Viagra Online

Welcome to extraviagra.com. Providing information about Viagra, its uses, and the dangers associated with using the prescription medication Viagra. Extraviagra.com provides you with a library of articles, case studies as well as other relevant daily information surrounding Viagra and its uses by millions of men worldwide. At extraviagra.com you will find all the answers and information you may have about Viagra, Impotency and erectile dysfunction.

Causes of Erectile Dysfunction & Impotency

What Causes Erectile Dysfunction?

An erection occurs when the penis fills with blood, and the blood is not allowed back out by certain muscles in the penis. For this process to occur, a whole set of interrelated events and conditions is required. Disruption of any element or condition can cause erectile dysfunction, otherwise known as impotence.

First, an erection starts with erotic stimulus in the brain, which then sends nerve impulses to the penis. The response in the penis that results in a normal erection depends on healthy nerves, blood vessels, muscles and fibrous tissues, as well as adequate amounts of certain hormones such as testosterone.

Damage, injury or malfunction in any of these areas can lead to impotence. A number of physical factors such as disease or surgery, as well as psychological factors, can cause such damage or malfunction.

In the past, it was believed that impotence was largely caused by psychological problems. Today, most experts agree that in 85% of cases, impotence is a result of physical factors.

Below is a list of possible causes of impotence. For more information, click on the entry.

Diabetes Mellitus

High levels of blood sugar associated with diabetes mellitus often damage small blood vessels and nerves throughout the body, including those in and around the penis. Diabetes can therefore interfere both with proper nerve impulses and proper blood flow necessary to produce an erection. About 60% of men with diabetes experience impotence.

Viagra for Diabetic Men?

In addition to Viagra, there is also a powerful herbal Viagra alternative which helps cure erectile dysfunction and is proven safe and effective in diabetic men. Herbal Viagra alternatives are a super potent sexual enhancement formula for men who desire to use an herbal Viagra alternative instead of prescription Viagra. X-treme V is a very powerful natural Viagra alternative for men that have taken chemists over a year to produce.

Viagra for Women?

“Ultimate Libido” can lift the sexual experiences of couples to new heights. Ultimate Libidoa is a natural alternative Viagra product for women who wish to enhance sexual desire and performance. The herbs in this Viagra alternative for women in are considered to be the most powerful aphrodisiacs known and have been used by many cultures for centuries to increase sexual drive and increase libido in women.

Vascular Disease

Arteriosclerosis is a hardening and narrowing of the arteries which causes a reduction in blood flow to the heart, brain and extremities, and can lead to heart attacks and strokes. Its incidence commonly increases with age.

Because it can also reduce blood flow to the penis, arteriosclerosis can lead to impotence. It accounts for most cases of impotence in men over 60 years of age.

Risk factors for arteriosclerosis include:

diabetes mellitus
high blood pressure
high cholesterol

Cigarette smoking is perhaps the major risk factor for impotence caused by arteriosclerosis.

Venous Leak

When veins in the penis cannot hold blood to maintain an erection, venous leak occurs. This is another cause of impotence. Venous leak can be a result of injury, disease, or damage to the veins in the penis.

Neurologic Causes

Spinal cord and brain injuries (including paraplegia and stroke) can cause impotence when they interrupt the transfer of nerve impulses from the brain to the penis. Other nerve disorders, such as multiple sclerosis, Parkinson’s disease and Alzheimer’s disease may also result in impotence.

Drug-related Impotence

There are over 200 prescription drugs that may directly cause or contribute to impotence. Among these are drugs for high blood pressure, heart medications, antidepressants, tranquilizers and sedatives. There are also a number of over-the-counter medications that can lead to impotence.

Remember, even if you suspect drug-related impotence, do not discontinue taking prescription medication without first consulting your physician.

Chronic use of non-prescription recreactional drugs such as alcohol, as well as use of illegal drugs, can also cause impotence.

Hormonal Imbalances

Hormonal disorders account for fewer than 5% of cases of impotence. Testosterone deficiency, which occurs rarely, can result in a loss of libido (sexual desire). An excess of the hormone prolactin, which results from tumors in the pituitary gland, reduces levels of testosterone.

Hormonal imbalances contributing to impotence can also occur as a result of kidney or liver disease.

Peyronie’s Disease

Peyronie’s disease is a relatively rare inflammatory condition that causes scarring of the erectile tissue in the penis. This scarring produces a curvature in the penis that can interfere with sexual function. In addition, it may cause erections to be painful.

Pelvic Area Surgery

Surgery of the colon, prostate, bladder or rectum may damage the nerves and/or blood vessels involved in erection. Cancer surgery, in particular, often requires removing extra tissue and nerves surrounding the affected area, which increases the chances that impotence will occur. Removal of the prostate or bladder often results in impotence. But newer, nerve-sparing techniques that are now being used in these surgeries can lower the incidence of impotence to 40-60%.

