Viagra (Sildenafil Citrate)

The word "impotence" does not fully describe the changes that may take place in a mens body when the ability to achieve an erection declines. In 99.9% of men the disorder maybe managed and cured with different approaches.

The reasons for the appearance of erectile dysfunction vary largely among them are:

• Diabetic neuropathy - erectile dysfunction is determined in 35-50% of patients suffering from diabetes.
• Disease which cause changes in blood flow of the small pelvis and penis (atherosclerosis)
• Use of certain drugs - tranquilizers, sedatives, antidepressants, h1-histamine blockers
• Spinal column trauma
• Multiple sclerosis
• Hormonal disorders
• Alcoholism and drug addiction

Among the reasons for erectile dysfunction appearance also maybe the following neurological problems

• Neurosis and psychological disorders
• Stress
• Negative feelings

Any men even with extraordinary health may experience erectile disorders. In such cases it may pass with time, however if the disorder remains for the period of more then 2 months the male may need to consult a health care provider.

The treatment of erectile dysfunction varies largely and may incorporate drug treatment, physical procedures, prosthetic devices and psychological consultations. The modern methods of treatment may include:

• Firstly treatment with specific drugs like PDE-5 inhibitors - Viagra(sildenafil citrate), Levitra (vardenafil), Cialis(tadalafil), Avanafil(a drug currently in phase III clinical trials)
• Secondly treatment with prostaglandines - Caverject(alprostadil), or Muse RX(alprostadil)
• Thirdly psychotherapy - considered one of the most effective and powerful treatments in most men with psychologically induced ED. This therapy tends to reduce anxiety around sexual intercourse, relationship as a whole and intimacy. This approach, however may be also effective as subsidiary treatment in physical ED.
• Vacuum devices - special devices that work by producing a partial vacuum around the penis thus increasing blood flow to the cavernous tissue.
• And lastly surgery as the last resort and possibility in treatment of ED. There are different procedures like surgery on blocked arteries, vein surgery and use of prosthetics.

Treatment of erectile dysfunction with any of the above means except psychotherapy should be performed by a health care professional, do not engage in it without a consultation as it may turn to be harmful for your own health.