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Evaluation of Erectile Dysfunction: It is important to understand that both organic and psychosocial factors play a role in the etiology of erectile dysfunction. Hence a thorough detailed history without too many prying questions is key. Sometimes patients may feel embarrassed to answer direct questions and hence a self administered questionnaire may help. Sometimes picture cards explaining the anatomy of erection may also be used for explaining.
Viagra works best when you’re healthy. A healthy body—particularly a healthy heart—is your best asset in overcoming ED. That’s because for Viagra to be more effective, your body needs to function at peak levels. The best way to get longer, stronger erections is by improving blood flow, overall cardiovascular health, and hormone levels. You can do that by: Getting enough cardiovascular exercise. A sedentary lifestyle is a major risk factor for erectile dysfunction. According to a study published in the Journal of Sexual Medicine, men who were inactive or moderately active (30 to 149 minutes of physical activity a week) had 40 to 60% higher odds of ED compared with active men who got 150 or more minutes of physical activity weekly.
Decreased libido can be a consequence of a physical illness, the administration of certain medications, stress or psychological factors. Sometimes the pain of sexual intercourse or unrealistic expectations can lead to loss of interest in sexual activity. To solve the problem it is very important to detect the cause.
LEO ( libido, erection, orgasm ) is what men crave for. For most men, it happens automatically. For others it is a Himalayan task if you are on this side of the world. have a deep concern. A 24 year old walks into my clinic and says he is not happy with his erections . “A little premature with the ejaculation doc“! “My penis appears to have shrunken in the last 6 months”. He is in a state of acute depression . Now that’s not even half my concern . I see a prescription that he has and my heart does a somersault. He is put on 100 tablets of Viagra or an equivalent! No matter how much I try, I am unable to fathom this . When you take a pill at 24 yrs you are bound to take them for the rest of your life as these pills have great addiction potential purely for psychological reasons . After this you are hooked and cannot perform without them! And realistically what are the chances that you have a problem which is physical and not psychological? Read even more details at https://www.cityof.com/ok/oklahoma-city/instadocnow-llp-5120441.
Viagra comes in different doses. While Viagra comes in 25mg, 50mg and 100mg tablets, the usual recommended dose is 50mg. Your doctor may recommend that you take more or less than the average dose depending on your personal situation. The maximum recommended dose is 100mg. Viagra doesn’t always work the first time you take it. Viagra isn’t magic; it does require sexual stimulation to result in an erection and it may not work the first time. You should allow at least two to three attempts to evaluate whether it is working for you. If you fear it is not working when you are with your partner, first try taking it on your own and self-stimulating. Direct stimulation of the penis after taking the tablet can also help.