Radiation treatment of cancer in the pelvic area may also damage the nerves and blood vessels that are part of the erectile process.

In radical cystectomy for bladder cancer or prostatectomy, the nerves that control the flow of blood into and out of the penis may be cut or removed. These same nerves can be permanently damaged in men who have undergone radiation therapy for prostate or bladder cancer. However, these nerves do not control the sensation to the penis and they are not responsible for orgasms. Only the firmness of the penis is affected by these procedures.

If nerve sparing was attempted during these surgical procedures, impotence can be temporary. It can take as long as 6 to 18 months for erections to return. Partial erections may return earlier. Often partial erections may be a sign that complete erectile function will eventually return.

Psychological Causes

Although most cases of impotence are a result of physical causes, psychological factors cannot be overlooked. Common among psychological causes of impotence is performance anxiety: the fear that a man will not be able to perform. This fear can escalate anxiety, resulting in a vicious cycle leading to more impotence.

Stress, which leads to tension, can cause erection problems. In turn, failure to achieve an erection increases stress, and another cycle leading to more impotence.

Depression, guilt, worry, and anger also can contribute to impotence.

Psychological factors often occur secondary to and possibly as a result of the physical causes of impotence. Thus, they can magnify the impact of impotence resulting from physical causes.

Diagnosing Impotence

DIAGNOSTICS of Impotency & Erectile Dysfunction

There can be a variety of causes of impotence. The underlying problem must be determined by a diagnosis before impotence can be successfully treated. First, it is important to know whether the cause is physical, psychological, or some combination of both. This evaluation is best done by a urologist experienced in treating impotence.

The examination usually includes a patient history, both medical and sexual. The doctor will ask questions regarding the use of prescription medications, other drugs, and alcohol. The presence of other diseases that can influence erectile function will be recorded. In particular, the ability to have erections, and how frequently impotence occurs will be questioned. In this way, the nature and severity of the impotence can be uncovered.

Different types of examinations can be done. Medical examinations can help determine whether there is underlying disease or damage to the nerves, tissues or blood vessels involved in the erectile process. Psychological testing may uncover personality disorders, psychiatric disorders or the presence of anxiety. Any of these can affect normal erectile function.

The physical examination often includes the routine procedures that are part of a regular check-up. In this case, special focus is placed on examination of the sexual organs to uncover problems. Below is a list of diagnostics commonly performed in a urological examination. These test are specifically designed to determine the causes and possible treatments of impotence. To find out more about a diagnostic test, click on the entry.

Blood Tests
Urinalysis
Testosterone and Prolactin
Liver and Kidney Function
Glucose
Lipid Profile
Thyroid Function Test
Complete Blood Count (CBC)
Specialized Tests
Penile Circulation
Prostate Examination
Assessment of Secondary Sex Characteristics
Penile Nerve Function
Nocturnal Penile Tumescence (NPT)
Biothesiometry
Vasoactive Injection
Specific Nerve Testing

Physiological & Psychological Effects of Sexual Impotence

Effects of Impotency & Erectile Dysfunction

Whether the causes of impotence are physiological or psychological, both the patient and his partner are sure to experience a range of feelings and often intense emotions. Any of these feelings can lead to a sense of and low self-esteem which inevitably causes impotence.

Of course, feelings of sexual insecurity can reinforce any performance anxiety a man experiences and create a vicious cycle of repeated failures and increasingly negative feelings.

The first step to overcoming these feeling is to acknowledge the problem and communicate honestly and openly with each other. Below you will find a list of common effects associated with the nonmedical effects of impotence.

Self Esteem

Because sexual performance is so much a part of a manвЂ™s self-esteem, experiencing erectile dysfunction (ED) can be devastating not only to a manвЂ™s sex life, but to his entire sense of being. Men with ED can become uncertain of themselves and avoid intimate situations with their partners; this only increases the pressure and anxiety associated with a condition which is often treatable.

In addition, erectile dysfunction can cause men to feel inadequate in their roles. Men who are suffering from ED tend to isolate themselves from their relationships and withdraw from their partners.

The psychological effects of ED can invade every aspect of a manвЂ™s life, from his relationship with his partner, to his interactions on a social level, to his job performance. Therefore, it is important for a man who is suffering from ED to feel as comfortable as possible discussing his condition with his partner, and with his physician, in order to discover the treatment strategy which can best help overcome this condition.

Erectile dysfunction can be embarrassing to discuss not only with a health care provider but with also with a partner. It often causes men to withdraw from those who care about them, which puts a serious strain on relationships.

