Have you ever thought about something that makes a man a man? It turns out - this is testosterone (male sex hormone), which is formed in the testicles and is different from the female sex hormone (estrogen), can say almost anything - one atom of hydrogen!
And because testosterone is very unstable, just that mutates into a female sex hormone estrogen. (And the reverse mutation never happens!) You will not believe it - testosterone disappears even when the weather change! As with the remains of men in general? - It is not clear ... However, with human beings on a common bed and dream is not worth it.
American scientists have long been known as that of a ruler and compass to determine the causes of male insolvency by measuring levels of testosterone during all kinds of experiments. Moreover, these experiments were repeated in tens of thousands of men!
So they installed? It appears the decline of testosterone (in many cases to zero) associated with a number of reasons:
1. At first psychology course
2. Food
3. Dream
4. Temperature
5. Infectious diseases
Well begin to understand in order.
What about psychology? Yes, nothing new, however, is to advise you on this note!
The man loves eyes! From that it looks like the favorite, as the thermometer can immediately jump or fall off the level of male hormone. So, the wife remember her appearance constantly! And not to work, pancake, beautiful dress! Who are you for? And vice versa home!
The man loves the ears! Typically, both about the women say. In fact - more than raise the importance of men, the higher will be its level of testosterone! A woman, a man who often reproaches, deservedly received instead of her husband - impotent! Well, and so on. Went further.
A man likes to nose! He is very sensitive to smell, particularly unpleasant. Then just dump testosterone to zero.
The temperature at which the sperm must be born by about 3.5 degrees lower than body temperature. Therefore, warm blankets, jeans and shorts swift act as killers of our dear men. Otherwise, and do not say! Eggs should be free to hang out! It is not Scotch, and Hindus cowards are not ...
A Chukchi as a contraceptive method to put eggs fur bags! In doing so, they have discontinued the development of sperm!
Permanent extremely dangerous overheating of the testicles and lead to prostatitis and prostate adenoma. This is an end fashion jeans wear or use heated car seat! Men are also strictly forbidden to keep a computer on his knees. Sleeping too, must be in a cool pomeschenii.Pomnite - testoteron these errors will not forgive!
Food. It turns out not all the food is useful for men! Especially dangerous silnokislye products (they convert testosterone into estrogen hormone) and products containing estrogens and fitoestrogeny:
- Broiler chicken to fatten poultry farms in the female hormone, that it grew faster,
- Beef, its the same stuff,
- Vinegar,
- Mint, Melissa,
- Protein yeast bread
- Large amount of refined oil, sugar and salt,
- Fat milk
- Caffeine,
- Greypfrukt,
- Soybeans (as well as boiled bacon - without soy do not),
- A large amount of alcohol,
- Festfud
All this black spisochek hang himself in the kitchen at the funeral framed! These products are a strong reduction of testosterone. But women can have it all!
And what food increase testosterone?
Man Food:
- First of all fatty fish: halibut, anchovies, herring, sardines, tuna, salmon, clams, shrimp, oysters,
- In huge quantities of greens: parsley, coriander, celery, cabbage, lettuce, onion, leek, cress salad,
- Pumpkin,
- Berries, grapes,
- Red wine - every day little by little,
- Walnut oil, sesame oil,
- In large numbers in spices: cardamom, chilli, brown, coriander, turmeric, horseradish, mustard, and especially make men men!
So it's time to move chicken to seledochku. You should be at lunch herring under Shuba schedule! Oh how my husband loves it! A particularly useful parsley and pumpkin because it is - the main source of zinc, which is part of the testosterone.
Sleep - it is a separate story. Testosterone was produced during sleep, reaching a maximum concentration of the morning. And for this process require the complete silence and total darkness ... So if teschya snore too loudly, a small child crying, or the light in the room was left to burn - you have no marital happiness did not succeed!
ED generic drugs
Monday, April 6, 2009
Is «Generic Viagra» you personally?
Is your personal Generic Viagra or not, it's best to know, of course, you and your doctor. If you have not seen the emergence of erection at night while they sleep by day with your partner or a partner, or with self, the cause of erection dysfunction organic disease can not be, most likely a violation of erection due to mental disorders. With great confidence we can say that Generic Viagra will help you, but think again, maybe you should try to understand yourself, or use the assistance of a psychologist to reveal the causes of your mental agony and thus solve the problem of potency.
Even if you have erection occurs during the self, and she saved enough until ejaculation, but during sex with a partner or a partner with erection problems, it seems, causes Erectile Dysfunction rooted in your psyche. Generic Viagra can help you, but despite this, you need to thoroughly think about why there was a violation of erection. Maybe you and your partner having friction or any problems, you may no longer feel a craving for it as before? Or maybe you are stressed and just can not get pleasure from sex?
If you have not seen the emergence of erection or there, but very rarely, the same problems with its long-term preservation, when, during the erection of sleep you also does not occur, then it is very likely that the cause of dysfunction - the physical violation. Whether there is an organic disease, may identify only a doctor. It can also tell you with certainty, whether you Generic Viagra.
In most cases, when the disfunction of erection due to physical disorders, Generic Viagra is valid. There are some diseases in which the use of Generic Viagra carries a risk. Danger waits and who together with the application of Generic Viagra use some other drugs. And if you want to use the Generic Viagra, driven by simple curiosity, or think that this miracle to improve the sex, you should again think carefully before accepting such a responsible decision.
In many cases Generic Viagra can be applied without hesitation, but we need to adhere to certain restrictions and conditions. For example, those who suffer from heart disease or recent heart attack or stroke brought may use Generic Viagra, only if permitted by the physician. I would particularly like to warn the men, who due to any illness a long time did not engage in sexual contact, and now wish to correct the situation with the help of Generic Viagra. Sexual intercourse carries a greater burden, and otvykshy body could not withstand the stress, which in turn can lead to cardiovascular or heart failure or cardiac arrest. That is why sex with the use of Generic Viagra and in the presence of heart disease - only after the permission of a doctor!
With eye diseases also need to be careful to accept the Generic Viagra, because this drug may primarily affect the eyes - for example, before my eyes would be blue fog, which are found in some patients after receiving Generic Viagra. From the application Generic Viagra should give men suffering from two diseases of the eye - retinitom pigment spots and retinal degeneration. Following the case of a man who has suddenly emerged immediately after receiving glaucoma Generic Viagra, doctors recommend not to use the Generic Viagra those who suffer the increased internal pressure of the eye. In these patients increases the risk of glaucoma, which in turn leads to blindness.
Caution should be used Generic Viagra also those men who suffered a stomach ulcer or blood clotting disorders (no matter whether it is caused by the use of certain drugs, or because of physical disorders). Before Generic Viagra, must be examined by specialists.
Also, will refuse to accept Generic Viagra to the person who suffers anatomical differentiation of the penis due to a very rare disease - the plastic hardening of the penis. Apply Generic Viagra should not be patients suffering from diseases such as leukemia, drepanocytosis and malignant tumors of the bone marrow. These diseases can cause, however in rare cases, prolonged erection, which can be eliminated only doctor. Application Generic Viagra, as a matter of course, could further exacerbate the possible prolonged erection, although still not aware of cases where Generic Viagra became her cause.
It is also necessary to warn those who might be allergic to one of the components of Generic Viagra. Hypersensitivity to any component of a Generic Viagra can cause life threatening allergic shock people.
Anyone who suffers from heart disease, at the reception of Viagra must consult a doctor
Viagra can be taken at:
- Asthma: Take Generic Viagra it is possible, but should draw attention to the fact that it can cause respiratory failure and asthma attacks.
- Allergies: take Generic Viagra could be, but if you are allergic to one of the components of the drug, then you should abandon the use of Generic Viagra.
- Depression: take Generic Viagra possible.
- Diabetes: take Generic Viagra possible.
- Dialysis patients: admission Generic Viagra undesirable.
- Heart disease: acceptance Generic Viagra allowed only under certain conditions, should consult a doctor, do not contain nitrates, or whether molzidomin those medicines that you are taking.
- Multiple sclerosis: take Generic Viagra possible.
- If the remote prostate Generic Viagra can take.
- Infected spinal cord: take Generic Viagra can
Even if you have erection occurs during the self, and she saved enough until ejaculation, but during sex with a partner or a partner with erection problems, it seems, causes Erectile Dysfunction rooted in your psyche. Generic Viagra can help you, but despite this, you need to thoroughly think about why there was a violation of erection. Maybe you and your partner having friction or any problems, you may no longer feel a craving for it as before? Or maybe you are stressed and just can not get pleasure from sex?
If you have not seen the emergence of erection or there, but very rarely, the same problems with its long-term preservation, when, during the erection of sleep you also does not occur, then it is very likely that the cause of dysfunction - the physical violation. Whether there is an organic disease, may identify only a doctor. It can also tell you with certainty, whether you Generic Viagra.
In most cases, when the disfunction of erection due to physical disorders, Generic Viagra is valid. There are some diseases in which the use of Generic Viagra carries a risk. Danger waits and who together with the application of Generic Viagra use some other drugs. And if you want to use the Generic Viagra, driven by simple curiosity, or think that this miracle to improve the sex, you should again think carefully before accepting such a responsible decision.
In many cases Generic Viagra can be applied without hesitation, but we need to adhere to certain restrictions and conditions. For example, those who suffer from heart disease or recent heart attack or stroke brought may use Generic Viagra, only if permitted by the physician. I would particularly like to warn the men, who due to any illness a long time did not engage in sexual contact, and now wish to correct the situation with the help of Generic Viagra. Sexual intercourse carries a greater burden, and otvykshy body could not withstand the stress, which in turn can lead to cardiovascular or heart failure or cardiac arrest. That is why sex with the use of Generic Viagra and in the presence of heart disease - only after the permission of a doctor!
