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Cialis (Tadalafil) is used to treat erectile dysfunction (impotence - ED) and symptoms of benign prostatic hypertrophy (enlarged prostate).

The causes of impotence

Among the medical causes of impotence include:

- Complications of diabetes
- Reducing the circulation of blood in the vessels of small diameter (medical name - "microcirculation")
- Nerve damage
- Hormonal problems such as a lack of testosterone,
- Overreliance on cigarettes and alcohol,
- Diseases of the liver and kidneys,
- Taking certain drugs: sedatives, tranquilizers, diuretics and antihypertensive drugs.

Cialis Tadalafil onlinePatients with erectile dysfunction take Cialis as needed. It should not be taken more frequently than once every 24 hours. For the medication to work, the man needs to be sexually aroused - it does not provide an instant erection without sexual stimulation. Cialis became nicknamed "the weekend pill" because its effects last 36 hours. Viagra and Levitra are effective for up to 8 hours. A PDE5 (phosphodiesterase type 5) inhibitor is a medication used to block the degradative action of cyclic GMP (cGMP) in the smooth muscle cells that line the blood vessels that supply the corpus cavernosa (two tubes that run the length of the penis). PDE5 is also present in the smooth muscle of the walls of the arteries within the lungs - hence, it has also been explored for pulmonary hypertension treatment.

What is erectile dysfunction?

Almost all the men at least once in their lives suffer from impotence inability to achieve or maintain an erection. This is usually a temporary phenomenon, caused by excessive use of alcohol or fear. However, some categories of male impotence or erectile dysfunction (ED) is a constant chronic Viagra disease caused by fear, stress and uncertainty and dissatisfaction. As an erection occurs? Under the influence of the whole combination of factors is an increase in blood flow and the time delay in its special vessels in the penis. It is believed that impotence is largely psychological problem associated with stress, fear and other psychological problems. However, recent studies have shown that about half of the cases of erectile dysfunction due to physiological causes, many of which are successfully treated.

If conservative treatment of erectile dysfunction was not successful, the patient is a candidate for surgical treatment. Typically these are patients with severe disease of the corpora cavernosa (fibrosis) or Peyronie disease called (or cavernosal fibrosis).
During the operation, the prosthesis is implanted. Usually inflatable prostheses of different designs are used. The prosthesis is implanted into the corpora cavernosa and binds to a small pump action device is placed under the skin. The patient may activate the prosthesis causing an erection.
Of course surgery is an extreme measure. If it is still possible, it is best to cope with the drug group inhibitors of phosphodiesterase type 5, as buy viagra online, Tadalafil, and Vardenafil.

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