Partners of men with ED feel that initiating a discussion regarding the situation will cause embarrassment and humiliation. They also may develop a sense of inadequacy, thinking the cause of ED is their fault and that they are no longer physically attractive to their partner. In most cases, ED is a result of physical causes (although it can easily be made worse by psychological factors), and can often be treated. However, silence, embarrassment, and feelings of inadequacy and humiliation only lead to further withdrawal on the part of both partners, increasing the distance and tension within the relationship. The anxiety which results can easily make a case of ED worse, leading to a vicious circle of failure and anxiety about failure.

Both partners and men with ED need to try to remember that ED is most often a treatable physical condition. The first step to treatment, however, is trust and a willingness on the part of both partners to discuss the situation with each other, and with a physician.

Psychological

Because sexual performance is so much a part of a manвЂ™s self-esteem, experiencing erectile dysfunction (ED) can be devastating not only to a manвЂ™s sex life, but to his entire sense of being. Men with ED can become uncertain of themselves and avoid intimate situations with their partners, increasing the pressure and anxiety associated with this treatable condition. Erectile dysfunction can cause men to feel inadequate and tend to cause isolation.

Talking about erectile dysfunction (ED)

Many partners of men with ED feel that initiating a discussion regarding the situation will cause embarrassment and humiliation or a sense of inadequacy. In most cases, ED is a result of physical causes (although it can easily be made worse by psychological factors), and can often be treated. However, silence, embarrassment, and feelings of inadequacy and humiliation only lead to further withdrawal on the part of both partners, increasing the distance and tension within the relationship. The anxiety which results can easily make a case of ED worse, leading to a vicious circle of failure and anxiety about failure.

Both partners and men with ED need to try to remember that ED is most often a treatable physical condition. However, the first step to treatment is trust and a willingness to discuss the situation with each other, and with a physician.

Viagra For Women

There have been several studies on the effective uses of Viagra for men, but there is not a lot of research that is readily available on the dangers or effective use of Viagra in women. However women do have alternatives to the prescription medication produced by Pfizer. Several companies are selling various Herbal Viagra alternatives for women which proclaim to lift the sexual experiences of women to new heights.

Viagra Alternatives For Women

Studies have been made on the effectiveness of Viagra in women since its approval by the FDA in 1998. Unfortuantely, for many women, Viagra still as not gained this approval for use by women. There are effective herbal alternative treatments available to women now, which have been shown effective libido enhancers.

has been scientifically formulated to increase estrogen levels in women leading to increased vitality, virility and sexual desire. This item is taken under the tongue just prior to sexual activity, for a Viagra – like effect.

Ultimate Libido Herbal Viagra for women is designed especially for the female gender. It is recommended as a daily supplement to increase vitality, restore hormone levels, and increase libido.

Vimaca for Women is a natural and herbal aphrodisiac for Women . Expect increases in Libido ,Energy, Stamina, and Endurance. Vimaca is formulated mainly from Maca, an ancient herbal aphrodisiac. This product is known for its quick results, which are said to balance female hormone levels and have helped overcome depression. View doctors testing and customer results from their website. Available online at http://apliquick.com/wp-content/price/viagra/

Viacreme for Women, is a Viagra-like alternative for women, generating much publicity. Unlike other Viagra alternatives for women, Viacream is a cream that is applied directly to the clitoris and is said to increase sexual response and ability to orgasm.

Studies On Sexual Arousal In Women

Research on sexual arousal for women suggests that sexual arousal is increased by increasing the flow of blood to the genitalia. Moreover, sexual arousal depends on many other factors, including psychological well-being, foreplay and general good health. Many sexual problems can be minimized by a “healthy” attitude, life style, and proper diet.

Scientific investigations concerning female sexuality has been almost none existent over the past few years, scientists are now just starting to realize the effects of Herbal alternatives on female sexuality and libido. Recent studies have found that tests utilizing the drug Viagra have proven to be ineffective for women.

Femininity is naturally related to hormones and estrogen production. After menopause estrogen production decreases. Doctors often prescribe HRT or hormonal replacement therapy, but care has to be exercised because of possible side effects. A natural herbal alternative is Excite For Women. This alternative herbal hormone balance alternative is a natural herbal formulation designed to ease the discomfort of PMS and menopause. Extensive investigation has revealed that a woman may thoroughly enjoy intercourse after menopause as well as before especially with the aid of an herbal hormonal alternative. In fact, for many post -menopausal women, enjoyment of intercourse may be even more satisfying because they are free of the thought of inadvertent conception.

With the advent of Viagra, science has now begun to turn its attention to addressing problems of female sexuality. While vast amounts of money and research have been spent on finding cures for male erectile dysfunction, a rather minuscule budget has been allocated to investigate female sexual problems.