 20% of hypertensive men), diabetes mellitus (50%) and cigarette smoking.
- Neurogenic causes: Central nervous system disorders involving the regulatory pathways responsible for erection can cause erectile dysfunction. Among the main diseases, we remember multiple sclerosis, Alzheimer’s disease, Parkinson’s disease and spinal cord injuries (such as trauma to the spinal column). Peripheral nerves can also be damaged in various pathological situations, such as diabetes.
- Pharmacological causes: About 25% of erectile dysfunctions are caused by drug therapy. These are psychotropic drugs, hormonal therapies, antihypertensives (beta-blockers, diuretics), major tranquilizers and hypnotic sedatives.
- Surgical and radiotherapy causes: Surgical interventions but also radiotherapy at the level of the pelvis can cause erectile dysfunction because nerve or vascular lesions can be created.
- Psychogenic causes: Stress, depression, relationship problems, phobias, sexual inhibitions, fear of contracting diseases and performance anxiety are the most frequent causes. All these factors determine a hyperactivation of the sympathetic nervous system which, unlike the parasympathetic, comes into action during emergencies (as in the case of stress), inhibiting, among other things, sexual arousal.
Erectile Dysfunction Treatment
Depending on the severity and causes of erectile dysfunction, many pharmacological treatments (oral and injectable) are available, in addition to various mechanical devices, up to surgical intervention.
As for drug therapy, it makes use of hormone therapy (obviously reserved for those patients who see hormonal imbalance as the cause of their impotence), antidepressant or anxiolytic drugs (if the cause is psychological), antiadrenergics , alpha – blockers, antiplatelet agents and peripheral vasodilators. In fact, in some cases it is possible to resort to the intracavernous injection of vasodilators capable of artificially producing an erection such as to allow intercourse.
A well-known drug is Sildenafil Citrate based Kamagra (Viagra generic), an inhibitor of the phosphodiesterase de cGMP, capable of amplifying the muscle relaxant effects of nitric oxide on the smooth muscle component of the corpora cavernosa.
The tablet of this drug should be taken between meals if possible and, after about 30-50 minutes. The active treatment time of Kamagra is from 4 to 6 hours.
You can buy Kamagra online for any reliable internet pharmacy. The price of Kamagra is usually the half price of popular Viagra.
It should be emphasized the very important fact that Kamagra should be taken as prescribed on the leaflet. Also, it should absolutely not be taken by patients who have had a heart attack, by those suffering from retinitis pigmentosa, or who are taking nitro-derivatives.