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Male sexual dysfunction is one of the most common health problems affecting men and is more common with increasing age. Chronic ED affects about 5% of men in their 40s and 15-25% of men by the age of 65. Transient ED and inadequate erection affect as many as 50% of men between the ages of 40 and 70. In around 95% of the cases, a suitable treatment can be found. Erectile dysfunction is treatable at any age, and awareness of this fact has been growing. More men have been seeking help and returning to normal sexual activity because of improved, successful treatments for erectile dysfunction. Viagra, Levitra and Cialis Currently, there are three oral medications approved by the Food and Drug Administration (FDA) for the treatment of erectile dysfunction: sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). All these agents block the enzyme phosphodiesterase type 5 (PDE-5) and belong to a class of drugs called phosphodiesterase (PDE) inhibitors. Viagra was the first and is probably the most famous of the three PDE-5 inhibitors used to treat erectile dysfunction. Viagra was approved as an effective agent for treating erectile dysfunction in March 27, 1998. Viagra is manufactured by Pfizer, Inc. Levitra was the second PDE-5 inhibitor to come to market in the United States, and it was approved by the FDA in August 19, 2003. Levitra is manufactured by Bayer Pharmaceuticals Corporation. Cialis was the third PDE-5 inhibitor to come to market and was approved by the FDA at the end of November 21, 2003. Cialis is manufactured by Lilly ICOS LLC. The major advantage of PDE-5 inhibitors is that they do not cause an erection at inappropriate times, because they act only in response to sexual stimulation. If there is no sexual stimulation drug remains in the background. All three are taken orally prior to planned sexual activity, acting to increase blood flow in the penis in response to sexual stimulation. However, there are important differences between the three, differences that could influence safety, specificity, duration of action, adverse effects, and ultimately, public acceptance within this class of drug. Mechanism of Action PDE-5 inhibitors do not directly cause an erection of the penis, but they alter the body's response to sexual stimulation by enhancing the effect of the nitric oxide, a chemical that is normally released during stimulation. Nitric oxide causes relaxation of the muscles in the penis, which allows for better blood flow to the penile area. Effectiveness of PDE-5 Inhibitors All 3 PDE-5 inhibitors have demonstrated excellent efficacy. Viagra, at 84%, is slightly more effective than Cialis at 81% and Levitra at 80%. Pharmaceutical Forms, Onset of Action and Duration of Effect Viagra and Levitra differ only minimally in terms of their structure, while Cialis differs markedly from Viagra and Levitra in terms of its molecular structure, which is also reflected in pharmacokinetic differences. Viagra: 25 mg, 50 mg 100 mg tablets Onset of action: 30 minutes (effect delayed if taken with food) Duration of action: 4 to 5 hours Levitra: 2.5 mg, 5 mg, 10 mg, 20 mg tablets Onset of action: 25 minutes (effect delayed by fatty meal) Duration of action: 4 to 5 hours Cialis: 5 mg, 10 mg, 20 mg tablets Onset of action: 16-45 minutes (effect NOT delayed by food) Duration of action: 36 hours All three drugs require sexual stimulation to be effective. Viagra should be taken on an empty stomach it works better if you do not eat a high-fat meal around the time you take it. Levitra may be slightly less effective if you eat a high-fat meal, but a moderate-fat meal does not reduce its effectiveness. Cialis works without regard to what you eat. Viagra and Levitra have similar half-lives, and onset and duration of action. Cialis has a slower onset of action and longer duration of action, which is attributed to its longer half-life. Patients who wish for spontaneity may opt for Cialis, which may allow for successful intercourse up to 36 hours postdose, even though it takes longer to reach peak effect. The considerably longer duration of effect for Cialis will likely allow less frequent dosing and greater impulsiveness between partners, but also could potentially prolong adverse effects. Dosage The recommended dose for Viagra is 50 mg, and the physician may adjust this dose to 100 mg or 25 mg, depending on the patient. The recommended dose for either Levitra or Cialis is 10 mg, and the physician may adjust this dose to 20 mg if 10 mg is insufficient. A lower dose of 5 mg is available for patients who take other medicines or have conditions that may decrease the body's ability to use the drug. Levitra is also available in a 2.5 mg dose. None of these PDE-5 inhibitors should be used more than once a day. Possible Side Effects