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Erectile dysfunction (ED), which is generally called impotence, is the repeated inability of a man to get or maintain an erection of penis sufficiently rigid for sexual intercourse, ejaculation, or both. Today, ED has become a serious sexual health problem in men as it affects a person psychologically. Due to the personal nature of the disease, it is difficult to estimate how many men are affected by it. A person suffering from Erectile dysfunction rarely come forward to talk it openly with health personnel, but nowadays, it is discussed openly and more men are coming forward to treat it.
The most common cause of Erectile dysfunction (ED) is damage to the tissues, nerves, arteries, muscles or fibrous tissue. Conditions such as diabetes, kidney disease, chronic alcoholism, multiple sclerosis and cardiovascular disease account for around 70% of cases of ED. Erectile dysfunction is also a side effect of some common medications, including blood pressure drugs, antihistamiines, antidepressants and tranquilizers. According to health experts, psychological factors such as stress, anxiety, guilt, depression, low self-esteem, and fear of sexual failure cause up to 20% of cases. Smoking has also been linked to ED.
Being older is primarily associated with impotence in most men. Nevertheless, impotence is not inevitable with age. Clinical studies suggest that men of any age can be affected by this problem at some point of their sexual life. ED is treatable at any age, and awareness of this fact has been growing. More men have been seeking help and returning to normal sexual activity because of improved, successful treatments for ED.
Various options for the treatment of ED are available today. Psychotherapy is prescribed by doctors for patients who are likely to benefit, but alternative treatment includes drugs, vacuum devices, and surgery. There has been a surge of interest among men on the wonder drug Sildenafil citrate or Viagra, which was approved by the U.S. Food and Drug Administration in 1998.
Viagra belongs to a class of drugs called phosphodiesterase inhibitors, and it works by increasing blood flow to the penis. Once you take it, Viagra can work in as quickly as 30 minutes. Viagra works for 4 hours. As with all erectile dysfunction medications, Viagra should only be used under a doctor's supervision.
The recommended dose for Viagra is 50 mg, and the physician may adjust this dose to 100 mg or 25 mg, depending on the patient. The most common side effects of Viagra are headache, facial flushing, and upset stomach. Less commonly, bluish vision, blurred vision, or sensitivity to light may briefly occur.
With the increasing use of the Internet as a vehicle for buying goods at the ease of one’s home, one can easily buy Viagra or any other anti-ED drugs online. Buying Viagra online ensures anonymity of the buyer and the drug is delivered at your doorsteps confidentially. Moreover, there are numerous pharmaceutical companies offering generous discounts on price for those who buy Viagra online.
So, if you are depressed due to ED and ashamed of discussing it to others, come out of the closet and get benefited by buying cheap Viagra online.
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Fertile mucus is present in the woman’s body during the few days before ovulation, as the ova are ripening. This mucus is produced by the cervix, and flows down the vagina to the outside of the woman’s body. The purpose of the mucus is to protect and nourish the sperm on their journey to the egg. The vaginal canal is normally acid. Semen is alkaline. Sperm die in an acid environment. The fertile mucus is alkaline, like the semen, and so makes the sperm’s journey possible.
Even without ejaculation, sperm are present in the small amount of fluid produced by a tiny gland called the Cowper’s gland. Cowper’s fluid leaks out of the penis during sexual activity. Therefore sperm are often present before ejaculation. The presence of sperm in the Cowper’s fluid may be one reason for the ineffectiveness of withdrawal as a method of birth control. Another reason may be the leaking of a drop of seminal fluid before withdrawal occurs. The first drop of seminal fluid may contain millions of sperm.
In addition, even without penetration of the man’s penis inside the woman’s vagina, pregnancy is possible. During the woman’s fertile, wet, time, the tiny, microscopic sperm can swim from outside the vagina, into the vaginal opening, up the vagina, into the uterus, and into the fallopian tubes. There the sperm may fertilize the ovum, and pregnancy may begin.
For this reason, during the woman’s fertile time, pregnancy is possible with only genital contact. This means, touching of the penis to the vaginal area.
