Sildenafil (the original drug has the trade name Viagra) only affects the natural using the viagra mechanisms of erection.
Scientists have developed a new drug to increase blood flow to the heart muscle and lower blood pressure. However, he did not live up to expectations. But it was noted that this drug provides a noticeable blood flow to the male genital organs, and as a result, the quality of erection improves. This drug was called Viagra.
The active substance of the drug is sildenafil. Currently, many drugs with this active substance have been registered. He acts only when a man experiences natural sexual arousal, and when the sexual intercourse is completed, the penis naturally returns to a relaxed state. In other words, the drug affects only the natural mechanisms of erection. And in this was her indisputable novelty and secret of the enormous popularity of Viagra.
According to the results of the research, sildenafil can help:
- patients with psychogenic disorders of erection;
- with diabetes;
- with atherosclerosis;
- with damage to nerves going to the vessels of the penis;
- with damage to the spinal cord and other concomitant clinical conditions;
- people taking a lot of medicines at the same time, etc.
But, unfortunately, all types of erectile dysfunction drug can not be cured. In any case, before taking any medications, you need to consult a doctor.
When Do You Need To Be Careful?
About sildenafil or “Viagra” everyone has heard. But few people using the viagra know about side effects and the serious consequences of uncontrolled admission.
- Caution in the use of sildenafil is necessary for people who are going to administer different kinds of mechanisms after receiving. Sometimes viagra for erection after taking the drug in humans, there may be a rapidly changing color change with a predominance of blue flowers. In this regard, the leadership of one of the American airlines has forbidden its pilots to take Viagra an hour before the flights.
- There are some men who should not take this medicine. Since sildenafil is involved in biochemical processes associated with the exchange of nitric oxide, it can interact with other drugs called nitrates, which are used to treat heart disease. Therefore, any man who takes nitrates in any form, should not take sildenafil under any circumstances.
- Care should also be taken for those patients who have previously had priapism. Although no reports on the occurrence of priapism have been recorded to date on the background of sildenafil, patients who are predisposed to its occurrence also need serious medical using the viagra supervision.
As for the effect of sildenafil on healthy men who have heard about a miraculous drug and want to satisfy their curiosity, then, according to the experts of Pfizer, the developer of Viagra, the drug has no effect on them! That is, if you feel a revolutionary breakthrough in your sexuality when using the Viagra pill, then, apparently, it is worth going to a consultation with the andrologist. It does not necessarily mean that there is a disease, but the examination does not hurt.
The most common side effects viagra are:
- headache (15.8%);
- sudden redness of face and neck (10.5%);
- absence of smell (5.5%) and redness of the nasal cavity (4.2%).
These side effects were, as a rule, transient, mild and moderate in nature, and did not dictate the need for cessation of treatment.
From all of the above, it can be concluded that the current knowledge about this drug allows you to assign it to patients for both episodic and long-term treatment of erectile dysfunction. Of course, with all precautions taken into account.
Erectile Dysfunction: Causes and Methods of Treatment
Modern medications treat not only erectile dysfunction, but also diseases that cause these problems.
Mentioned cases of erectile dysfunction in men were found even in ancient Egyptian manuscripts. However, until recently, an effective way using the viagra to combat impotence was never found. A real revolution in the treatment of erectile dysfunction occurred in 1998, when specialists synthesized sildenafil. The most famous brand, under which it is produced, is Viagra. Later, tadalafil (“Cialis”), vardenafil (“Levitra”) and udenafil (“Zidena”) were created.
PDE type 5 inhibitors in the treatment of erectile dysfunction relate to the first line of therapy. The second line is intra-cavernous injections of a cover, and the third is a falloprosthesis.
In contrast to the treatment methods for the 2nd and 3rd line, the use of PDE5 inhibitors is much more convenient for patients due to the following reasons:
- non-invasiveness;
- convenient schedule of taking the drug;
- the choice of the optimal drug with the least side effects for a particular patient.
Inhibitors of PDE-5 can significantly increase the potency of men, while the effectiveness of drugs does not depend on the age of the patient, as well as the etiology, duration and severity of the disease.
How do these drugs work? They have a positive effect on the blood flow (both arterial and venous) in the penis, and therefore they are usually prescribed for vasculogenic erectile dysfunction due to impaired blood flow in the small pelvis. At the same time, drugs are able to increase cavernous electrical 
Widespread use of these drugs found in the treatment of metabolic syndrome and diabetes mellitus, complicated by ED. The fact is that they potentiate the effect of other using the viagra drugs, while improving and restoring erectile function. To achieve the same effect solely due to the normalization of glucose levels, physical activity and diet compliance is not possible.
Positive dynamics occurs in the treatment of patients with various urological diseases (BPH, hypogonadism), combined with erectile dysfunction. In this case, the combined use of basic treatment and inhibitors of PDE-5 is advisable. In men with benign prostatic hyperplasia taking these drugs, urination normalizes. This result can be achieved by reducing edema of the prostate, reducing the dynamic tension of the detrusor (muscle shell) of the bladder and, as a consequence, eliminating the mechanical compression of the urethra.
The positive effect of PDE type 5 inhibitors is after a previous prostatectomy (surgery for partial or complete removal of the prostate gland), accelerating the recovery of erectile function.
For the treatment of psychogenic erectile dysfunction, the use of drugs viagra gel with prolonged action is more effective for a considerable period of time. Since the quality of sperm may worsen somewhat during long-term use of PDE-5 inhibitors, their use in planning pregnancy or in the treatment of infertility is not recommended .
The combined use of PDE-5 inhibitors and extracorporeal shock wave therapy significantly increases the effectiveness of UHT.
Chronic prostatitis can be complicated by erectile dysfunction. In this case, standard methods of treatment should be combined with physiotherapeutic procedures in combination with PDE-5 inhibitors of the type that promote the removal of edema.
ED is a harbinger of coronary heart disease. In this regard, the timely use of PDE type 5 inhibitors not only improves erectile function, but also makes it possible to prevent the development of myocardial infarction, hypertensive disease, and acute using the viagra cerebrovascular accident.
Long-term use of PDE type 5 inhibitors should be carried out under the close supervision of the urologist-andrologist. The doctor takes into account the hormonal status of a man, evaluates the results of blood tests and instrumental studies, directs the patient to consult a cardiologist and endocrinologist.
