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Are you suffering from erectile dysfunction? Did you try the blue pill, and it didn't work so you gave it up? Do you fell that medications are not helpful? In this video we will go through six steps that you need to follow for optimal results of the medications. 1. Be Persistent: Many men find success only after multiple attempts of taking the tablets. Studies show success rates improve with repeated use from 54% after the first try to 86% after the eighth try. Possible reasons for that are anxiety or incorrect timing during the early attempts. 2. Adjust the Dose: The initial prescribed dose might be too low for you. Sildenafil can go up to 100mg; tadalafil can also have higher doses up to 20 mg a day. Consult your doctor about increasing the dose if the current dose isn't effective. 3. Use the Medication Correctly: • Timing: Take sildenafil 30–60 minutes before sexual activity, with effects lasting up to 4 hours. Tadalafil offers a longer window (up to 36 hours) therefore it doesn't have to be taken shortly before intercourse with increases the spontaneity of the sexual activity while on tadalafil making it more desirable for many compared with sildenafil. • Sexual Stimulation is still Required: These medications need arousal to work. Arousal releases a chemical called nitric oxide which triggers a cascade of reactions resulting in relaxation of the blood vessels, both Sildenafil and Tadalafil will still need nitric oxide to work and their role comes further down the cascade of reactions to ensure that the nitric oxide achieve its full desired effects. • Avoid High-Fat Meals: Fatty foods delay absorption, reducing effectiveness of the medications. 4. Manage Lifestyle Factors: • Avoid excessive alcohol on the day of use (limit to one drink). • Quit smoking, as it impairs blood flow. • Address underlying conditions like: o Diabetes. o High blood pressure (change medications if needed). o High cholesterol. 5. Monitor Overall Health: • Improve vascular health through diet, exercise, and medical management. • Get a hormonal evaluation to check testosterone levels. • Treat any underlying medical conditions impacting ED. In fact ED could be an early sign of a serious cardiac or vascular conditions because the vessels to the penis are much smaller than those to the heart or other organs and they start to block first and cause ED before other conditions manifest like heart attacks or limb ischaemia. 6. Seek Medical Advice: • Discuss openly with your doctor, even if the topic feels sensitive. • Ask about: o Higher doses or alternative medications. o Switching from sildenafil to tadalafil or another option. o Referral to a specialist if primary care is insufficient. ________________________________________ Takeaway: Erectile dysfunction is often manageable with the right approach. Persistence, correct usage, lifestyle adjustments, and open communication with your doctor can significantly improve outcomes. Don't hesitate to advocate for your health and seek the resources you need to succeed.

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Il numero di pazienti con disfunzione erettile (DE) aumenta ogni anno. Migliorare l’efficacia del trattamento della disfunzione erettile è una questione importante per il settore andrologico. Alla base di una adeguata cura vi è sempre una giusta diagnosi. Si è sempre pensato che bassi livelli di testosterone oltre a ridurre la libido potessero intervenire nel determinare la disfunzione erettile. Ecco uno studio che ci spiega come questo possa accadere. Lo studio che riporto aveva la finalità di indagare se il basso stato degli androgeni compromette la funzione erettile dei ratti mediante disaccoppiamento endoteliale di ossido nitrico sintasi (eNOS). https://www.tagmedicina.it/2020/07/04/testosterone-disfunzione-erettile/

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