Although all three drugs are generally well tolerated, side effects are still possible. Most common side effects: Viagra: facial flushing, headache, indigestion Levitra: facial flushing, headache Cialis: headache, indigestion Less Common Side Effects: Viagra: altered vision, dizziness, nasal, congestion Levitra: indigestion, nausea, dizziness, nasal congestion Cialis: back pain, muscle aches, nasal congestion, facial flushing, dizziness Precautions and Contraindications All PDE-5 inhibitors are absolutely contraindicated in persons who take organic nitrates. Alpha-blockers Viagra has precautionary labeling advising against taking 50 mg or 100 mg doses within four hours of taking a alpha-blocker. The 25 mg dose of Viagra has not been shown to significantly decrease blood pressure and in patients who take 25 mg of Viagra, use of any of the alpha-blockers is considered safe. Levitra is contraindicated in patients taking alpha-blockers. Cialis is contraindicated in patients taking alpha-blockers, except for tamsulosin (Flomax). Since both Viagra and Levitra have moderate vasodilatory and hypotensive effects, they should not be given in the presence of marked arterial or orthostatic hypotension, and should only be administered with caution in aortic stenosis or hypertrophic obstructive cardiomyopathy. Men who have had a heart attack or stroke within the past 6 months and those with certain medical conditions (e.g., uncontrolled high blood pressure, severe low blood pressure or liver disease, unstable angina) that make sexual activity inadvisable should not take Cialis. Dosages of the drug should be limited in patients with kidney or liver disorders. Conclusions The differences between the 3 drugs are not great. All appear to be effective and safe. Levitra has less side effects compared to Viagra and lasts about the same time as Viagra in the body. Cialis has few side effects and lasts longer in the body. This allows increased spontaneity and less frequent dosing than either Levitra or Viagra. However, the longer half-life of Cialis imposes increased risk for drug interactions. penis enhancement pills product easy enlargement free pennis surgery way vimax do penis enlargement pills work penis enlagement excercises herbal penile enlargement pills penis enargement program penis enhancement pills review herbal natural penis enlargement

penis elargement stretcher

Penis girth is something most men fail to realize is what pleasures a woman over the actual length of the penis. To define girth, it is the measurement of how thick your penis is. Girth measurements are taken from the circumference of the penis. The woman’s vagina is most sensitive within the first 1/3 of its length. Longer penises will only fit to a certain point, while thicker ones will apply the pressure to the more sexually sensitive areas at the front. Logic dictates that a longer penis isn’t going to be able to fit all the way inside her, while a thicker penis can (a woman’s vagina can stretch to huge amounts, for example in birth). To find out your own penis girth, simply get your penis into an erect state, and take a tape measure and wrap it around the thickest part of your penis shaft. This will be your girth size, and if it is above 5.2 inches, you’ll be above average. What you’re probably more concerned with though is, is it possible to increase your penis girth size? Well the answer is yes. Using natural penis exercises, and possibly a combination of penis enlargement pills to help promote the blood flow, a man can increase his penis girth maybe up to an inch of what it was previously. Although with girth sizes, it is important to remember that even a few millimeters in increase has a huge effect on the overall diameter of the penis. Below are two techniques you can use to help promote penis girth expansion. Remember, it is important to do a warm up exercise before you attempt any from below. To warm up get a cloth and soak it in some warm water and then rinse it. Wrap it around your penis and hold it there for about 4 minutes and then when you remove it, dry it with a towel to make sure you can get a good grip. You’re now all ready to perform your penis girth gaining exercises. The first technique I will talk about is commonly nicknamed The Flexing Girth or the Ultimate Jelq. First of all, take your penis in your hand, and massage it to around 60% to 80% erect. It is important not to do make it fully hard; else you can damage the blood vessels within it. Make an OK sign with your thumb and index finger, and then grip around the base of your penis. Squeeze the base for about 3 to 4 seconds then release and move up the penis shaft a bit. Repeat the squeeze and continue till you get to the head of your penis. Do this for about 5 minutes, or until you’ve done around 100 strokes. The second