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I really don’t know how to say this any other way. My dog decided to talk to me the other night and he had a lot to say.
It initially played like any other night really. Once again, I was tossing and turning, in and out of sleep. I was half awake, mulling over my job situation: I want to make money writing but I need an income more. Then the most bizarre thing happened.
“Hey human Bob! This is your best friend speaking! Wake up!”
Who the hell was that? It was a deep, low voice; strong and certain with a hint of a bourbon induced slur. Sounded like Dean Martin actually. I immediately sat up. It was pitch black. The radio clock blurred 3:53 in a dull crimson light. All I could make out was the shadowy outline of Parker, my trusty beagle, sitting upright at my feet.
“Hey boy, did you hear that?” I whispered instinctively. “Someone’s in the house.”
My vision was starting to warm up to the darkness. Parker just stared back at me, his head tilted, his long ears hanging to the side of his head like hand towels on a wall. He turned his head to the bedroom doorway, lifted his nose to the night and sniffed. He turned back to face me.
“Don’t think so.”
I swore Parker spoke but it couldn’t be. I mean his hound drawn lips seemed to move to the words I heard but that was impossible.
“Who’s there?” I yelled into the night. “Whoever it is, I am warning you that I am at this moment retrieving my loaded double-barrel twelve gauge from under the bed. I will shoot you. So leave now and I want to hear the door slam behind you.”
I made some dumb noises in a lame attempt to fool the intruder into believing what I had just proclaimed. I took the ruse to the next level.
“Okay. I’m fully armed and about to call 911 from my fully powered cell phone. Oh yeah, strong signal, four bars. Oh yeah, this is going to be a very clear 911 call.”
“You’re breaking me up. Put the phone down human Bob.”
It was Parker talking. I was certain of it. Nah, it had to be a sick trick.
“Okay, good one Steve. You wired up the dog with a little speaker. Very funny.”
My brother Steve was known to go to great lengths to pull off pranks. But I was pretty sure he was at his apartment in the city, sixty miles away, God knows doing what, and at 48 years old, unlikely to suddenly bother me with a prank—it had been 25 years since his last one. But the mind scrambles to the most implausible scenarios when so duly challenged.
“Don’t think so. Nope it’s me, Parker,” the dog mumbled.
I was positive he spoke again. By now I was sitting straight up, leaning towards him. He just sat there and looked at me with those big dark eyes. His poker face was on.
“Parker? Are you talking to me?”
“Well I’m not talking to myself.”
I leaned back against the headboard. He yawned.
“This can’t be. I’ve got to stop watching Animal Planet.”
“Listen, I’ve got something to say and I’m not sure how long this talking stuff is going to work so …”
“You are talking!” I interrupted incredulously.
“Should you want I bow wow?”
“Holy cow! Parker you are talking.”
“Yup. But I’m not sure for how long. So can I say a few things before …”
“I can’t believe this.”
“Yeah I know. Either can I but if you don’t mind.”
I looked at him with a giant smile plastered across my face. Parker can talk. The dog was talking. Who was I kidding? It had to be a prank. He continued.
“I’ve been listening to a lot of that talk radio and that C-SPAN channel you watch while you write. I’m here to tell ya I don’t like what I’m hearing.”
“You’re kidding me right?”
“Afraid not.”
Oh this was good. I was really hallucinating. Talk-shmalk, I had a few nagging questions of my own.
“Hey, can I ask you something before you get to your stuff?”
“Make it quick. I haven’t got all night.”
“You like smell things a hundred times more than we do, right?”
“Four hundred.”
“Okay, four hundred. Wow! Then I really wonder about this.”
“Yeah I know. Why do we like to sniff every morsel of excrement or yellow patch of urine we encounter on our walks?”
“Now that you bring it up, yeah, why? It must smell like the inside of Dick Cheney’s or Ted Kennedy’s septic tank? And you know how much crap they’re filled with.”
“That was a funny one human Bob. But it isn’t like what you smell. We pick up a lot more notes. It’s a broader pallet if you will. We don’t smell stink. We smell identity, mood, and illness. For instance, you know that crazy cairn terrier down the street?”