With eye diseases also need to be careful to accept the Generic Viagra, because this drug may primarily affect the eyes - for example, before my eyes would be blue fog, which are found in some patients after receiving Generic Viagra. From the application Generic Viagra should give men suffering from two diseases of the eye - retinitom pigment spots and retinal degeneration. Following the case of a man who has suddenly emerged immediately after receiving glaucoma Generic Viagra, doctors recommend not to use the Generic Viagra those who suffer the increased internal pressure of the eye. In these patients increases the risk of glaucoma, which in turn leads to blindness.
Caution should be used Generic Viagra also those men who suffered a stomach ulcer or blood clotting disorders (no matter whether it is caused by the use of certain drugs, or because of physical disorders). Before Generic Viagra, must be examined by specialists.
Also, will refuse to accept Generic Viagra to the person who suffers anatomical differentiation of the penis due to a very rare disease - the plastic hardening of the penis. Apply Generic Viagra should not be patients suffering from diseases such as leukemia, drepanocytosis and malignant tumors of the bone marrow. These diseases can cause, however in rare cases, prolonged erection, which can be eliminated only doctor. Application Generic Viagra, as a matter of course, could further exacerbate the possible prolonged erection, although still not aware of cases where Generic Viagra became her cause.
It is also necessary to warn those who might be allergic to one of the components of Generic Viagra. Hypersensitivity to any component of a Generic Viagra can cause life threatening allergic shock people.
Anyone who suffers from heart disease, at the reception of Viagra must consult a doctor
Viagra can be taken at:
- Asthma: Take Generic Viagra it is possible, but should draw attention to the fact that it can cause respiratory failure and asthma attacks.
- Allergies: take Generic Viagra could be, but if you are allergic to one of the components of the drug, then you should abandon the use of Generic Viagra.
- Depression: take Generic Viagra possible.
- Diabetes: take Generic Viagra possible.
- Dialysis patients: admission Generic Viagra undesirable.
- Heart disease: acceptance Generic Viagra allowed only under certain conditions, should consult a doctor, do not contain nitrates, or whether molzidomin those medicines that you are taking.
- Multiple sclerosis: take Generic Viagra possible.
- If the remote prostate Generic Viagra can take.
- Infected spinal cord: take Generic Viagra can
Tuesday, March 17, 2009
Superfast erection
As you strive to achieve maximum efficiency, it is useful to teach your mind and body work in close unity with each other to achieve the desired erection as soon as possible. The purpose of this training - to give both partners the assurance that they will be able to improve the effectiveness of controls over the penis after erection.
Of course, this is normal and good, if your penis is lifted immediately, as soon as you start to make love. But what if this does not happen? And what happens if during the pre-game or in the midst of sexual intercourse, he had already dropped?
The only thing do not have to do is to panic or lose confidence in the ability to achieve erection. You will be able to control the erection much better than it seemed - with the crucial help and support you will have your mental and physical condition as well as the right response partner.
For the training you need notepad. In two weeks - with the faithful and regular execution of the exercises - you can not only achieve erection when you want, but do it for half that time to spend now.
Divide the notebook into 14 squares. In one square for each day of training. Then each of them divided into sections: the time of erection, the peak time of erection, opadaniya time, length, thickness, and notes. The only thing you need to exercise - tape measure, stopwatch, if available, or wristwatch with second hand and pen to record.
Find a place where every day at the same time, you will be able to remain alone with them without the risk of strangers. I understand that this is not always easy, but we must try. The room should be warm and comfortable, but if circumstances allow you to use the bathroom, do not worry, it will come. But it is clear that in the dressing room, you will not be able to relax sufficiently, so the results may not be as impressive »as if you were alone with him in a warm bedroom. But in any case, significant improvement is guaranteed.
If possible, remove all clothing and loans position that are convenient for practicing masturbation. You do not need to be close at hand any erotic pictures, or magazines - no artificial stimulants. All stimulation should occur in your own brain, it will be one of the ways that you can make the brain work and the penis is in full harmony.
Turn on the stopwatch and simultaneously start to masturbate as soon as you can. Purpose: To quickly reach the highest point. While masturbiruete, think only about the most excitatory things which only come to mind. It is best to let them have tried and reliable sexual fantasies, usually leads to the desired result. For example, a fantasy about ways that you would like to make love to his wife or his girlfriend. Or focus on the sensations that you feel, being in the middle of the day naked in a room and frantically masturbiruya.
If the initial erection not to make a mark in the notebook, how long it took you to achieve full hardness of the penis. Then masturbiruyte so quickly and strongly as it can, to achieve the highest peak, focusing on the fact that most excites you.
Learn to focus. Learn how not to think about anything more than the ever-increasing sexual initiation. Imagination is more zoom you to the highest point. Focus solely on the penis, burning it looks empty.
Here's what Kevin said, 28 years, the department store sells a White Plaine, New York: «I always played with the fantasy that I was kidnapped fifteen girls from the women's gymnasium. They zataskivayut me into his bedroom and undress. Then, and undress themselves. They begin to touch me, touch all parts of my body, then one after another sosut my penis. They climb in my face teats, leads them all over his body - I can not do anything. For hands and legs tied to my bed, and them too much. They are stronger than Tiscali and shaking me and put me on a member of a condom. Here's where my imagination begins to partially coincide with reality. I think that one hand is not mine, but a girl who puts me a condom. I barely touch their heads faster waff fingertips. Sometimes while I stroke the second hand of a testes, representing that it makes the other girl. I have more dreams that one of the girls sits me on the face. Her vagina is placed directly against my mouth, so that I can barely breathe. All a person covered by juice evolved from there. Her face with wide-open mouth bends over my member, pending when it rises. Here's the place to which it usually comes my imagination, and then comes ejaculation ».
I have a lot of descriptions of such fantasies, used by men in masturbation sessions, most of them stated that, by the love with their wives and girlfriends, they resorted to fantasies significantly less. «I have dreams sometimes, when to make love with Fred, but then it becomes an integral part of all fantasies, it said 35-year-old Leonard of San Francisco. Usually, I imagine her slave, as she does not suspect. I bought it on the market either slaves, or somewhere else, in short, it was me. She is constantly naked, and I can deal with her love where want, when want and how to want ».
I was interested to learn that Fred will say about this fantasy, which learns. «I do not know. I can not even imagine how she would respond. Never talked to her about it. Sometimes it is not even a fantasy, but just a feeling. There for a moment and then disappears. I think she thought it would be strange to me ».
I am convinced Leonard to tell Fred about this fantasy and do not be afraid that it would take him for «strange». As it turned out, Fred has found this fantasy for a flattering and exciting. Then they both incorporates it into practice: Leonard tied wrists and ankles to the back of the bed, Fred, knotted scarf his mouth, and they played the whole scene. Both of them admitted that the game had resumed their interest in sex, but Leonard said: «This is my fantasy moves from the head in the bedroom».
At the time the highest point of excitation - which fired the first trickle of sperm - press the stopwatch and the fix is exactly the time that was spent to achieve orgasm from eregirovannogo member. You can also mark yourself, how many sperm izlilos spasm out and how much you have experienced with this.
In the first act of this kind of masturbation, you are likely to very quickly reach the highest point. At the second, third, fourth day, when you are in the usual time you enter the room to engage in masturbation, we found that we would need a little more time to become a member of a firm and you can reach a peak orgasm. You'll also find that your attention was once easy to disperse, after so you have enough of sex acts during the week to get the satisfaction, at least physically.
And here it is now your concentration and training play a major role. You can not feel the approximation of the highest point of excitation, can not even notice how masturbiruete. The main thing is that you need - is to awaken in ourselves the most powerful dreams and fantasies, which only can give your imagination. Then you should work on the penis a way that best promotes your excitement, so quickly and strongly as soon as you can. During masturbation, continue to strain and relax the muscles perineum. This will help to maintain the erection and keep seminal fluid in the prostate gland.
It does not matter what type are your imagination. You have only one goal - accelerating erection and the accompanying high point of enjoyment. On the fifth or sixth day, you notice signs of improvement in concentration, but on the tenth day can feel like you succeeded in retaining control over the erection of penis and the extension of time to enjoy higher.
You may have noticed that the sperm did not vomit as much as the first day, but semyaizverzhenie can be increased, because now through the perineum muscles you can control the process. The number of sperm is increased precisely because of the effective stimulation of the prostate.
You do not immediately see the improvement. But we must learn from the failures. You know exactly what fantasy guarantee erection, and what does not. Perhaps you create a new fantasy, even more erotic than ever. You will also learn the limits of their abilities to concentrate on the most important.
High sex depends on how much you absorbed what was being done - a pleasure to partner, get the pleasure that it gives you.
Many men, having mastered the science of purification of thinking different from everyday cares and concerns, external disturbance, observed that this activity contributes to the achievement of very good high-performance sex. As I said 27-year-old Denise from Los Angeles: «You can not enjoy the exercise love fully, if half of your brain is still trying to cope with household budget or busy issue choice menu for tomorrow's dinner. There was a time when I used to love classes half a brain. When Rick told me: «What is it with you? Why are you such a cold? »- Until I got what I was doing. Sex was turned into a routine, like shopping trips. I make love just like walking with a bag on the market or to remove children from school ».
After two weeks of high-speed masturbation you'll see that your ability to achieve erection and rapid ejaculation has improved markedly. You can do exercises on the high-speed masturbation is not necessarily a period of two weeks, but longer, as long as you need to learn to focus and improve their sexual ability.
Interestingly, the high-masturbation may help men suffering from premature ejaculation. Although it might seem that the ability to reach the highest point very quickly - not the most necessary. Controlling ejaculation, which provide these exercises, equally good solutions to any problems that can occur in men to achieve erection and maximum sexual pleasure.
If, however, after two weeks of practicing high-speed masturbation you will still continue to suffer from premature ejaculation, try to switch to the exercises with the slowing masturbation. This implies masturbation strong, but slow, and with the impending orgasm, you will need to make a pause. In other words, you should postpone the time of ejaculation and how can this continue with the sexual samostimulyatsiyu.
