Erectile dysfunction, or impotence, is a pathological condition characterized by the inability to achieve or maintain a long-lasting healthy erection. Impotence is a fairly widespread phenomenon that usually affects one out of ten men over the age of 40. Erectile dysfunction affects even younger males, and you can find more information about this topic in our previous article, "Erectile dysfunction at a young age."
The probability of detecting erectile dysfunction in a man aged 40-50 years is 40%, 50-60 years old - 50%, over 60 years old - 70%. Based on many studies, impotence in 80% of cases is the result of certain diseases of somatic etiology. Previously, it was believed that the main cause of erectile dysfunction was a psychological disorder. However, modern medicine defines three main types of impotence: psychogenic, physiogenic, and mixed. The most common causes of erectile dysfunction are physiogenic, due to certain diseases of somatic etiology or aging.
The development of physiogenic erectile dysfunction occurs due to the appearance of various kinds of diseases (approximately 80% of all cases). Also, impotence can develop as a complication of the disease. The main role in the development of erectile dysfunction is given to arterial hypertension. Hypertension is characterized by increased vascular tone. Because an erection involves filling the cavernous bodies (cavernous organs) of the penis with blood, the vessels that supply it must be in good condition. Blood flow through the vessels decreases in the presence of arterial hypertension, resulting in a violation or complete absence of erection.
Diseases that lead to impotence include:
Diabetes mellitus and atherosclerosis play a significant role in the development of impotence, since due to the appearance of plaques in the arteries, the same effect is observed as with hypertension. Ischemic heart disease is another reason for the appearance of this disease in men. Also, the presence of erectile dysfunction may be a reason to suspect the presence of one of the above diseases that occur in a latent form. In addition, injuries (such as pelvic fractures) and the use of antihypertensive drugs can lead to impotence.
Treatment of erectile dysfunction (impotence) requires an appropriate early approach, the result of which is a full-fledged sexual life for both a man and his partner. Among a number of methods aimed at eliminating the root cause of the erectile dysfunction, we can distinguish:
Erection drugs have proven to be the most effective and available treatment for erectile dysfunction. All active ingredients in erectile dysfunction medications are vasodilators, causing blood vessels to dilate. It results from the relaxation of smooth muscle cells within the vessel walls. This medication belongs to a class of drugs known as phosphodiesterase type 5 (PDE5) inhibitors, which promote strong erection.
Since Viagra's discovery in late 1990s, many new effective Viagra generic forms have been developed. These male enhancement pills are characterized by higher effectiveness, low toxicity, high speed, and a long duration of action. A perfect example is Kamagra, a Sildenafil Citrate based pill, manufactured by Ajanta Pharma.
Kamagra have the same active ingredient, Sildenafil Citrate. Sildenafil is a highly effective PDE5 inhibitor that begins working within an hour and has an active treatment time of 4 to 6 hours. It’s typically taken in doses ranging from 25 to 100 milligrams (mg) per day. Lower doses are usually achieved by breaking the tablet in half.
Tadalafil Citrate, the active compound with identical results to Sildenafil, was developed as a very effective ED treatment in 2003. The main difference is active treatment time. Tadalafil has the longest action of any available erectile dysfunction medicine at 24 to 36 hours. The recommended daily dose varies from about 20 to 80mg. Tadalafil takes effect within 20 minutes and should be taken at least 30 minutes before intercourse.
Vardenafil, the active compound closely related to Sildenafil Citrate, and Tadalafil has been approved for treating ED since 2003. Vardenafil has the shortest onset of any PDE5 inhibitor and usually takes effect within 10 minutes. The standard active treatment time for Vardenafil is usually 5 to 7 hours, but it may last up to 12 hours. A typical dose of Vardenafil is 20 mg per day.
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