“Yeah.”
“She has stomach cancer and her humans don’t have a clue.”
“You are kidding me?”
“She probably has less than six months if they don’t get her to a vet soon.” He paused to lick his right front paw. “Yeah, and another thing. Don’t take me out at nights for awhile.”
“Why?”
“Cause there is a rabid possum living under the porch. That’s why.”
“You know this from the smell of possum poop?”
“Excrement.”
“Whatever.”
“Yup.” Parker yawned as if bored. “So is that it? Can I say what I need to say?”
“Well there is that thing you do with that licking your, you know, your …”
“Penis?”
“Well, yeah.”
“Jealous are we?”
“Well, it’s just that …”
“It’s all about keeping clean. Nothing pleasurable if that’s what you’re driving at. Nothing like what you do with your hand. By the way, I’d appreciate it if you wouldn’t pet me afterwards. Nope, no pleasure; it’s all business. You made sure of that when you had me “fixed”, remember. Thank you very much.”
“Oh yeah, sorry about that. I had no idea you knew any different.”
“No idea my butt. I’ll ‘no idea’ ya.” He paused again to lick his right paw again and then continued. “But I don’t hold it against you. We don’t hold grudges. Heck, if we did, we would have mauled most humans dead by now. Which brings me to why I am talking to you.”
“No grudges. Really? I mean that “fixing” stuff is pretty serious. That’s pretty good if that doesn’t bother you.”
“You done? Can I get to my concern?”
“Sure. Sorry. Go ahead.”
“How can humans be so smart supposedly, while they single handedly are destroying the Earth?”
“You mean global warming?”
“It’s more than that. It’s the air. It’s the water. It’s the dirt. It’s the forests. It’s the killing. It’s the anger. It’s the hate. It’s the grudges. It’s the fear. It’s everything.”
“Oh come on. You’re being a little dramatic.”
“We don’t know dramatic.”
“Well give me examples of what you mean.”
“First of all, the air is filled with danger. Dogs, cats, birds, animals of all kinds can smell it. It is our biggest topic when we get together.”
“I don’t smell a thing.”
“Yeah, that’s part of the problem. And you can’t taste the troubled water either.”
“Scientists don’t seem to be complaining. So I should be listening to a dog?”
“We have no agenda. Dogs call it as they smell it.”
“ ‘call it as they smell it’; I’m suppose to just accept that?”
“Yeah, there is a lot you should just accept.”
“Oh yeah, like what else?”
“Well, and here is what I think is the crux of the problem, you keep choosing the wrong alpha humans.”
“What?”
“You’ve got this alpha thing all wrong. Just because animals order their packs based on physical size and strength doesn’t make it so for humans. We do it because we are simple. You do it because you are thoughtless. That’s what we, and I think it is fair to say I am speaking for all animals, don’t get. Humans are able to think things through. But they never do. Well, that’s not completely true; some have but they are mocked or marginalized.
An alpha dog barks and gets all puffy, like that wacky shepherd Sarge from around the block. The worst he can do is break out of his electronic fence and charge one of us. But you humans take it up a notch.”
“Can you give me a for instance?”
“God there are so many. Let me see. Okay, you’ve elected a president who pounds his chest and walks around like a gorilla with its arms all out to the side, all tough and all, carrying on with ‘bring it on’. When he jumps the fence, he brings tanks and bombs and humans loaded down in weapons and in body armor. Meanwhile, you have alpha males all over the place, flexing their muscle in their packs, threatening to obtain nuclear weapons, the great equalizer, giving the president one excuse after another to hop the fence. It’s nuts. And I for one am telling you, you’ve got it all wrong.”
“Well, I don’t know what to say.”
“You don’t need to say anything. Just start picking the right alpha humans; humans whose visions see beyond fighting, whose hearts hold no grudges, whose thoughts and reasons are not the products of testosterone, whose collective knowledge is rooted in the concept that true peace is never the consequence of war but the outcome of constant learning, negotiating and adjusting.”
