Once categorized as a purely psychological disorder, erectile dysfunction is now regarded as a physiological ailment through numerous coherent studies that can be treated with a variety of measures, including drugs, injections, therapy, suppositories, and even sound waves. According to Harvard Health Publishing, impotence is more common than expected, with a prevalence of up to 22% in American men, mostly in the older age groups.
However, younger, seemingly healthy men are also at risk, considering the fact that the leading causes of Erectile Dysfunction are chronic diseases, capable of interrupting regular blood flow and nerve functionality, with examples including; diabetes, hypertension, atherosclerosis, as well as hormonal imbalance.
Viagra Not Working? This Guide Can Help You
Although very difficult for many men to accept and admit to erection problems, we are lucky to live in an age of pharmaceutical furtherance, providing us with medication that works for treating ED. Sildenafil, sold as the brand name Viagra among other oral medications in pill form was the first to rush to rescue men dealing with impotence.
The prescription from doctors was just to take viagra (sildenafil), and that was the end of the treatment. However, similar to several other medications, there is no guarantee that the little blue pill of Viagra will work, so the question we are asking today is what should we do when we realize the problem is that viagra not working as it should.
If Viagra not working anymore…
A healthy erection is dependent on an uninterrupted blood flow to the penis, through the penile cavernous arteries, to fill the corpora cavernosa, therefore, causing the stiffening of the penile shaft. When an erection is initiated with sensory and mental stimulation, the nerves in the pelvis send neurotransmitters to the arteries of the penis, increasing blood flow.
We can’t ignore performance anxiety and fatigue; however, physical irregularities are the primary causes of Erectile Dysfunction, therefore, medications such as Viagra or other brands of sildenafil, are prescribed to push past the abnormal blood circulation and increase blood flow to the cavernous arteries, working as a vasodilator.
Besides Viagra’s prolonged onset of action, the crisis many users face revolves around the ineffectual aspect of sildenafil and its recommendations against use by men with severe cardiovascular ailments that might also raise the risk for heart issues.4 What ends up happening is Viagra not working anymore as it should for some men.
Low-Testosterone Levels
Testosterone is the key hormone produced by the Leydig cells of the testicles and is responsible for the normal growth and development of male organs and for the maintenance of other sexual characteristics.
During their late twenties, men begin to encounter the decline and imbalance of hormones, specifically testosterone. Depletion of testosterone, which is referred to as andropause is accompanied by several symptoms3:
- Increased body fat and loss of muscle mass
- Depleted bone mass and energy levels
- Hair loss
- Disturbed sleep patterns and mood swings
- Erectile dysfunction.
Such imbalance has a significant role in problems with sexual desire and performance. Although testosterone is an essential component of a healthy sex life, it is not a requirement for normal and consistent erections.
Viagra cannot replace or maintain testosterone levels, meaning Viagra (and other Sildenafil brand names) or prescribed pd5e inhibitors (such as Avanafil or Tadalafil) will not work as a replacement for the natural urge or desire for sex. Patients should seek testosterone replacement or hormonal therapy instead in order to manage their sexual health.3
STDs
One of the topics that might be uncomfortable to discuss but are needed to manage ED, is the use of ED medication and contracting an STD. ED medication does not work as a protective barrier against STDs and everyone should practice safe sex regardless. Meanwhile, certain STDs can possibly lead to erectile dysfunction, making ED medication less effective.
An example of the mentioned scenario is an individual who contracted Chlamydia, and did not seek proper medical attention, allowing the bacteria to grow and infect the prostate gland, leading to prostatitis. An important piece of advice is to know ED medication cannot be used and will not work for protection against STDs, and everyone should always practice safe sex.
Diabetes
Erectile Dysfunction is very prominent in men with diabetes. The incidence rate of ED increases with age from 5% in men age 20 to 75% in men over age 65.4 The primary cause of impotence in diabetic men is due to the decrease in the blood flow and nerve damage in the penile area as a consequence of diabetes. Many diabetic patients have successfully been treated with Viagra since 1998, followed by Cialis, Levitra, and Stendra ever since.
However, diabetic patients might also fail to enjoy the therapeutic advantages of such oral medication after building resistance or from the very first pill. Around 50 percent of men with Type 1 diabetes and 60 percent of Type 2 diabetic patients have reported improved erectile conditions.
Meanwhile, Viagra stops working in a huge portion of diabetic men, primarily due to the damaged blood vessels and nerves caused by diabetes, preventing Viagra from increasing blood flow.
The absorption and systematic flow of the medicine after ingestion are also altered in diabetic patients, making it more difficult for the drug’s action mechanism to work its biochemical effect. Many diabetic patients will report little or no difference in erection habits even after using Viagra and similar products.4
Using a Low Dose or Using it Incorrectly
It is very important in ED care to realize that the correct method of use and dosage is the key to Viagra working as desired.7 This translates to taking Viagra or Levitra at least an hour before engaging in sexual activity for it to be working properly.
Professional medical advice also emphasizes that the drug must also be taken on an empty stomach preferably or avoiding a heavy meal prior to taking the medication, in order to maximize uptake. Treating ED with any medication has to be a medically reviewed decision.
Alcohol intake must be reduced to a minimum if you take viagra, since alcohol decreases the blood flow and circulation, making a dose of Viagra less effective. Sufficient stimulation is also another recommended approach to working the most out of your ED medication.6
Typically, urologists prefer to start the patient with the lowest dose, since daily administration can lead to improved blood flow to the penile area on a regular basis. Also, this method of administration may guide the doctors in determining the appropriate amount needed to treat ED, without the risk of overdosing.
Similarly, a very low dosage might also not have the desired impact on erections, causing many users to believe Viagra doesn’t work and seek other treatment options that actually work. In the long run, they fail to go on the next method of higher dosages or just manage the prescribed dose with the help of their primary care doctor, which may affect their progress.
Giving Up Early On It
It is logical and recommended to try a certain medication a few times and for a longer period before moving on to the next if it’s not working at first. The chances of error and incorrect use might make it difficult to see results after the first use, so, the user must be patient and allow several attempts before believing there’s a problem with the Viagra.
A correct explanation for lack of results after the initial use could be the inappropriate dose, forgetting to take Viagra on an empty stomach, or expecting to get an erection immediately after ingestion.
Now Listen Very Carefully Here:
What this 75-year-old know about rock-hard stiffness at ANY age?
While half of all men over 40 are suffering severe cases of failure to stiffen up in bed… 75-year-old Tom can stay rock hard as long as he wants. And he has no trouble pleasing his wife night after night (and even in the mornings).
But it’s NOT because Tom is taking some dangerous and artificial chemical pill… has sky-high testosterone… or is a genetic freak of nature. No.
Instead, it’s because this 75-year-old drinks a simple, delicious “tonic” every day that destroys the root cause of soft bedroom performances in men — allowing him to stiffen upon demand.
And today, he’s revealing the recipe for this potent “hardwood tonic”. It’s a handful of natural ingredients you can find at your local store, today.
So, if you want to NEVER have trouble getting it up again… then check out the recipe here (while you still can): Simple tonic gives 75 years old Tom rock-hard stiffness on demand (takes just 60 seconds to make)
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