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In some cases, premature and inhibited ejaculation are caused by psychological factors, including a strict religious background that causes the person to view sex as sinful, a lack of attraction for a partner, and past traumatic events. Premature ejaculation, the most common form of sexual dysfunction in men, often is due to nervousness over how well he will perform during sex. Certain drugs, including some antidepressants, may affect ejaculation, as can nerve damage to the spinal cord or back. In randomized controlled trials, an estimated 60% of men with diabetes, and 80% of men without diabetes experienced improved erections with sildenafil. Surgery to repair arteries (penile arterial reconstructive surgery) can reduce impotence caused by obstructions that block the flow of blood to the penis. The best candidates for such surgery are young men with discrete blockage of an artery because of a physical injury to the pubic area or a fracture of the pelvis. The procedure is less successful in older men with widespread blockage of arteries. Vardenafil (Levitra) was the second oral medicine approved by the U.S. FDA for the treatment of erectile dysfunction. Like sildenafil (Viagra), vardenafil (Levitra) inhibits PDE5 which destroys cGMP (as discussed earlier). generic viagra online pharmacy buy viagra online
In men 40 years of age or older, a breast examination, digital examination of the prostate, and a PSA level (prostate specific antigen) blood test should be done to exclude breast and prostate cancer before starting testosterone treatment since testosterone can aggravate breast and prostate cancers. Patients who have breast and prostate cancers or are suspected of having them should not use testosterone. buy levitra viagra online viagra
buy propecia online canadian pharmacy Now that researchers have found this biochemical loop, new treatments targeting phosphorylation can help "intervene earlier in the arousal process than current medicines approved to treat erectile dysfunction," the release stated. One treatment researchers are looking into is an herbal compound named forskolin, which can keep nitric oxide pumping. buy propecia online canadian pharmacy The common PDE5 drugs approved in the United States are sildenafil (Viagra), vardenafil (Levitra), or tadalafil (Cialis). Actual head-to-head trials between these drugs have not been done to date to see which is the superior drug. Details on each of these medications for erectile dysfunction are outlined below.
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