“This is what you want to tell me? Nothin’ for nothin’ but it’s a little heavy for a little chat with a dog at 3:30 in the morning.”
“In a nut shell, yeah.”
It was hard to accept this from my beagle. I mean, he’s a dog; a sleeping, eating, sniffing, crapping dog. I was chalking this whole episode up to stress. I was apparently snapping.
“That’s it. I’m pretty much done. Just one last thing while I have the chance.”
“What? World hunger? String theory?” I asked sarcastically.
“You get the right alpha humans and the world hunger thing will take care of itself, smart ass. As far as string theory, who do you think I am, Hawking? I’m just a dog. No it’s more pedestrian than that, something I think you can manage.”
“Then what, already?” I asked impatiently.
“You know that thing you do occasionally where you empty the dish washer in the buff.”
“Ummm … yeah I guess.”
“Put some clothes on. It’s disturbing. I’m beggin’ ya, please!”
“All right, but only if you lick your privates in private.”
“I’ll see what I can do. No promises.”
“So this is it? No more talking? You know we could make a fortune on Letterman with his stupid pet tricks.”
“It’ll never happen. You see, this is a one time deal. Not sure why or how this is happening. Maybe that God guy is involved somehow. All I know is that when it is done, it is …” He abruptly stopped talking.
“Parker?”
Not a grunt. He yawned and as he did he stretched his front legs out and spread across the foot of the bed, his ears resting flat on the blanket.
“Parker … are you done? Is that it?”
He slowly closed his eyes and floated off to sleep.
“Parker … just like that?”
He began to twitch; in hot pursuit of a fox I imagined.
“Holy smokes. I must be dreaming myself.”
I curled back down under the safety of my covers, scratched my butt and thought about the conversation I had just had with Parker or myself or both. I sniffed the air. It smelled fine to me. What the heck was he talking about, ‘danger in the air’? It had to be a dream.
As I drifted off to sleep, I thought about getting a real job real soon, apparently this writing stuff was getting the best of me. I also made a point to remember to talk to the owners of that crazy cairn terrier. I thought it was the least I could do. One can’t be too dismissive of the unexplainable these days.
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Drug Uses Levitra is an oral therapy for the treatment of erectile dysfunction.
How Taken Levitra comes as a tablet to take by mouth. It should be taken as needed about 1 hour before sexual activity. Some form of sexual stimulation is needed for an erection to occur with Levitra. Levitra should not be taken more than once a day. Levitra can be taken with or without food.
Warnings/Precautions Before taking Levitra, tell your doctor if you currently have or have ever had a heart attack, stroke, irregular heartbeats, angina (chest pain), or congestive heart failure; have high or low blood pressure; have a personal or family history of a rare heart condition known as prolongation of the QT interval (long QT syndrome); have liver problems; have kidney problems; have ever had blood problems, including sickle cell anemia, multiple myeloma, or leukemia; have a bleeding or blood clotting disorder; have a stomach ulcer; a family history of degenerative eye disease (e.g., retinitis pigmentosa); or have a physical deformity of the penis such as Peyronie's disease. You may not be able to take Levitra, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. Although Levitra is not indicated for use by women, it is in the FDA pregnancy category B. This means that Levitra is not expected to be harmful to an unborn baby. Levitra should not be taken by women. It is not known whether Levitra passes into breast milk. Levitra should not be taken by women. If you are over 65 years of age, you may be more likely to experience side effects from Levitra. Your doctor may prescribe a lower dose of the medication.
Missed Dose Levitra is used as needed, so you are not likely to miss a dose.
Possible Side Effects The most common side effects with Levitra are: -Headaches -Flushing -Stuffy or runny nose Levitra may uncommonly cause: An erection that will not go away (priapism). If you get an erection that lasts more than 4 hours, get medical help right away. Priapism must be treated as soon as possible or lasting damage can happen to your penis including the inability to have erections. Vision changes, such as seeing a blue tinge to objects or having difficulty telling the difference between the colors blue and green. These are not all the side effects of Levitra. For more information, ask your doctor or pharmacist.
