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There have been rare reports of priapism (prolonged and painful erections lasting more than 6 hours) with the use of oral PDE5 inhibitors such as vardenafil, sildenafil and tadalafil. Patients with blood cell diseases such as sickle cell anemia, leukemia, and multiple myeloma have higher than normal risks of developing priapism. Priapism untreated can cause injury to the penis tissue and lead to permanent loss of potency. If there is prolonged erection (longer than 4 hours), immediate medical assistance should be sought.
84 percent of women say they are satisfied with the size of their partner's penis
Yet Taylor recommends that pregnant women and children in particular avoid BPA. Well-controlled animal studies have shown the chemical is linked to reproductive harm that may be irreversible during critical stages of development. In response to such concerns, some countries have banned the sale of baby bottles made with BPA.
Article Date: 21 Jan 2010 - 1:00 PST
Watchful waiting means a "wait-and-see" approach. A single episode of an erection problem is often a temporary and easily reversible problem. Do not assume it will happen again. If possible, forget about it and expect a more successful experience the next time. If you or your partner is concerned about it, talk about the problem and openly discuss your fears and anxieties.
Vacuum devices As a relatively inexpensive method for producing an erection, vacuum devices to draw blood into the penis have been used for many years. These are plastic cylinders that are placed over the penis. Air is pumped out, causing a partial vacuum. Releasing the vacuum after a few minutes and then reapplying the vacuum sometimes gives a better result. After an erection is obtained, a constricting band is placed at the base of the penis. This technique is effective in 60-90% of patients and maintains the erection for up to 30 minutes. (The erection would last until the constricting band is released, but longer than 30 min is not recommended.)
Currently, only commercially available in Asia, BefarŪ has shown a clinical efficacy of up to 83% in patients with varying degrees of ED. (6) The cream has a onset action of 10-15 minutes and can last 4 hours, and is nearly as effective as the injectable alprostadil. (3, 19)
The results suggest it is likely that the two disorders share common mechanisms, said lead author Xiang Gao, MD, PhD, instructor at Harvard Medical School, associate epidemiologist at Brigham and Women's Hospital and research scientist at the Harvard School of public health in Boston, Mass.
Sexual counseling is the most important part of the treatment for patients with sexual problems. Many professional sexual counselors are skilled in working with patients, but the primary care physician, the urologist, and the gynecologist also serve in this capacity to some degree. These are usually the first professionals to learn about the problem, and they often have to extract the information about the sexual problem from the patient.
The very fact that young males actually think they need this drug is all by itself alarming. But it's even more alarming to realize that Pfizer appears to be doing very little to restrict the sales of Viagra for recreational use.
Erectile dysfunction (ED) is the inability to get and maintain an erection that is sufficient for satisfactory sexual intercourse. ED is also known as impotence.
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In randomized controlled trials, an estimated 60% of men with diabetes, and 80% of men without diabetes experienced improved erections with sildenafil.
Erection begins with sensory or mental stimulation, or both. Impulses from the brain and local nerves cause the muscles of the corpora cavernosa to relax, allowing blood to flow in and fill the spaces. The blood creates pressure in the corpora cavernosa, making the penis expand. The tunica albuginea helps trap the blood in the corpora cavernosa, thereby sustaining erection. When muscles in the penis contract to stop the inflow of blood and open outflow channels, erection is reversed.
The study, funded by the federal government and published in the journal Human Reproduction, is the first to examine the impact of bisphenol A, or BPA, on the reproductive systems of human males. Previous studies have involved mice or rats.
But they said their "results indicate that there is no cumulative damage or effect of clinical significance for either 5 milligrams of tadalafil or 50 milligrams of sildenafil taken daily for six months."
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