After three weeks of such exercises male semen vomit before, not having to enter the vestibule, discovers that he is now able to continue sexual intercourse without ejaculation and «three or four minutes ... yet I have not started to worry about it », then« to five minutes or more - until I do so want ». The person who sent the letter, certainly knew that his penis - this is not a separate creature, which he had not the power, but control of its own body.
Men do not have to all this activity with a high / maloskorostnoy masturbation itself. Depending on the nature of sexual problems and individual circumstances can be even more helpful if you assist him in reaching the highest point would be a woman.
Clyde, 32-year-old driller from Paskaguly, Mississippi, wrote: «I have always had problems because I was finishing too quickly. It began with my first wife, who was two years older than me. It was always the impression that it was a nurse taking care of our relationship, and that I was very fidget ... and causes premature ejaculation. Sometimes I was just enough to touch her «киски», and I immediately regurgitate it Cursed place. When I got married a second time (to Belinda), at first everything was in order, but then I started to worry again about their sexual problems, and has come about the same ... ejaculation without the slightest strain. Then I tried bystroskorost-ing masturbation. I can not imagine how it could help me. Since the early semyaizverzhenie was my problem, I do not think it would be useful to know that shows how to achieve semyaizverzheniya even faster. But in reality, the exercises have given me more control over semyaizverzheniem, giving the first control himself. I began to understand that the care of your body, and began to understand his reactions ».
After two weeks of classes bystroskorostnoy masturbation alone with a Clyde decided to try to slow masturbation using Be-Linda. He tried, as far as could delay the onset of orgasm and semyaizverzheniya teaching while Belinda, how to compress his penis to prevent premature ejaculation.
«We lezhim side by side in one bed undressed, and Belinda is very slowly massages my member until it was not filled with blood and not zatyazheleet. I felt the desire to ask it to expedite their handling, but it continued to do so slowly, up and down, up and down, compressing the penis shaft and head massaging fingertips.
The first signs, I began to feel after a few moments after the start of the exercises - in the depth between the legs. Because of my membership began to sap, and soon Belinda massage my head, as if floating in the greases. I knew that there would have only two or three movements, that I had finished, and therefore asked her to stop. She was firmly squeezed my dick, thumb upersya just below the head of the base channel member nakrutila around his little finger, wrist vyvernuv and the excitement gradually subsided.
We have again and again repeated this, and so lasted about forty-five minutes. Never before had I not kept for so long, not reaching orgasm and ejaculation ... although this time I just was not ready to finish. As. only I felt that just about sorvus up, I gave the command to stop Belinda, she stopped massage and compress the member, as I described above.
Finally we decided that I had been able lasted a long time. Belinda climbed on me and sent me a member of «pussycat». I usually do not like when it is on top ... have a sense that I can not control themselves, that I am not a real man. But now I feel different. I moved to a member as deeply into it. Then upersya in the bed and lifted his hips so that Belinda practically hung on me, not touching the bed. My member penetrated so deeply that even touched on the uterus, and it made her cry.
I still continue to worry until suddenly did not understand that is not going to stop, and immediately calmed down. I am quite able to control the sensitivity and the onset of orgasm. Belinda finished the first - it was surprising - the first time she had finished before me. I could feel a pulse, and her vagina clench me a member with such force that you do not even believe it. Then I also finished, but how! I was just in pieces, of five or six times in a row. Fair call, I thought that the unconscious. Belinda rose from me, and the sperm is literally poured out of her vagina on my thighs ».
Clyde is a classic case of men with premature ejaculation. His marital relationships and conflicts with the first wife contributed to the development and consolidation of the painful condition. As Masters and Johnson, in «Human sexual inadequaty»: «man impotent wife is inclined to perceive as an actor, its sense of self-humiliation. After all, she - the only creature who knows well the depth of his inadequacy: he feels that he could not take a man in her presence. Women with these or other disadvantages of sexual function, can achieve revenge itself, or at least an apology - verbal attacks or any similar means. In fact, in such a situation, it should be entirely on the side of her husband's persistent desire to overcome his alienation to help ».
The first wife of Clyde - although he and answer it too kindly - considered it premature ejaculation as a personal contempt, as if he is not interested in the way you can meet her. This is understandable, because the sexual disorder of this kind may distort who want the true picture of the relationship of love. It just was not prepared to help him get rid of the disorder. When he proposed to go along to consult a doctor, she said: «All that you need to do is to behave like a man».
Men's inability to achieve erection or ejaculation control sometimes depends on the attitude that he feels for his lover. Most men with whom I talked about premature ejaculation, were passionately in love with their partners, they are very sexually brought them. The only problem: they have lost confidence in their ability to meet them and for whatever reason, feel that it is impossible to return it.
«Sometimes I manage to achieve erection, and then I think: I have been able to do so, I have achieved erection! I hope that God will help and the erection returns. And I thought about it, just from that simple thought, and remembered again opadaet and the erection goes away. I am ready to burst into tears, believe me ... »
Compression, which makes Belinda to delay orgasm Clyde, was a modified version of «compression technology», developed by Masters and Johnson in the sexual-therapy sessions with men suffering from premature ejaculation. The success was astounding - over eleven years Masters and Johnson cured in St. Louis, Missouri, 186 people, and only 4 cases are not treatable.
As soon as a man close to orgasm, his partner suboccluding barrel index finger just under the base of the penis head, thumb pad exerting strong pressure on the bridle (a thin layer of skin lower holes in the head of the urethra).
Usually a 5-10 seconds of compression to contain ejaculation. This is done to show the man that he could keep and maintain erection for a sufficient period of time.
Those who tried this technique, recognized that the compression was more effective if accompanied by a rotation eregirovannogo penis to 90 degrees when opening the urethra at the head is turned at right angles. Female partners should be aware that male eregirovanny member can be compressed with sufficient force to turn and not being afraid to cause him damage, or cause a feeling of discomfort.
Obviously, there comes a time when a man has WANT finish. Indeed, approaching the stage of imminent ejaculation, he still finished, want to or not.
External signs of the male orgasm is that the man suddenly starts pushing into the vagina partner quickly compress it stronger, but for some fraction of a second before ejaculation is trying to infiltrate its maximum depth.
Since the approximation of orgasm in men, all of its external and internal sexual organs involved in the movement of sperm into the urethra. At this point - the first stage of the male orgasm - all muscles of the pelvis involuntarily reduced; similarly reduced pelvic muscles and women at the time of the female orgasm.
Sperm in the testicles are formed, namely, the tortuosity of seminal canals. All the canals opened in the testis semyavynosyaschy duct, which after a few bends to special bag, called the «ampoule semyavynosyaschego duct». After the connection secernent Protocols to the seminal vesicles, semyavynosyaschie ducts form semyavybrasyvayuschie ducts. In ampoule semen awaiting the moment of ejaculation. Seminal vesicles provide a special liquid, which is connected with the secret of the testicles, sperm is formed.
At the same time as the sperm make their way in the ampoule, prostate begins to shrink rhythmically and allocates chalybeate white liquid, forming the basis of sperm and supports the viability of sperm.
When the seminal vesicles release their secret cells of the sperm at this point are discarded from the bag (ampoules), that mixed with the seminal fluid. This is in the department of the urethra, which passes through the prostate gland. At the same time, onion urethra, which is located above the scrotum, and the increasing strain, in preparation for a final and complete emptying.
For a fraction of a second before ejaculation inside the bladder muscle is severely straining, preventing sperm from penetrating into the bladder, and indicate that the ejaculation, in principle, only one way - by maximizing the pressure and compression. Voltage internal bladder muscle also prevents the allocation of urine at the time of sexual intercourse.
Then the exterior muscles of the bladder relax, while all other muscles of the pelvis remain strained. Scientists have yet to be fully apprised of the nature of this reflex, but importantly, it allows semen to get from the prostate through the urethra in the department increased the flesh grounds of the penis. You can compare this pear flesh with a rubber syringe or pears old car horn.
When the bulb is filled with fluid, she drastically reduced, and the semen - sperm-jets ejected from the penis. At the same time, decreasing muscle and perineum, promoting stronger orgasm.
Strength spasm is that if a jet of sperm has no way of obstacles, it can izvergnutsya over a distance of 60 cm, and sometimes more.
Spastic reduction of internal genital organs of men lasted about 3-4 seconds, no more than once per second.
Of course, this is normal and good, if your penis is lifted immediately, as soon as you start to make love. But what if this does not happen? And what happens if during the pre-game or in the midst of sexual intercourse, he had already dropped?
The only thing do not have to do is to panic or lose confidence in the ability to achieve erection. You will be able to control the erection much better than it seemed - with the crucial help and support you will have your mental and physical condition as well as the right response partner.
For the training you need notepad. In two weeks - with the faithful and regular execution of the exercises - you can not only achieve erection when you want, but do it for half that time to spend now.
Divide the notebook into 14 squares. In one square for each day of training. Then each of them divided into sections: the time of erection, the peak time of erection, opadaniya time, length, thickness, and notes. The only thing you need to exercise - tape measure, stopwatch, if available, or wristwatch with second hand and pen to record.
Find a place where every day at the same time, you will be able to remain alone with them without the risk of strangers. I understand that this is not always easy, but we must try. The room should be warm and comfortable, but if circumstances allow you to use the bathroom, do not worry, it will come. But it is clear that in the dressing room, you will not be able to relax sufficiently, so the results may not be as impressive »as if you were alone with him in a warm bedroom. But in any case, significant improvement is guaranteed.
If possible, remove all clothing and loans position that are convenient for practicing masturbation. You do not need to be close at hand any erotic pictures, or magazines - no artificial stimulants. All stimulation should occur in your own brain, it will be one of the ways that you can make the brain work and the penis is in full harmony.