Storage Store at 25�C (77�F); excursions permitted to 15-30�C (59-86�F). Keep Levitra and all medicines out of the reach of children.
Overdose Seek emergency medical attention if an overdose is suspected. Symptoms of a Levitra overdose are not known, but are likely to include chest pain, back pain, dizziness, an irregular heartbeat, abnormal vision, and swelling of the ankles or legs.
More Information Do not take Levitra if you: -Take any form of medication known as "nitrates" (type of medicine used to relieve chest pain that can occur as a result of heart disease). Taking Levitra in combination with nitrates may result in serious side effects. -Take medicines called "alpha-blockers" (sometimes prescribed for prostate problems or high blood pressure). Taking Levitra with alpha-blockers may drop your blood pressure to an unsafe level. -Your doctor determines that sexual activity poses a health risk for you. You have a known sensitivity or allergy to any component of Levitra. The use of Levitra offers no protection against sexually transmitted diseases. Counseling of patients about protective measures necessary to guard against sexually transmitted diseases, including the Human Immunodeficiency Virus (HIV), should be considered.
Disclaimer This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.
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Did you know that you are risking yourself to erectile dysfunction by smoking cigarette? Before you shrug off the statement, let me tell you that Action on Smoking and Health (ASH) and the British Medical Association (BMA) estimate that up to 120,000 UK men in their 30s and 40s are impotent as a direct consequence of smoking. Now, still I can see the signs of doubt on your face. You need concrete reasons to quit smoking, am I right? I understand that you are pretty addicted to the four-inch-fire-stick and need to breathe in till the end of it. But if you lose your sexual pleasure for good in lieu to the pleasure of smoking, will you not be a loser in this bargain?
Sexual functioning requires balanced coordination among hormones, nervous system to carry stimulation and healthy vascular system to pump blood to the penile tissues to cause a proper erection. Absence of any component among them will inevitably lead to erectile dysfunction. Now, what is the contribution of smoking in causing erectile dysfunction? Smoking affects the vascular system by narrowing down the blood vessels that contributes to the blockage of arteries; therefore the penis gets insufficient blood pumped into it, which results in a failed erection. Strokes and heart attacks are other life threatening diseases which can be caused by smoking. Now, let me tell you that smoking increases the risk of erectile dysfunction by 50% for men in their 30s and 40s. Let us see what nicotine actually does to the male private part to negate an erection.
Atherosclerosis, a fatty deposit in the arteries, built up by long term smoking, blocks the inflow route of blood into the penis.
Acute Vasospasm, a result of nicotine stimulation sent to the brain, causes rapid contraction in the penile tissues. This situation restricts blood flow into the penis.
The presence of nicotine in the blood stream damages the valve mechanism that traps blood in the penis. This problem is known as venous dilation.
Nicotine also reduces the volume of ejaculation.
It lowers sperm count and the sperm develops an abnormal shape.
The sperm motility is also impaired by nicotine.
Cigarette smoke contains about 4000 chemicals, most of which are supposed to damage the vascular system. The most dangerous chemicals are carbon monoxide, nicotine, and butadiene, causing thousands of deaths and millions of heart attacks, arthritis and impotence. A sheer fact can be deduced from the following findings; cigarette smoking results systemic arterial damage. We can infer another fact that impotence or erectile dysfunction is a signal to other life threatening diseases like heart attack, stroke and other heart and artery related problems.
The awareness related to the adversities of cigarette smoking is very low when it comes to erectile dysfunction. The smokers who are reading this article, I request them to analyze and weigh up their situation. If you have experienced the above mentioned symptoms related to your sexual life, you are in a deep soup. But at the same time, let me tell you, the situation is not irreversible. You can go back to your healthy sexual self just by quitting cigarette smoke. If the level of addiction is too high, there are therapies and medicinal help available for quitting cigarette, seek help from your doctor. Quit smoking right now so that you do not have to spend money on Viagra in future. Rather leave this smoking habit altogether, you will save your health, your sexuality and your money for a better life ahead.
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