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Erection and flaccidity of the penis is a vascular phenomenon. The penile erectile tissue or the corpora cavernosa plays a key role in the erectile process. Sexual stimulation triggers the release of chemicals which cause relaxation of smooth muscles. This increases blood flow in the arteries and the smaller arterioles. The incoming blood is trapped by the vascular spaces. The venous outflow is reduced by compression of the veins. The partial pressure of oxygen in the blood rises from 35 to 90mm/hg and the pressure in the cavernosa climbs to 100mm/hg which erects the penis. A rigid erection occurs with further contraction of the pelvic floor muscles. The rigid penis becomes flaccid with a slow opening of the venous channels and then a fast pressure decrease with a fully restored venous outflow.
Common side effects of Viagra include dizziness, headache, flushing, upset stomach or indigestion, abnormal vision (such as increased sensitivity to light, blurred vision, or blue-tinted vision), nasal congestion or runny nose, back pain, insomnia, rash, and muscle pain. Less common side effects of Viagra include priapism (a prolonged, painful erection that won’t go away), heart attack-like symptoms such as chest pain, eye problems such as sudden vision loss, ringing in ears or hearing loss, seizures, or swelling in the extremities. (If you experience any of these, you should seek medical advice right away.)
Pepper gel: this type of product, which contains, among other things, peppermint extract: Improves blood circulation and dilates the vessels and improves vaginal dryness. Although there is not much evidence of the effectiveness of this gel, it can work in some women and does no harm anyway. Aloe vera gel: this is an intimate gel that helps in the case of a dry, sensitive vagina, these problems may occur due to menopause or a decrease in hormone levels.
Premature ejaculation or lack of Ejaculatory control is the second most common reason men come to see me in my clinic. “It is over before it starts doctor”, they say. A feeling of anguish and the guilt of not being able to satisfy their partners lingers. Though a scientific definition of Premature Ejaculation may be ejaculating within one minute, partners of men who ejaculate slightly after one minute are not necessarily happy. So, what’s the story? What are they thinking? Read extra information at https://www.youtube.com/watch?v=9IvGAwoHshM.
Viagra comes in different doses. While Viagra comes in 25mg, 50mg and 100mg tablets, the usual recommended dose is 50mg. Your doctor may recommend that you take more or less than the average dose depending on your personal situation. The maximum recommended dose is 100mg. Viagra doesn’t always work the first time you take it. Viagra isn’t magic; it does require sexual stimulation to result in an erection and it may not work the first time. You should allow at least two to three attempts to evaluate whether it is working for you. If you fear it is not working when you are with your partner, first try taking it on your own and self-stimulating. Direct stimulation of the penis after taking the tablet can also help.