Turn on the stopwatch and simultaneously start to masturbate as soon as you can. Purpose: To quickly reach the highest point. While masturbiruete, think only about the most excitatory things which only come to mind. It is best to let them have tried and reliable sexual fantasies, usually leads to the desired result. For example, a fantasy about ways that you would like to make love to his wife or his girlfriend. Or focus on the sensations that you feel, being in the middle of the day naked in a room and frantically masturbiruya.
If the initial erection not to make a mark in the notebook, how long it took you to achieve full hardness of the penis. Then masturbiruyte so quickly and strongly as it can, to achieve the highest peak, focusing on the fact that most excites you.
Learn to focus. Learn how not to think about anything more than the ever-increasing sexual initiation. Imagination is more zoom you to the highest point. Focus solely on the penis, burning it looks empty.
Here's what Kevin said, 28 years, the department store sells a White Plaine, New York: «I always played with the fantasy that I was kidnapped fifteen girls from the women's gymnasium. They zataskivayut me into his bedroom and undress. Then, and undress themselves. They begin to touch me, touch all parts of my body, then one after another sosut my penis. They climb in my face teats, leads them all over his body - I can not do anything. For hands and legs tied to my bed, and them too much. They are stronger than Tiscali and shaking me and put me on a member of a condom. Here's where my imagination begins to partially coincide with reality. I think that one hand is not mine, but a girl who puts me a condom. I barely touch their heads faster waff fingertips. Sometimes while I stroke the second hand of a testes, representing that it makes the other girl. I have more dreams that one of the girls sits me on the face. Her vagina is placed directly against my mouth, so that I can barely breathe. All a person covered by juice evolved from there. Her face with wide-open mouth bends over my member, pending when it rises. Here's the place to which it usually comes my imagination, and then comes ejaculation ».
I have a lot of descriptions of such fantasies, used by men in masturbation sessions, most of them stated that, by the love with their wives and girlfriends, they resorted to fantasies significantly less. «I have dreams sometimes, when to make love with Fred, but then it becomes an integral part of all fantasies, it said 35-year-old Leonard of San Francisco. Usually, I imagine her slave, as she does not suspect. I bought it on the market either slaves, or somewhere else, in short, it was me. She is constantly naked, and I can deal with her love where want, when want and how to want ».
I was interested to learn that Fred will say about this fantasy, which learns. «I do not know. I can not even imagine how she would respond. Never talked to her about it. Sometimes it is not even a fantasy, but just a feeling. There for a moment and then disappears. I think she thought it would be strange to me ».
I am convinced Leonard to tell Fred about this fantasy and do not be afraid that it would take him for «strange». As it turned out, Fred has found this fantasy for a flattering and exciting. Then they both incorporates it into practice: Leonard tied wrists and ankles to the back of the bed, Fred, knotted scarf his mouth, and they played the whole scene. Both of them admitted that the game had resumed their interest in sex, but Leonard said: «This is my fantasy moves from the head in the bedroom».
At the time the highest point of excitation - which fired the first trickle of sperm - press the stopwatch and the fix is exactly the time that was spent to achieve orgasm from eregirovannogo member. You can also mark yourself, how many sperm izlilos spasm out and how much you have experienced with this.
In the first act of this kind of masturbation, you are likely to very quickly reach the highest point. At the second, third, fourth day, when you are in the usual time you enter the room to engage in masturbation, we found that we would need a little more time to become a member of a firm and you can reach a peak orgasm. You'll also find that your attention was once easy to disperse, after so you have enough of sex acts during the week to get the satisfaction, at least physically.
And here it is now your concentration and training play a major role. You can not feel the approximation of the highest point of excitation, can not even notice how masturbiruete. The main thing is that you need - is to awaken in ourselves the most powerful dreams and fantasies, which only can give your imagination. Then you should work on the penis a way that best promotes your excitement, so quickly and strongly as soon as you can. During masturbation, continue to strain and relax the muscles perineum. This will help to maintain the erection and keep seminal fluid in the prostate gland.
It does not matter what type are your imagination. You have only one goal - accelerating erection and the accompanying high point of enjoyment. On the fifth or sixth day, you notice signs of improvement in concentration, but on the tenth day can feel like you succeeded in retaining control over the erection of penis and the extension of time to enjoy higher.
You may have noticed that the sperm did not vomit as much as the first day, but semyaizverzhenie can be increased, because now through the perineum muscles you can control the process. The number of sperm is increased precisely because of the effective stimulation of the prostate.
You do not immediately see the improvement. But we must learn from the failures. You know exactly what fantasy guarantee erection, and what does not. Perhaps you create a new fantasy, even more erotic than ever. You will also learn the limits of their abilities to concentrate on the most important.
High sex depends on how much you absorbed what was being done - a pleasure to partner, get the pleasure that it gives you.
Many men, having mastered the science of purification of thinking different from everyday cares and concerns, external disturbance, observed that this activity contributes to the achievement of very good high-performance sex. As I said 27-year-old Denise from Los Angeles: «You can not enjoy the exercise love fully, if half of your brain is still trying to cope with household budget or busy issue choice menu for tomorrow's dinner. There was a time when I used to love classes half a brain. When Rick told me: «What is it with you? Why are you such a cold? »- Until I got what I was doing. Sex was turned into a routine, like shopping trips. I make love just like walking with a bag on the market or to remove children from school ».
After two weeks of high-speed masturbation you'll see that your ability to achieve erection and rapid ejaculation has improved markedly. You can do exercises on the high-speed masturbation is not necessarily a period of two weeks, but longer, as long as you need to learn to focus and improve their sexual ability.
Interestingly, the high-masturbation may help men suffering from premature ejaculation. Although it might seem that the ability to reach the highest point very quickly - not the most necessary. Controlling ejaculation, which provide these exercises, equally good solutions to any problems that can occur in men to achieve erection and maximum sexual pleasure.
If, however, after two weeks of practicing high-speed masturbation you will still continue to suffer from premature ejaculation, try to switch to the exercises with the slowing masturbation. This implies masturbation strong, but slow, and with the impending orgasm, you will need to make a pause. In other words, you should postpone the time of ejaculation and how can this continue with the sexual samostimulyatsiyu.
After three weeks of such exercises male semen vomit before, not having to enter the vestibule, discovers that he is now able to continue sexual intercourse without ejaculation and «three or four minutes ... yet I have not started to worry about it », then« to five minutes or more - until I do so want ». The person who sent the letter, certainly knew that his penis - this is not a separate creature, which he had not the power, but control of its own body.
Men do not have to all this activity with a high / maloskorostnoy masturbation itself. Depending on the nature of sexual problems and individual circumstances can be even more helpful if you assist him in reaching the highest point would be a woman.
Clyde, 32-year-old driller from Paskaguly, Mississippi, wrote: «I have always had problems because I was finishing too quickly. It began with my first wife, who was two years older than me. It was always the impression that it was a nurse taking care of our relationship, and that I was very fidget ... and causes premature ejaculation. Sometimes I was just enough to touch her «киски», and I immediately regurgitate it Cursed place. When I got married a second time (to Belinda), at first everything was in order, but then I started to worry again about their sexual problems, and has come about the same ... ejaculation without the slightest strain. Then I tried bystroskorost-ing masturbation. I can not imagine how it could help me. Since the early semyaizverzhenie was my problem, I do not think it would be useful to know that shows how to achieve semyaizverzheniya even faster. But in reality, the exercises have given me more control over semyaizverzheniem, giving the first control himself. I began to understand that the care of your body, and began to understand his reactions ».
After two weeks of classes bystroskorostnoy masturbation alone with a Clyde decided to try to slow masturbation using Be-Linda. He tried, as far as could delay the onset of orgasm and semyaizverzheniya teaching while Belinda, how to compress his penis to prevent premature ejaculation.
«We lezhim side by side in one bed undressed, and Belinda is very slowly massages my member until it was not filled with blood and not zatyazheleet. I felt the desire to ask it to expedite their handling, but it continued to do so slowly, up and down, up and down, compressing the penis shaft and head massaging fingertips.
The first signs, I began to feel after a few moments after the start of the exercises - in the depth between the legs. Because of my membership began to sap, and soon Belinda massage my head, as if floating in the greases. I knew that there would have only two or three movements, that I had finished, and therefore asked her to stop. She was firmly squeezed my dick, thumb upersya just below the head of the base channel member nakrutila around his little finger, wrist vyvernuv and the excitement gradually subsided.
We have again and again repeated this, and so lasted about forty-five minutes. Never before had I not kept for so long, not reaching orgasm and ejaculation ... although this time I just was not ready to finish. As. only I felt that just about sorvus up, I gave the command to stop Belinda, she stopped massage and compress the member, as I described above.
Finally we decided that I had been able lasted a long time. Belinda climbed on me and sent me a member of «pussycat». I usually do not like when it is on top ... have a sense that I can not control themselves, that I am not a real man. But now I feel different. I moved to a member as deeply into it. Then upersya in the bed and lifted his hips so that Belinda practically hung on me, not touching the bed. My member penetrated so deeply that even touched on the uterus, and it made her cry.
I still continue to worry until suddenly did not understand that is not going to stop, and immediately calmed down. I am quite able to control the sensitivity and the onset of orgasm. Belinda finished the first - it was surprising - the first time she had finished before me. I could feel a pulse, and her vagina clench me a member with such force that you do not even believe it. Then I also finished, but how! I was just in pieces, of five or six times in a row. Fair call, I thought that the unconscious. Belinda rose from me, and the sperm is literally poured out of her vagina on my thighs ».
Clyde is a classic case of men with premature ejaculation. His marital relationships and conflicts with the first wife contributed to the development and consolidation of the painful condition. As Masters and Johnson, in «Human sexual inadequaty»: «man impotent wife is inclined to perceive as an actor, its sense of self-humiliation. After all, she - the only creature who knows well the depth of his inadequacy: he feels that he could not take a man in her presence. Women with these or other disadvantages of sexual function, can achieve revenge itself, or at least an apology - verbal attacks or any similar means. In fact, in such a situation, it should be entirely on the side of her husband's persistent desire to overcome his alienation to help ».
