We speak of impotence when attempts at sexual intercourse often fail because you cannot get or maintain an erection. Impotence is not the same as infertility. Infertility is the inability to conceive a child naturally, while sexual intercourse is perfectly normal. Levitra helps more for treatment, go here to overcome this problem.

How often does it occur?

About half of the men in the age group of 40 to 70 years say that they sometimes have erection problems. This does not mean that half of men become impotent with age. Often these are transient discomforts: occasionally not having an erection, having an erection that is not hard enough for intercourse, not being able to maintain the erection long enough… Often this is due to a lack of self-confidence or to relationship problems. Disease as a cause of impotence is much less common.

How can you recognize it?

If this is the case in three quarters of the attempts at sexual intercourse, then we speak of severe impotence. It is then a continuous problem. When it only occasionally fails, there is usually no disease at the root.

The answer to a number of questions can already clarify a lot: do you always have problems? Are there any morning erections? Are the problems only with your regular partner? Did the problem suddenly start or has it been getting worse for a while? Do you use alcohol, drugs or medicines that can have an influence? Are there any problems in the relationship?

If your problems are limited to one partner, if you still have morning erections, and if you can still masturbate normally, there is probably no underlying disease. If the impotence has started gradually and increases over the years, there is usually an underlying problem.

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How does your doctor diagnose the condition?

First of all, your doctor will look at whether existing conditions and medication that you have already taken can influence your problem. Diabetes, high blood pressure, cardiovascular disease and the drugs used to treat them can be a cause. Well-known examples are beta-blockers, diuretics, tranquilizers, and antidepressants. Your doctor will try to manage these conditions optimally or adjust the treatment. He will also question your lifestyle (smoking, alcohol consumption, overweight. Levitra is a very good medication for these problems,for more click here.

If the adjustments do not yield results, your doctor may schedule further investigations or refer you to a specialist. It is then examined whether you have any abnormalities in the blood vessels (atherosclerosis), the functioning of the glands (deficiency of the male hormone testosterone, disorder of the functioning of the thyroid gland), the nervous system, or the prostate. Psychological causes such as depression, stress and relationship problems are also examined.

What can you do yourself?

It usually makes sense to wait and see for a while .Some men want to have relationships at all costs and become fixated on their failures. This only makes matters worse.

If you are not sure whether there are night or morning erections, you can apply a paper adhesive strip around the penis at night. If it ruptured in the morning, you probably had an erection, levitra helps to overcome.

If there is a relationship problem, ask your doctor to refer you to a psychologist.

In any case, do not buy medicines on the internet. The quality of these products is not guaranteed and tests show that the dose in the pills ranges from 0 to 200% of the normal dose.

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What can your doctor do?

Initially, your doctor may perform a blood test and check the prostate. If he detects too low testosterone, this can be administered in the form of tablets or on the skin with a gel. If you do not get results after a few weeks, he will refer you to a specialist for examination.

With normal testosterone levels, a test can be done with a drug that increases blood flow to the penis. There are several on the market. The best known are sildenafil (Viagra), vardenafil Levitra and tadalafil (Cialis). The effect itself does not differ, but the duration of action may vary. These drugs can have serious side effects. Heart patients should not use them because they can trigger a heart attack. They also lower blood pressure and should not be taken with nitrates such as Cedocard or heart patches such as Nitroderm. Some men use these products to be able to have sex several times in a row. 

There are also products that you inject directly into the penis (prostaglandins) and then give an erection after ten minutes to half an hour. This is first tested in the hospital. The correct technique is taught there. An alternative is to introduce this medicine into the urethra. In rare cases, the erection can last longer than six hours and become very painful. Then you will be administered a counterproduct or a doctor will draw blood from the penis with a syringe.

A final solution is the surgical insertion of artificial erectile tissues in the penis. These give an artificial erection that makes sexual intercourse possible again.

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From the research

Seven drugs resulted in a reduction in erectile dysfunction compared to a placebo. In other words: they work! Unfortunately, there is no miracle pill that works and does not have side effects. In general, reviews have shown that the more a drug works, the more the risk of side effects increases.

In this systematic review of “trade-offs”, the most effective pharmacological treatment was the 50 mg dose of sildenafil (the active ingredient in Viagra, also sold in generic form). However, this medicine also had the greatest risk of side effects – on average, men taking this medicine had an 18% increased risk of side effects compared to men taking a placebo. If this is a concern, the 10 mg dose of tadalafil (sold under the brand Cialis, as well as in generic form) might be a better option (with only a 10% increase in the risk of side effects).aThe decision on which drug to use is to weigh the risks and benefits of each treatment. A chart that compares the seven common drugs to treat erectile dysfunction is available in our systematic review evidence summary.

An alternative to medication could be lifestyle changes. Evidence shows that losing weight, improving your diet, and exercising regularly (such as walking) can improve sexual function.

The bottom line is that there are solutions and options to meet individual preferences and needs. The first step is to decide what is important to you, then to work with your doctor to plan a strategy to get back into the game.

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