technique you can also use is nicknamed the Penis Squeeze. This one you can have your penis fully erect with, and is in fact essential that you do. Like the previous exercises, make an ok sign with your fingers on your left hand and grip tightly the base of the penis. Then with your right, gently push down on the head of the penis, like you’re trying to bend it in two. Perform the exercise for around 5 minutes. Remember, with any type of exercise, you’re not going to get results on the first day. You may not see anything until after a month of doing these, but the most important thing is to not stop. male penis elargement truth about penile enlargment penis enlargment information penis enlagement video magna rx penile enlargement system penile enlargment without pills best penile enlargment pills penis elargement stretcher

Pills are one of the staples of the penis enlargement process. Every man interested in this field has heard about at least a half-dozen pills and is familiar with their effects on the body. Many have actually tried them and have a pretty good idea about the limited effectiveness of penis enlargement pills. The Internet is buzzing with the success stories of men who tried combinations of enlargement techniques that include pills. A good number of them used to be very skeptical about anything related to penis enlargement, but have since changed their opinions. It all depends on finding the right mix of techniques and sticking to the program. The basic idea behind all these pills is that the penis can be enlarged by promoting the flow of blood to the pelvic area. And they’re doing a great job of promoting that blood flow. A wide range of ingredients, containing probably all vasodilators known to man plus some of the most potent herbal and artificial libido boosters, are used to give the pills a strong influence over sex life, erect size, flaccid size and the level of pleasure achieved during sex. But is this enough to guarantee the success of a penis enlargement program? Judging by the loud headlines of websites selling these pills and by the forums that deal with penis enlargement, many men have actually put the pills to good use. Tens and hundreds of them have managed to add at least an inch to their penises and are very content with the results. It takes time and it takes patience and persistence, but it can be done. However, one thing that most websites selling pills won’t tell you is that the pills alone are not enough to do the trick. It’s just like taking diet pills: you have to exercise. This is a very common misconception among the biggest part of the penis enlargement community. But the fact remains that pills are a great supplement, a mixture of substances that make enlargement much easier. Simply promoting the flow of blood to the pelvic area can only give the user a slight increase in the erect length as the sponge-like tissue of the penis expands to accommodate a bit more blood than usual. And that’s about all pills can do on their own. However, you can combine the pills with another form of penis enlargement, such as penis exercises or a traction device. Penis exercises and traction devices provide the missing part of the enlargement process. The tissues that make up the penis get the exercise or traction needed to force the body to adapt by tearing the cells apart and making them grow in number. Exercises and traction benefit a lot from the increase in blood flow caused by the pills, although these approaches can do the job on their own. But combining a traction device with penis enlargement exercises is the best way to get those two inches many men are dreaming off. And if you’re really impatient, buy some pills, too. Just don’t rely on them to do the job alone. penis elargement before and after picture best penile enlargement pills vimax medical penis enlargement best penis enlargement penis elargement forum male penis enlargement prosolution pnis enlargement pills penile enlargment technique penis elargement stretcher

Increasing the volume of your ejaculate will directly affect the following aspects of your sexuality: Increase the strength of your orgasms: When you take such herbal supplements as amino acids or other natural sexual aids, your body can produce more ejaculate fluid, which increases the strength of your orgasms. Also, strengthening your pc muscle can greatly increase the force with which the ejaculate leaves your penis, making orgasms very intense. Having a larger amount of ejaculate pass through the penis during an orgasm can prolong coitus (orgasm experience). The pumping sensation of an orgasm, of the semen and ejaculate fluids being pushed out through the ejaculatory ducts. Improve your sperm count, and overall virility: In order to fertilize an egg a large amount of sperm is required, many hundreds of