The first wife of Clyde - although he and answer it too kindly - considered it premature ejaculation as a personal contempt, as if he is not interested in the way you can meet her. This is understandable, because the sexual disorder of this kind may distort who want the true picture of the relationship of love. It just was not prepared to help him get rid of the disorder. When he proposed to go along to consult a doctor, she said: «All that you need to do is to behave like a man».
Men's inability to achieve erection or ejaculation control sometimes depends on the attitude that he feels for his lover. Most men with whom I talked about premature ejaculation, were passionately in love with their partners, they are very sexually brought them. The only problem: they have lost confidence in their ability to meet them and for whatever reason, feel that it is impossible to return it.
«Sometimes I manage to achieve erection, and then I think: I have been able to do so, I have achieved erection! I hope that God will help and the erection returns. And I thought about it, just from that simple thought, and remembered again opadaet and the erection goes away. I am ready to burst into tears, believe me ... »
Compression, which makes Belinda to delay orgasm Clyde, was a modified version of «compression technology», developed by Masters and Johnson in the sexual-therapy sessions with men suffering from premature ejaculation. The success was astounding - over eleven years Masters and Johnson cured in St. Louis, Missouri, 186 people, and only 4 cases are not treatable.
As soon as a man close to orgasm, his partner suboccluding barrel index finger just under the base of the penis head, thumb pad exerting strong pressure on the bridle (a thin layer of skin lower holes in the head of the urethra).
Usually a 5-10 seconds of compression to contain ejaculation. This is done to show the man that he could keep and maintain erection for a sufficient period of time.
Those who tried this technique, recognized that the compression was more effective if accompanied by a rotation eregirovannogo penis to 90 degrees when opening the urethra at the head is turned at right angles. Female partners should be aware that male eregirovanny member can be compressed with sufficient force to turn and not being afraid to cause him damage, or cause a feeling of discomfort.
Obviously, there comes a time when a man has WANT finish. Indeed, approaching the stage of imminent ejaculation, he still finished, want to or not.
External signs of the male orgasm is that the man suddenly starts pushing into the vagina partner quickly compress it stronger, but for some fraction of a second before ejaculation is trying to infiltrate its maximum depth.
Since the approximation of orgasm in men, all of its external and internal sexual organs involved in the movement of sperm into the urethra. At this point - the first stage of the male orgasm - all muscles of the pelvis involuntarily reduced; similarly reduced pelvic muscles and women at the time of the female orgasm.
Sperm in the testicles are formed, namely, the tortuosity of seminal canals. All the canals opened in the testis semyavynosyaschy duct, which after a few bends to special bag, called the «ampoule semyavynosyaschego duct». After the connection secernent Protocols to the seminal vesicles, semyavynosyaschie ducts form semyavybrasyvayuschie ducts. In ampoule semen awaiting the moment of ejaculation. Seminal vesicles provide a special liquid, which is connected with the secret of the testicles, sperm is formed.
At the same time as the sperm make their way in the ampoule, prostate begins to shrink rhythmically and allocates chalybeate white liquid, forming the basis of sperm and supports the viability of sperm.
When the seminal vesicles release their secret cells of the sperm at this point are discarded from the bag (ampoules), that mixed with the seminal fluid. This is in the department of the urethra, which passes through the prostate gland. At the same time, onion urethra, which is located above the scrotum, and the increasing strain, in preparation for a final and complete emptying.
For a fraction of a second before ejaculation inside the bladder muscle is severely straining, preventing sperm from penetrating into the bladder, and indicate that the ejaculation, in principle, only one way - by maximizing the pressure and compression. Voltage internal bladder muscle also prevents the allocation of urine at the time of sexual intercourse.
Then the exterior muscles of the bladder relax, while all other muscles of the pelvis remain strained. Scientists have yet to be fully apprised of the nature of this reflex, but importantly, it allows semen to get from the prostate through the urethra in the department increased the flesh grounds of the penis. You can compare this pear flesh with a rubber syringe or pears old car horn.
When the bulb is filled with fluid, she drastically reduced, and the semen - sperm-jets ejected from the penis. At the same time, decreasing muscle and perineum, promoting stronger orgasm.
Strength spasm is that if a jet of sperm has no way of obstacles, it can izvergnutsya over a distance of 60 cm, and sometimes more.
Spastic reduction of internal genital organs of men lasted about 3-4 seconds, no more than once per second.
Sunday, March 15, 2009
Generic Viagra and Cialis
Freedom from impotence ... And even much more? Generic Viagra!
Generic Viagra gives excellent results in the treatment of specific violations of erection, which are non-circles are generally referred to as impotence - conditions such as a man unable to reach a full erection or maintain it long enough to achieve the sexual satisfaction of the time. Generic Viagra can help.
However, considerable interest is the question whether Generic Viagra is able to influence the sexual ability of men who already do not complain about the erection? Can Generic Viagra diversify their sex life, making the penis stronger erection time - longer, and satisfaction with orgasm and fully saturated? In addition, the latest data is that the Generic Viagra help women - while taking Generic Viagra them increases sexual excitement.
By the way, we suggest a new "Men's Health!
Generic Cialis.
* Clinically proven efficacy and safety of any etiology and severity of erectile dysfunction.
* Duration of up to 36 hours - a return to natural sexuality.
* The effect is manifested only in response to sexual stimulation.
* The effect is not dependent on the meal - no need to change their traditional way of life.
Suction.
After ingestion tadalafil quickly absorbed. The average maximum concentration (Cmax) in plasma is reached after an average of 2 hours after ingestion.
The speed and extent of absorption tadalafil do not depend on food intake, so Generic Cialis drug can be taken irrespective of food intake. Hours (morning or evening) had no clinically meaningful effect on the rate and extent of absorption.
Pharmacokinetics tadalafil in healthy persons is linear with respect to time and dose. At doses ranging from 2.5 to 20 mg of the area under the curve concentration-time "(AUC) increases proportionally to the dose. Equilibrium concentrations in plasma are reached within 5 days while taking the drug once a day.
Pharmacokinetics tadalafil in patients with dysfunction of erection is similar to drug pharmacokinetics in patients without violating the functions of erection.
Dosing and Administration.
For the reception inside.
The use of men of middle age.
Generic Cialis recommended dose is 20 mg. Generic Cialis take before the alleged sexual activity, regardless of the meal. The drug should be taken at least 16 minutes prior to sexual activity.
Patients may attempt to perform sexual acts at any time within 36 hours after taking the medication in order to determine the optimal response time to receive the drug.
The maximum recommended frequency of admission - once a day.
The use of older men.
For elderly patients a special selection of doses of Generic Viagra is not required. Recommendations for the reception, described in the section "Use of middle-aged men" apply to elderly patients.
The application for men with impaired function of the kidneys and liver.
For patients with impaired renal function (creatine clearance 30 ml / min) and a special selection of the liver doses of Generic Viagra is not required.
Cautions.
Sexual activity is a potential risk for patients with cardiovascular diseases. Therefore, treatment of erectile dysfunction, including the use of the drug Generic Cialis, should not men with heart disease, in which sexual activity is not recommended.
It should take into account the potential risk of complications of sexual activity in patients with cardiovascular diseases:
* Myocardial infarction in the last 90 days
* Unstable angina, or angina that occurred during sexual intercourse
* Heart failure class 2 and higher NYHA, developed over the last 6 months
* Non-breach of the heart rate, hypotension (blood pressure of <90/50 mm Hg. St.), Or uncontrolled hypertension
* Stroke, forward over the last 6 months
The impact on the ability of driving and working with machinery.
No special requirements.
Generic Viagra gives excellent results in the treatment of specific violations of erection, which are non-circles are generally referred to as impotence - conditions such as a man unable to reach a full erection or maintain it long enough to achieve the sexual satisfaction of the time. Generic Viagra can help.
However, considerable interest is the question whether Generic Viagra is able to influence the sexual ability of men who already do not complain about the erection? Can Generic Viagra diversify their sex life, making the penis stronger erection time - longer, and satisfaction with orgasm and fully saturated? In addition, the latest data is that the Generic Viagra help women - while taking Generic Viagra them increases sexual excitement.
By the way, we suggest a new "Men's Health!
Generic Cialis.
* Clinically proven efficacy and safety of any etiology and severity of erectile dysfunction.
* Duration of up to 36 hours - a return to natural sexuality.
* The effect is manifested only in response to sexual stimulation.
* The effect is not dependent on the meal - no need to change their traditional way of life.
Suction.
After ingestion tadalafil quickly absorbed. The average maximum concentration (Cmax) in plasma is reached after an average of 2 hours after ingestion.
The speed and extent of absorption tadalafil do not depend on food intake, so Generic Cialis drug can be taken irrespective of food intake. Hours (morning or evening) had no clinically meaningful effect on the rate and extent of absorption.
Pharmacokinetics tadalafil in healthy persons is linear with respect to time and dose. At doses ranging from 2.5 to 20 mg of the area under the curve concentration-time "(AUC) increases proportionally to the dose. Equilibrium concentrations in plasma are reached within 5 days while taking the drug once a day.
Pharmacokinetics tadalafil in patients with dysfunction of erection is similar to drug pharmacokinetics in patients without violating the functions of erection.
Dosing and Administration.
For the reception inside.
The use of men of middle age.
Generic Cialis recommended dose is 20 mg. Generic Cialis take before the alleged sexual activity, regardless of the meal. The drug should be taken at least 16 minutes prior to sexual activity.
Patients may attempt to perform sexual acts at any time within 36 hours after taking the medication in order to determine the optimal response time to receive the drug.
The maximum recommended frequency of admission - once a day.
The use of older men.
