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viagra online sales india viagra 100 mg The risk of developing heart attacks or abnormal heart rhythms during sex is low in men with well-controlled hypertension, mild disease of the heart valves, well-controlled heart failure, mild and stable angina (with a favorable treadmill stress test), successful coronary stenting or bypass surgery, and a remote history of heart attack (more than eight weeks previously). Sildenafil can be used safely in men in these low-risk groups. Penile injections: The injection of drugs such as alprostadil directly into the tissues of the penis to trigger an erection was more common before the advent of new drugs such as sildenafil. The drugs relax muscles and increase blood flow to create an erection. They are also available as pellets to insert in to the urethra (the opening at the tip of the penis). viagra online coupon viagra information Find cheapest cialis How Are Male Sexual Problems Diagnosed? To diagnose a man's sexual problem, the doctor likely will begin with a thorough history of symptoms and a physical exam. He or she may order other tests to rule out any medical problems that may be contributing to the dysfunction. The doctor may refer you to other health professionals, including a urologist (a doctor specializing in the urinary tract and male reproductive system), sex therapist, and other counselors. Understanding Male Sexual Problems -- Symptoms: The symptoms of male sexual problems include: Lack of sexual desire, sexual fantasies, or interest in sexual contact, Inability to have or maintain any erection, Inability to have or maintain an erection sufficient for sexual functioning, Inability to reach an orgasm despite adequate sexual stimulation and signs of arousal, Ability to achieve orgasm only after an unusually lengthy period of stimulation, Ability to achieve orgasm only during masturbation or during oral sex, Ability to achieve orgasm only in situations that are considered bizarre or taboo, such as fetishes, Difficulty controlling the timing of orgasm and ejaculation, so that it occurs very early in sexual contact, leaving the other partner dissatisfied, Lack of ejaculation, Persistent erection, unassociated with sexual desire, Bloody ejaculation, which can be frightening but is usually not serious. Treatment depends on the cause. Exercise, particularly aerobic exercise is an effective treatment for erectile dysfunction.[20][better source needed] Find cheapest cialis viagra online generic india viagra online Sildenafil is available as oral tablets at doses of 25, 50, and 100 mg. It should be taken approximately one hour before sexual activity. In some men, the onset of action of the drug may be as early as 11-20 minutes. Sildenafil should be taken on an empty stomach for best results since absorption and effectiveness of sildenafil can be diminished if it is taken shortly after a meal, particularly a meal that is high in fat. Nocturnal penile tumescence (NPT) - It is normal for a man to have five to six erections during sleep, especially during rapid eye movement (REM). Their absence may indicate a problem with nerve function or blood supply in the penis. There are two methods for measuring changes in penile rigidity and circumference during nocturnal erection: snap gauge and strain gauge. A significant proportion of men who have no sexual dysfunction nonetheless do not have regular nocturnal erections. cialis 20 mg online pharmacy canadian cialis online

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