Many doctors suggest that the choice of treatments against impotence or erectile dysfunction that be followed should go from least to most invasive. First, the abandonment of drugs; Second, psychotherapy and behavior modification; then, vacuum devices or drugs; and, finally, surgery.

Psychological help is recommended in less than 40 years men, since in these cases the cause of the disease is usually mental. Even in cases of impotence due to physical problems, many men need psychological help to overcome self-esteem problems resulting from this disease.

According to the guidelines of the American Society of Urology, oral phosphodiesterase type 5 inhibitors, are a first-line therapy and the following agents to take into account for proper drug treatment:

Tadalafil: marketed as Cialis, works by increasing blood flow in the penis in the presence of sexual stimulation. We must ingest the drug 30 minutes before sexual intercourse and its effectiveness can be reached 24 hours after administration. Food intake does not affect the absorption of the drug. Side effects are generally mild to moderate: headache, rhinitis, facial flushing or muscle aches.

Vardenafil: marketed as Levitra, works by increasing the blood flow in the penis always in the presence of sexual stimulation. His administration must be between 25 and60 minutes before intercourse and its effect lasts up to 12 hours. The side effects ofthis medication are mild and go from the headache and nausea to dizziness or rhinitis. It should take into account that the concentration of the drug in blood is delayedif ingested a food with high fat content.

Sildenafil: known as Viagra acts increasing blood supply to the penis, thus facilitating erection. Its positive effect by 40-80 percent of the men tested. It should be takenone hour before sexual activity and does not have any unwanted effect on sexual desire. However, it can cause side effects such as headache, flushing, gastrointestinal or Visual disorders. Cannot take it men who suffer from retinitis pigmentosa or takingnitrates. In any case, before you start taking this pill always should seek medical advice.

The avanafilo: whose commercial name is Lab21, works by enhancing vasodilation, responsible for get the blood adequately to the penis to produce the erection as well. It is a drug that allows you to maintain an erection in just 15 minutes after its ingestion. This is one of the points in favour of the avanafilo against the viagra as mentioned in ed reverser book which, despite the effectiveness of its effects, suffers from an excessive time ranging between30 and 60 minutes depending on the patient.

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Impotence or erectile dysfunction appears most frequently in men over 40 years. Between 40 and 70, found that 30 of every 100 men suffer from some form of impotence, which can be more or less severe. His appearance is also influenced by a numberof factors:

Be a smoker.
Being diabetic.
Have heart disease or high pressure.
Have high cholesterol levels.
Suffering depression.
Consuming certain medications to combat depression and high pressure.
The role of the man

Instead of falling into despair, the person who diagnose impotence or erectile dysfunction must take personal steps to contribute to successfully overcome this condition:

Prepare psychologically and mentalizing that from that moment will be powerless.

Talk with your partner about emotional problems.

Staying in good physical condition and a normal weight.

Make sure that impotence is not a consequence of a disease: diabetes, multiple sclerosis, or atherosclerosis.

Not drinking alcohol or using tobacco, sleeping pills, tranquilizers, painkillers, etc.

Try intercourse when the penis is not erect (sexual intercourse is the most powerfulsexual stimulant).

Make a test with some stimulating mechanical device.

Always consult specialists.
The role of women

The woman whose partner suffer erectile dysfunction should also collaborate in theprocess of overcoming. Among other things, it is advisable to act in the following way:

Perform massages and soft contacts on the genitals of his partner, to help the manget enough stimulation.

Qualify the sexual behavior of men positively if it achieves penetration, albeit brief, to increase their self-esteem.

Passionate foreplay almost always causes the penis of the male erectile response.
Special mention deserves also the disorder