For elderly patients a special selection of doses of Generic Viagra is not required. Recommendations for the reception, described in the section "Use of middle-aged men" apply to elderly patients.
The application for men with impaired function of the kidneys and liver.
For patients with impaired renal function (creatine clearance 30 ml / min) and a special selection of the liver doses of Generic Viagra is not required.
Cautions.
Sexual activity is a potential risk for patients with cardiovascular diseases. Therefore, treatment of erectile dysfunction, including the use of the drug Generic Cialis, should not men with heart disease, in which sexual activity is not recommended.
It should take into account the potential risk of complications of sexual activity in patients with cardiovascular diseases:
* Myocardial infarction in the last 90 days
* Unstable angina, or angina that occurred during sexual intercourse
* Heart failure class 2 and higher NYHA, developed over the last 6 months
* Non-breach of the heart rate, hypotension (blood pressure of <90/50 mm Hg. St.), Or uncontrolled hypertension
* Stroke, forward over the last 6 months
The impact on the ability of driving and working with machinery.
No special requirements.
Monday, March 9, 2009
Viafra FAQ
What is Viagra?
Viagra is a proven and safe medicine which improves male sexual function, helping to live a full sexual life.
Viagra is a sexual stimulant?
No, Viagra - IT'S NOT stimulant. Everything comes naturally. Viagra is valid precisely when it is necessary, but not when it is not necessary.
What mechanism of action of Viagra?
Receiving Viagra leads to the expansion of arteries and a large influx of blood into the penis. Viagra has shown its effect in the presence of sexual initiation when his no-erection does not arise. At the end of sexual intercourse erection of the penis is naturally terminated. Effects of Viagra is not associated with effects on libido or hormones.
How effective Viagra?
Viagra improves erection in 76% of cases.
Does Viagra Improves ability for sexual intercourse?
Yes. When using Viagra the number of successful acts to six per month. 89% of partners of the improvement of erection while taking Viagra.
Is there Viagra in severe Erectile Dysfunction?
Yes, up to 60% of men with severe violations of erection while taking Viagra erection was evaluated as good or excellent.
What are the results of long-term care insurance?
97% of men taking Viagra during 2let and more, the improvement in erection.
I once took Viagra, but it did not act. Does this mean that I'm not fit?
Most men Viagra is valid after the first or second reception. The best effect is observed after the third or fourth reception, so it is very important to continue treatment. Of course, you should follow your doctor's recommendations on the use of Viagra.
How fast starts and how long Viagra work?
Effects of Viagra starts in 30 minutes and lasts for at least 4chasa after admission.
I heard that Viagra bad influences on the heart.
These clinical studies (the use of Viagra in the period> 11,000 patient-years, placebo-> 700 patient-years) confirmed the absence of increased risk of cardiovascular disease due to receive Viagra.
How often can I take Viagra?
Not more than once a day.
What are the contraindications for the reception of Viagra?
The existence of some serious diseases in which sexual activity is contraindicated: unstable angina, severe heart failure, severe hepatic failure, hypotension, recent stroke or transferred myocardial infarction, retinal pigmentation, hypersensitivity to sildenafilu or another component of Viagra.
Your doctor may prescribe a specialty Viagra?
The doctor of any specialty, but first and foremost, an oncologist, sexual, andrologist, endocrinologist and cardiologist.
How does Viagra to healthy people?
The company Pfizer is not investigated and does not intend to investigate the effect of Viagra in healthy people. Manufacturer Pfizer has developed this drug for the treatment of severe and sufficiently expressed pathological conditions. It is on this basis, the company has filed an application in the Office of Food and Drug U.S. and the European Office of Evaluation and Monitoring.
Tests on healthy individuals involve planning the sale of the drug healthy people. According to company representatives, company Pfizer has no plans to do so. Viagra is intended for people suffering from erection problems.
How to define sexual norms?
Otherwise the matter can be formulated as follows: if the so-called healthy people are taking Viagra and feel the improvement, they really can be considered healthy?
Healthy is considered the one who has the erection occurs and persists, allowing him to engage in sexual intercourse and successfully complete them. Since Viagra suffering from Erectile Dysfunction returns to normal, or at least, provides a shift in this direction, it is, by definition, have no effect on those who originally "healthy".
However, if a person claiming to be healthy, take Viagra and found improvement in erection function, the fact he may well suffer some violation of erection, at least temporarily, and it can not be healthy in the exact meaning of the word. Therefore, the media have to say that, by definition, the "healthy" people do not need Viagra, and they did not receive any benefit from it.
Does Viagra Increases sexual interest?
Effects of Viagra is based only on improving the local blood flow in the cavernous body of penis, and it is strengthening the sexual attraction. It does not increase libido and is not an "exciting" tool. Viagra merely suppresses the effect of an enzyme that affects blood flow to the penis. And its actions are necessary for sexual excitement. In short, it promotes a natural body response to sexual stimulation. Clinical studies show a lack of attraction to enhance the group of patients receiving treatment for drug Viagra when compared with a control group of patients of the same age who took placebo without Viagra.
Do husbands wife hope to return the youth?
We recommend that you first find out the attitude of doctors to treat the patient directly with him and only then, if necessary, with his sexual partners. However, the results of clinical trials have shown that in normal circumstances, Viagra improves the quality of sexual partners of patients taking the drug. Moreover, we know that in many countries, oddly enough, wives are often the first to go to the doctor. And in the U.S. 80 percent of those suffering from Erectile Dysfunction are discussing this issue with their sexual partners before the start of treatment.
Does Viagra preserve potency, even after drinking?
No data on the interaction with alcohol. However, because alcoholic beverages can hardly be regarded as stimulating sexual activity, they are not encouraged to eat before taking Viagra. They can only impede the achievement of goals and, perhaps, in proportion to the amount drunk.
Acceptance of alcohol may lead to a temporary inability to achieve erection. To get the maximum benefit from the medication, before taking Viagra is not recommended to use a large amount of alcohol.
If Viagra is safe and effective, why not sell it without prescription?
Yes, clinical trials have proven the safety of Viagra. However, expression of a known drug interactions, especially with nitrates used in the treatment of heart disease. It is therefore very important that Viagra the doctor ordered, thoroughly familiar with the history of the patient.
As it interacts with other drugs?
In clinical trials found a negligible interaction with other drugs or a complete lack of it. However, exceptions to this rule are the nitrates, which are primarily used for treating heart disease. That is why Viagra is contraindicated to patients receiving treatment with nitrates. The risk represents a significant potential drop in blood pressure - hypotension.
Viagra should not be taken with nitroglycerin, and nitroglycerin products containing short and long-term actions. You can not take it with drugs, nitric oxide donor, for example, molsidominom (Korvaton, Sidnofarm) and sodium nitroprusside. These drugs are used to treat angina.
Do not take Viagra with other funds intended for the treatment of Erectile Dysfunction.
If you are not sure whether taking these medicines, contact your doctor.
What are the long-term side effects from Viagra?
During the last five years, Pfizer conducted clinical trials, involving patients who received Viagra Duration - up to three years. With proper use of the drug, there was no data indicating a risk of its application. There was only mild and transient side-effects, not heavy and not prolonged.
Viagra can cause some adverse reactions. Usually they are slightly or moderately expressed and last short: sometimes a headache, redness of face, heartburn, nasal mortgaged.
If you have unwanted reactions notify your doctor.
More than 90 clinical studies that involved more than 8000 patients have confirmed the efficacy and safety of the drug if it is applied in accordance with the instruction.
Does not affect whether Viagra's ability to bear children?
Viagra itself has no effect on the ability to bear children. However, in cases where violations of erection impede conception among couples of childbearing age, Viagra may be useful.
As far as Viagra is effective for women?
Viagra is designed for men. There have been pilot studies and is currently recruiting volunteers for future research. However, so far no results of these studies. Studies of women with sexual dysfunction are more complex than studies of men. For them there is no established methodology.
Are there any age limits for admission Viagra?
Viagra does not appoint a person under the age of 18.
Viagra is a natural (vegetable) or synthetic product?
The active component of Viagra, sildenafil is a synthetic substance.
What Form of Viagra?
Viagra is available in packages of 1tabletke on 50ili 100mg; on 4tabletki on 50ili 100mg. There are also other forms of supply of Viagra.
Which company manufactures Viagra?
Viagra was developed and produced the world's largest pharmaceutical company Pfizer. Opening mechanisms of the scientists who showed the way for the creation of Viagra, was awarded the Nobel Prize in Medicine. At the present time, other pharmaceutical companies began to produce cheaper and equally effective generic form of Viagra. Frames form the composition is identical to Viagra, manufactured by other brands, or as the beginning of the current - Sildenafila and are much cheaper, because advertising expenses in the proportion of the cost of generic forms of drugs are usually much lower.
- Much of the drugs supplied by the world market for pharmaceutical companies - so-called generic forms. They have exactly the same effect as drugs sold under a brand name, given him the inventor of the drug because they are absolutely identical composition. Stojat such drugs are usually cheaper, because firms do not have to have to invest big money in an advertising campaign to promote the drug.
Viagra is a proven and safe medicine which improves male sexual function, helping to live a full sexual life.
Viagra is a sexual stimulant?
No, Viagra - IT'S NOT stimulant. Everything comes naturally. Viagra is valid precisely when it is necessary, but not when it is not necessary.
What mechanism of action of Viagra?
Receiving Viagra leads to the expansion of arteries and a large influx of blood into the penis. Viagra has shown its effect in the presence of sexual initiation when his no-erection does not arise. At the end of sexual intercourse erection of the penis is naturally terminated. Effects of Viagra is not associated with effects on libido or hormones.
How effective Viagra?
Viagra improves erection in 76% of cases.
Does Viagra Improves ability for sexual intercourse?
Yes. When using Viagra the number of successful acts to six per month. 89% of partners of the improvement of erection while taking Viagra.
