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Viagra, Cialis, Levitra & Co - When Willy Does not Work
▶ General Information
Please Note: I do not recommend self-diagnosis or treatment. What's here presented is strictly for general information purposes only. Sometimes a little knowlege can be deadly. Don't rely on the internet. See a real-life doctor.
▶ Overview
Erection is a dance between the nervous, endocrine and vascular system. The easiest way to remember the nervous involvement is "Point (parasympathetic) and Shoot (sympathetic)". Erectile dysfunction (ED) is the inability to obtain or maintain an erection during sex. You can break it down into two categories: Organic (75% of cases) or Psychogenic (25% of cases). Guys with organic problems do not get or have abnormal nocturnal or early morning erections. The do not have a rigid erection under any circumstances. On the other hand, those with psychogenic etiology have normal nocturnal and early morning erection. Their erection difficulty is confined to sex.
▶ Testing
The way to verify the diagnosis is with a little blood pressure cuff around your penis and measuring what's called the Penile/Brachial index. It's a measurement comparing the two BP. If your ratio is less than 0.6 you most likely have an organic problem. This is covered under many insurances as part of ED workup. I'm going to focus on organic causes because they're in the majority and most of the articles on ED seem to focus on the psychogenic causes.
▶ Organic Causes
There are four major causes of Organic ED.All of these are diagnosed by blood tests. In addition to testosterone other tests (depending on history, age, etc) may include; prolactin, FSH/LH (*follicular stimulating hormone, leutenizing hormone) and thyroid.
▶ Treatment
I can't stress enough how quitting smoking, exercising, controlling your blood pressure and controlling other causes can help ED. Drugs like Viagra can band-aid the problem but there's so many health benefits besides being able to get hard it's worth looking at. Remember - ED should be correctly diagnosed before treating!
▶ Psychologic
Psychologic causes including premature ejaculation respond well to behavioral therapy. Depression can lead to ED and if you loss of sexual desire is the primary symptoms you might look at this.
▶ Buying Viagra, Ciallis and Levitra within Thailand
Viagra, Cialis, Levitra and other generic products such as Kamagra Gel, Apcalis etc.. are available at any pharmacy in Bangkok and Pattaya (don't buy any fake products on street markets please) Original products have a hologram on the package are available at licenses pharmacies and the average price is as follows: Viagra - 4 Tablets THB 1000.00 | Levitra 4 x 20gr Tablets THB 2000.00 | Cialis - 4 Tablets THB 800.00 | Kamagra Gel THB 200.00