millions. While the average man can produce this many sperm multiples times per day, there are external factors that can adversely affect the sperm count. Things such as smoking, drug use, poor diet, lack of exercise, and even wearing tight clothing in the groin area can all decrease the sperm count. Increasing the volume of your sperm increases your fertility by increasing the number of sperm that are produced during each ejaculation. If you are trying to have children, the number of sperm you ejaculate is quite important, as is their condition. The pc exercise and amino acids such as L-Arginine and L-Lysine also help the health of your sperm, which increases your fertility and the chances of pregnancy (should you be seeking it). Help your partner enjoy sex more: When you ejaculate, your penis pumps semen and ejaculate, which many men and women find pleasurable. When you increase the amount of your ejaculate the pleasurable pumping feeling lasts longer, and also increases your pleasure. During intercourse extended pumping and orgasm pleasure improves the experience for both partners. How do I do it? Increasing the volume of your semen is done mainly through two things, taking herbal supplements such as amino acids, and the pc exercise. Suggested amino acids and herbal supplements are: L-Arginine (taken with L-Lysine, to prevent occasional skin problems) L-Lysine Veromax (combines the above amino acids, as well as L-Alanine, ginseng, saw palmetto berry, and biloba leaf) The pc exercise has been proven to help increase the amount of ejaculate produced during orgasm. By following natural enlargement guides and doing the pc exercise daily, you can experience improved orgasms as well as increased volume. penile enlargment fact penis elargement surgery photo real penis enhancement enlargement manhattan pnis surgeon do penis enlargement pills work extra pro solution strength penis enlargement system cheapest penis elargement pills penis elargement stretcher

In ancient China, sexual practices were investigated century after century. Finally the ancient Taoist Masters began to draw conclusions about all human actions; and their conformity to ideal (Tao - the basic, eternal principle of the universe that transcends reality and is the source of being, non-being, and change) as regards the process of creation. Perhaps inspired by Tantra sexual practice, the Taoists characterized all the sexual positions, their relative advantages and drawbacks, and also even set the tone for the whole practice of the sexual act. As a creative source, the man and his penis became a subject of study in its own right. As the woman’s vagina when penetrated by the man is often exerting uneven pressure and stimulation, the Taoists developed a trusting method to stimulate, massage, and keep the man’s penis at an excellent state of readiness. The thrusting method is called the Nine Steps. To achieve this to perfection, the man must possess some amount of patience and staying power. One complete Nine Steps is 90 thrusts, so most men need training to achieve it. However, as many as possible will help the man in his general vitality and the woman partner will be ecstatic with the sexual stimulation she will receive. The Taoists also advised internalizing the ejaculation, but that is the subject of its own article. The Nine Steps Firstly, the man must find a very comfortable sexual position to execute this. One recommended position is the Horse Position. The woman lies on her back on a raised bed or table. Her legs are opened wide with the knees are pulled to her breast. The man stands in front of her, with her genitals fully exposed and open. The man then begins the Nine Steps. 1st Step. The man inserts only the head of his penis into the woman’s vagina. He makes a very shallow stroking movement exactly nine times. On the tenth stroke, he will thrust his entire penis as deep as possible. 2nd Step. Here the same is followed, but with only eight shallow penis crown strokes, and two massive whole penis thrusts thereafter. 3rd Step. Follow as above, the man will trust seven shallow times, with three hard and massive deep thrusts. 4th Step. Continuing, six shallow thrusts followed by 4 deep and profound thrusts. 5th Step. Now there are only five shallow thrusts followed by five profound ones. 6th Step. In keeping with the above, four shallow followed by six deep thrusts. 7th Step. There are only three shallow thrusts followed by seven profound ones. 8th Step. This time, only two shallow ones followed by eight deep and profound ones. 9th Step. Here at the end of the exercise, there is only one shallow thrust followed by nine rhythmic and profound thrusts. If the man was able to withstand the Nine Steps, he should rest a short while and begin again. The woman from her part may have had several orgasm!