Is there Viagra in severe Erectile Dysfunction?
Yes, up to 60% of men with severe violations of erection while taking Viagra erection was evaluated as good or excellent.
What are the results of long-term care insurance?
97% of men taking Viagra during 2let and more, the improvement in erection.
I once took Viagra, but it did not act. Does this mean that I'm not fit?
Most men Viagra is valid after the first or second reception. The best effect is observed after the third or fourth reception, so it is very important to continue treatment. Of course, you should follow your doctor's recommendations on the use of Viagra.
How fast starts and how long Viagra work?
Effects of Viagra starts in 30 minutes and lasts for at least 4chasa after admission.
I heard that Viagra bad influences on the heart.
These clinical studies (the use of Viagra in the period> 11,000 patient-years, placebo-> 700 patient-years) confirmed the absence of increased risk of cardiovascular disease due to receive Viagra.
How often can I take Viagra?
Not more than once a day.
What are the contraindications for the reception of Viagra?
The existence of some serious diseases in which sexual activity is contraindicated: unstable angina, severe heart failure, severe hepatic failure, hypotension, recent stroke or transferred myocardial infarction, retinal pigmentation, hypersensitivity to sildenafilu or another component of Viagra.
Your doctor may prescribe a specialty Viagra?
The doctor of any specialty, but first and foremost, an oncologist, sexual, andrologist, endocrinologist and cardiologist.
How does Viagra to healthy people?
The company Pfizer is not investigated and does not intend to investigate the effect of Viagra in healthy people. Manufacturer Pfizer has developed this drug for the treatment of severe and sufficiently expressed pathological conditions. It is on this basis, the company has filed an application in the Office of Food and Drug U.S. and the European Office of Evaluation and Monitoring.
Tests on healthy individuals involve planning the sale of the drug healthy people. According to company representatives, company Pfizer has no plans to do so. Viagra is intended for people suffering from erection problems.
How to define sexual norms?
Otherwise the matter can be formulated as follows: if the so-called healthy people are taking Viagra and feel the improvement, they really can be considered healthy?
Healthy is considered the one who has the erection occurs and persists, allowing him to engage in sexual intercourse and successfully complete them. Since Viagra suffering from Erectile Dysfunction returns to normal, or at least, provides a shift in this direction, it is, by definition, have no effect on those who originally "healthy".
However, if a person claiming to be healthy, take Viagra and found improvement in erection function, the fact he may well suffer some violation of erection, at least temporarily, and it can not be healthy in the exact meaning of the word. Therefore, the media have to say that, by definition, the "healthy" people do not need Viagra, and they did not receive any benefit from it.
Does Viagra Increases sexual interest?
Effects of Viagra is based only on improving the local blood flow in the cavernous body of penis, and it is strengthening the sexual attraction. It does not increase libido and is not an "exciting" tool. Viagra merely suppresses the effect of an enzyme that affects blood flow to the penis. And its actions are necessary for sexual excitement. In short, it promotes a natural body response to sexual stimulation. Clinical studies show a lack of attraction to enhance the group of patients receiving treatment for drug Viagra when compared with a control group of patients of the same age who took placebo without Viagra.
Do husbands wife hope to return the youth?
We recommend that you first find out the attitude of doctors to treat the patient directly with him and only then, if necessary, with his sexual partners. However, the results of clinical trials have shown that in normal circumstances, Viagra improves the quality of sexual partners of patients taking the drug. Moreover, we know that in many countries, oddly enough, wives are often the first to go to the doctor. And in the U.S. 80 percent of those suffering from Erectile Dysfunction are discussing this issue with their sexual partners before the start of treatment.
Does Viagra preserve potency, even after drinking?
No data on the interaction with alcohol. However, because alcoholic beverages can hardly be regarded as stimulating sexual activity, they are not encouraged to eat before taking Viagra. They can only impede the achievement of goals and, perhaps, in proportion to the amount drunk.
Acceptance of alcohol may lead to a temporary inability to achieve erection. To get the maximum benefit from the medication, before taking Viagra is not recommended to use a large amount of alcohol.
If Viagra is safe and effective, why not sell it without prescription?
Yes, clinical trials have proven the safety of Viagra. However, expression of a known drug interactions, especially with nitrates used in the treatment of heart disease. It is therefore very important that Viagra the doctor ordered, thoroughly familiar with the history of the patient.
As it interacts with other drugs?
In clinical trials found a negligible interaction with other drugs or a complete lack of it. However, exceptions to this rule are the nitrates, which are primarily used for treating heart disease. That is why Viagra is contraindicated to patients receiving treatment with nitrates. The risk represents a significant potential drop in blood pressure - hypotension.
Viagra should not be taken with nitroglycerin, and nitroglycerin products containing short and long-term actions. You can not take it with drugs, nitric oxide donor, for example, molsidominom (Korvaton, Sidnofarm) and sodium nitroprusside. These drugs are used to treat angina.
Do not take Viagra with other funds intended for the treatment of Erectile Dysfunction.
If you are not sure whether taking these medicines, contact your doctor.
What are the long-term side effects from Viagra?
During the last five years, Pfizer conducted clinical trials, involving patients who received Viagra Duration - up to three years. With proper use of the drug, there was no data indicating a risk of its application. There was only mild and transient side-effects, not heavy and not prolonged.
Viagra can cause some adverse reactions. Usually they are slightly or moderately expressed and last short: sometimes a headache, redness of face, heartburn, nasal mortgaged.
If you have unwanted reactions notify your doctor.
More than 90 clinical studies that involved more than 8000 patients have confirmed the efficacy and safety of the drug if it is applied in accordance with the instruction.
Does not affect whether Viagra's ability to bear children?
Viagra itself has no effect on the ability to bear children. However, in cases where violations of erection impede conception among couples of childbearing age, Viagra may be useful.
As far as Viagra is effective for women?
Viagra is designed for men. There have been pilot studies and is currently recruiting volunteers for future research. However, so far no results of these studies. Studies of women with sexual dysfunction are more complex than studies of men. For them there is no established methodology.
Are there any age limits for admission Viagra?
Viagra does not appoint a person under the age of 18.
Viagra is a natural (vegetable) or synthetic product?
The active component of Viagra, sildenafil is a synthetic substance.
What Form of Viagra?
Viagra is available in packages of 1tabletke on 50ili 100mg; on 4tabletki on 50ili 100mg. There are also other forms of supply of Viagra.
Which company manufactures Viagra?
Viagra was developed and produced the world's largest pharmaceutical company Pfizer. Opening mechanisms of the scientists who showed the way for the creation of Viagra, was awarded the Nobel Prize in Medicine. At the present time, other pharmaceutical companies began to produce cheaper and equally effective generic form of Viagra. Frames form the composition is identical to Viagra, manufactured by other brands, or as the beginning of the current - Sildenafila and are much cheaper, because advertising expenses in the proportion of the cost of generic forms of drugs are usually much lower.
- Much of the drugs supplied by the world market for pharmaceutical companies - so-called generic forms. They have exactly the same effect as drugs sold under a brand name, given him the inventor of the drug because they are absolutely identical composition. Stojat such drugs are usually cheaper, because firms do not have to have to invest big money in an advertising campaign to promote the drug.
Wednesday, March 4, 2009
Viagra
Freedom of impotence ... And much more? Viagra!
Viagra gives excellent results in the treatment of specific violations of erection, which are not circles are generally referred to as impotence - conditions such as a man unable to achieve or maintain an erection long enough to complete and achieve the sexual satisfaction of the season. Viagra can help.
However, great interest is the question of whether Viagra is able to influence the sexual ability of men who no longer complain about the erection? Viagra can diversify your sexual life, making the penis stronger erection time - longer, and satisfaction with orgasm and fully saturated? In addition, more recent data is that the Viagra help women - while they take Viagra increases sexual arousal.
By the way, we suggest a new "Men's Health!
Sial.
* Clinically proven efficacy and safety of any etiology and severity of erectile dysfunction.
* Duration of up to 36 hours - a return to natural sexuality.
* The effect is manifested only in response to sexual stimulation.
* The effect is not dependent on the meal - no need to change their traditional way of life.
Suction.
After ingestion tadalafil quickly absorbed. The mean maximum concentration (Cmax) in plasma is reached after an average of 2 hours after ingestion.
The speed and extent of tadalafil absorption does not depend on food intake, so SIAL drug can be taken irrespective of food intake. Hours (morning or afternoon) had no clinically significant effect on the rate and extent of absorption.
Tadalafil pharmacokinetics in healthy people is linear with respect to time and dose. In doses ranging from 2.5 to 20 mg of the area under the concentration-time curve (AUC) increase proportionally to dose. Equilibrium concentrations in plasma are reached within 5 days, while the drug once a day.
Tadalafil pharmacokinetics in patients with dysfunction of erection is similar to drug pharmacokinetics in patients without violating the functions of erection.
Dosage and Administration.
For the reception inside.
The use of men of middle age.
SIAL recommended dose is 20 mg. SIAL taken before the alleged sexual activity, regardless of meals. The product should be taken at least 16 minutes before sexual activity.
Patients may try to perform sexual acts at any time within 36 hours after taking the medication to determine the optimal response time to receive the drug.
The maximum recommended frequency of admission - once a day.
The use of older men.
For elderly patients a special selection of doses of Viagra is not necessary. Recommendations for the reception, described in "Use of middle-aged men" apply to elderly patients.
The application for men with inadequate function of the kidneys and liver.
For patients with renal failure (creatine clearance 30 ml / min) and a special selection of the liver doses of Viagra is not necessary.
Care.
Sexual activity is a potential risk for patients with cardiovascular diseases. Therefore, the treatment of erectile dysfunction, including the drug Sial, should not men with heart disease, in which sexual activity is not recommended.
