Impotence, often known as erectile dysfunction (ED), is a prevalent illness that affects an estimated 20 to 30 million men in the United States and more than 150 million men worldwide. The inability of a man to achieve and maintain a decent erection for sexual intercourse is classified as ED. The capacity to have an erection is dependent on the nerves, blood vessels, muscles, and brain performing their regular, integrated activities.
A multitude of circumstances, or a combination of factors, can cause ED. Psychological, neurological, hormonal, and vascular problems are examples of these. ED can be exacerbated by some medicines, chronic conditions, and the natural ageing process. See Erectile Dysfunction Causes for further information.
Most of the time, an oral medicine like Viagra, Levitra, or Cialis will be prescribed initially. Other ways may be tried depending on its success and your tolerance to the medication. Microvascular surgery may be advised for patients who have blood vessel blockage or leakage. Penile prosthesis is a wonderful solution for those who do not react to non-surgical therapy or are not surgical candidates. best ED medicine cenforce 100 , fildena 100.
Viagra has become the medicine of choice for treating ED since its debut in 1998. When a man is sexually stimulated, substances such as nitric oxide are released into the nerve terminals, causing the smooth muscles of the penile to relax and aid in the formation of an erection. This process is aided by a substance known as cyclic guanine monophosphate (cGMP). An enzyme called phosphodiesterase-5 (PDE-5) breaks down cGMP and restores the penis to a flaccid condition after an erection. By preventing the activity of PDE-5, Viagra improves smooth muscle relaxation and erections by increasing the levels of cGMP in the penis.
