Lack of desire, incontinence, and sexual dysfunction are the most frequent sexual dysfunctions among men. The latter affects 52% of males between the ages of 40 and 70 and is classed as mild, moderate, or severe. Men's sex dysfunction can be caused by organic or physical reasons such as vascular, hormonal, and neurologic issues. Risk factors for atherosclerosis (such as smoking, high blood pressure, diabetes (diabetics do not respond well to medications such as Sildalist 120 and Tadalista), and high cholesterol) are also risk factors for erectile dysfunction. Biking is also regarded to be a risk factor for sexual dysfunction because to the possibility of straddling injuries or utilising a small saddle clogging and obstructing arteries leading to the penis.
Endocrine factors had received little consideration. Testosterone influences sexual desire, arousal, and orgasmic function. In terms of the orgasmic reaction, testosterone affects the vaginal sensory receptors' integrity. Reduced testosterone plasma concentrations may reduce sildenafil efficacy in terms of arousal response (Viagra). If the sildenafil reaction does not consistently improve erection, the doctor should first make sure the patient is taking the tablet appropriately. Also, the doctor should assess the patient's testosterone levels. One Italian researcher supplied testosterone to men with low testosterone who did not respond to sildenafil (Viagra).
The half-life of sildenafil (Viagra) is 4 hours, that of tadalafil (Levitra) is 4-6 hours, and that of tadalafil (Cialis) is 17.5 hours. This implies that vardenafil (Levitra) should persist longer than sildenafil (Viagra), while the therapeutic implications are unknown. Tadalafil (Cialis) has the longest half-life, so you may take it without immediately associating it with sexual activity. The disadvantage is that if you need nitrates after taking tadalafil (Cialis), this chemical will stay in your system for a long time and may jeopardise you.
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