Should take into account the potential risk of complications of sexual activity in patients with cardiovascular disease:
* Myocardial infarction in the last 90 days
* The unstable angina or angina occurring during sexual intercourse
* Heart failure NYHA class 2 and above, developed over the last 6 months
* Non-infringement of heart rate, hypotension (blood pressure <90/50 mm Hg. St.), or uncontrolled hypertension
* Stroke, in front over the last 6 months
The impact on driving ability and working with machinery.
No special requirements.
Viagra gives excellent results in the treatment of specific violations of erection, which are not circles are generally referred to as impotence - conditions such as a man unable to achieve or maintain an erection long enough to complete and achieve the sexual satisfaction of the season. Viagra can help.
However, great interest is the question of whether Viagra is able to influence the sexual ability of men who no longer complain about the erection? Viagra can diversify your sexual life, making the penis stronger erection time - longer, and satisfaction with orgasm and fully saturated? In addition, more recent data is that the Viagra help women - while they take Viagra increases sexual arousal.
By the way, we suggest a new "Men's Health!
Sial.
* Clinically proven efficacy and safety of any etiology and severity of erectile dysfunction.
* Duration of up to 36 hours - a return to natural sexuality.
* The effect is manifested only in response to sexual stimulation.
* The effect is not dependent on the meal - no need to change their traditional way of life.
Suction.
After ingestion tadalafil quickly absorbed. The mean maximum concentration (Cmax) in plasma is reached after an average of 2 hours after ingestion.
The speed and extent of tadalafil absorption does not depend on food intake, so SIAL drug can be taken irrespective of food intake. Hours (morning or afternoon) had no clinically significant effect on the rate and extent of absorption.
Tadalafil pharmacokinetics in healthy people is linear with respect to time and dose. In doses ranging from 2.5 to 20 mg of the area under the concentration-time curve (AUC) increase proportionally to dose. Equilibrium concentrations in plasma are reached within 5 days, while the drug once a day.
Tadalafil pharmacokinetics in patients with dysfunction of erection is similar to drug pharmacokinetics in patients without violating the functions of erection.
Dosage and Administration.
For the reception inside.
The use of men of middle age.
SIAL recommended dose is 20 mg. SIAL taken before the alleged sexual activity, regardless of meals. The product should be taken at least 16 minutes before sexual activity.
Patients may try to perform sexual acts at any time within 36 hours after taking the medication to determine the optimal response time to receive the drug.
The maximum recommended frequency of admission - once a day.
The use of older men.
For elderly patients a special selection of doses of Viagra is not necessary. Recommendations for the reception, described in "Use of middle-aged men" apply to elderly patients.
The application for men with inadequate function of the kidneys and liver.
For patients with renal failure (creatine clearance 30 ml / min) and a special selection of the liver doses of Viagra is not necessary.
Care.
Sexual activity is a potential risk for patients with cardiovascular diseases. Therefore, the treatment of erectile dysfunction, including the drug Sial, should not men with heart disease, in which sexual activity is not recommended.
Should take into account the potential risk of complications of sexual activity in patients with cardiovascular disease:
* Myocardial infarction in the last 90 days
* The unstable angina or angina occurring during sexual intercourse
* Heart failure NYHA class 2 and above, developed over the last 6 months
* Non-infringement of heart rate, hypotension (blood pressure <90/50 mm Hg. St.), or uncontrolled hypertension
* Stroke, in front over the last 6 months
The impact on driving ability and working with machinery.
No special requirements.
buy ed generic drugs
Monday, March 2, 2009
INDICATIONS AND USAGE
Viagra used to treat erectile dysfunction.
CONTRAINDICATIONS
Consistent with its known effects on the nitric oxide / cGMP path, Viagra has shown potential hypotensive effects of nitrates and its administration to patients using organic nitrates, either regularly and / or intermittently, in any form, by rioja therefore, is contraindicated.
After the patients had Viagra, it is unknown when nitrates, if necessary, can be managed. Based on the pharmacokinetic profiles of a single 100 mg oral dose to normal healthy volunteers, plasma levels of sildenafil at 24 hours after a dose of 2 ng / ml (compared to peak plasma levels of approximately 440 ng / ml). In the following patients: age> 65 years, liver disorders (eg, cirrhosis), severe kidney damage (eg, creatinine clearance <30 ml / min) and concomitant use of potent cytochrome P450 3A4 inhibitors (erythromycin ), plasma levels of sildenafil at 24 hours after the dose were 3 to 8 times higher than in healthy volunteers. Although plasma levels of sildenafil at 24 hours after the dose is significantly below the maximum concentration, it is unknown whether nitrates can be safely coadministered at this time.
Viagra is contraindicated in patients with known hypersensitivity to any component of the tablets.
WARNINGS
There is a potential risk to the heart of sexual activity in patients with preexisting cardiovascular disease. Therefore, for the treatment of erectile dysfunction, including Viagra should not be used in general, men for whom sexual activity is not desirable, because their major cardiovascular condition.
Viagra has systemic vasodilatory properties, resulting in a temporary reduction in blood pressure in supine healthy volunteers (mean maximum reduction of 8.4/5.5 mm Hg). While this usually has little consequence in most patients, prior to the appointment of Viagra, doctors should carefully consider whether their patients with cardiovascular disease, can adversely affect such vasodilatory effects, especially in combination with sexual activity.
Patients with these conditions may be particularly sensitive to the actions of vasodilators including Viagra - those with obstruction of left ventricular outflow (eg, aortic stenosis, idiopathic hypertrophic subaortic stenosis) and those who are severely affected autonomic control blood pressure.
There are no controlled clinical data on safety and efficacy of Viagra in the following groups, if any, should be done with caution.
• Patients who have suffered a heart attack, stroke, or life-threatening arrhythmia in the past 6 months;
• Patients with hypotension rest (AD 170/110);
• In patients with heart failure and coronary artery disease causing unstable angina;
• Patients with retinitis pigmentosa (a minority of these patients have genetic diseases retinal phosphodiesterases).
Prolonged erection over 4 hours and priapism (painful for more than 6 hours in duration) have been reported infrequently since market approval of Viagra. For the installation, which is already more than 4 hours, the patient should seek immediate medical attention. If priapism is not treated immediately, damage to the penile tissues and permanent loss of potency may result.
Concomitant administration of protease inhibitor ritonavir increases serum concentrations of sildenafil (11 times the AUC). If Viagra is assigned to patients taking ritonavir, caution should be used. These subjects exposed to high systemic levels of Sildenafil limited. Visual disturbances occurred more commonly at higher levels of sildenafil effects. Reduction of blood pressure, syncope, and prolonged erection were reported in some healthy volunteers exposed to high doses of sildenafil (200-800 mg). To reduce the risk of adverse reactions in patients taking ritonavir, a decrease Sildenafil dose.
CONTRAINDICATIONS
Consistent with its known effects on the nitric oxide / cGMP path, Viagra has shown potential hypotensive effects of nitrates and its administration to patients using organic nitrates, either regularly and / or intermittently, in any form, by rioja therefore, is contraindicated.
After the patients had Viagra, it is unknown when nitrates, if necessary, can be managed. Based on the pharmacokinetic profiles of a single 100 mg oral dose to normal healthy volunteers, plasma levels of sildenafil at 24 hours after a dose of 2 ng / ml (compared to peak plasma levels of approximately 440 ng / ml). In the following patients: age> 65 years, liver disorders (eg, cirrhosis), severe kidney damage (eg, creatinine clearance <30 ml / min) and concomitant use of potent cytochrome P450 3A4 inhibitors (erythromycin ), plasma levels of sildenafil at 24 hours after the dose were 3 to 8 times higher than in healthy volunteers. Although plasma levels of sildenafil at 24 hours after the dose is significantly below the maximum concentration, it is unknown whether nitrates can be safely coadministered at this time.
Viagra is contraindicated in patients with known hypersensitivity to any component of the tablets.
WARNINGS
There is a potential risk to the heart of sexual activity in patients with preexisting cardiovascular disease. Therefore, for the treatment of erectile dysfunction, including Viagra should not be used in general, men for whom sexual activity is not desirable, because their major cardiovascular condition.
Viagra has systemic vasodilatory properties, resulting in a temporary reduction in blood pressure in supine healthy volunteers (mean maximum reduction of 8.4/5.5 mm Hg). While this usually has little consequence in most patients, prior to the appointment of Viagra, doctors should carefully consider whether their patients with cardiovascular disease, can adversely affect such vasodilatory effects, especially in combination with sexual activity.
Patients with these conditions may be particularly sensitive to the actions of vasodilators including Viagra - those with obstruction of left ventricular outflow (eg, aortic stenosis, idiopathic hypertrophic subaortic stenosis) and those who are severely affected autonomic control blood pressure.
There are no controlled clinical data on safety and efficacy of Viagra in the following groups, if any, should be done with caution.
• Patients who have suffered a heart attack, stroke, or life-threatening arrhythmia in the past 6 months;
• Patients with hypotension rest (AD 170/110);
• In patients with heart failure and coronary artery disease causing unstable angina;
• Patients with retinitis pigmentosa (a minority of these patients have genetic diseases retinal phosphodiesterases).
Prolonged erection over 4 hours and priapism (painful for more than 6 hours in duration) have been reported infrequently since market approval of Viagra. For the installation, which is already more than 4 hours, the patient should seek immediate medical attention. If priapism is not treated immediately, damage to the penile tissues and permanent loss of potency may result.
Concomitant administration of protease inhibitor ritonavir increases serum concentrations of sildenafil (11 times the AUC). If Viagra is assigned to patients taking ritonavir, caution should be used. These subjects exposed to high systemic levels of Sildenafil limited. Visual disturbances occurred more commonly at higher levels of sildenafil effects. Reduction of blood pressure, syncope, and prolonged erection were reported in some healthy volunteers exposed to high doses of sildenafil (200-800 mg). To reduce the risk of adverse reactions in patients taking ritonavir, a decrease Sildenafil dose.
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