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These drugs form the mainstay of treatment in the management of ED. These drugs act by increasing the blood flow into the penis. There are various medications that can be prescribed based on the duration of action, bio-availability of the drug and side effect profile. Hormone Replacement: Testosterone is the male hormone that helps with erection and sometimes Total Testosterone levels can be misleading as most of this hormone is bound to a protein called sex hormone binding globulin. The free hormone is the active form and testosterone supplements help with erectile function. This is another tool that can be used for men with ED. The device is a hollow cylinder which helps draw blood into the penis.
Unfortunately, Viagra doesn’t make you invincible from “whiskey dick.” Alcohol is a depressant that affects every system in the body, including those that work to produce an erection. Booze can worsen the symptoms of ED; so can illicit drugs and marijuana. Chronic heavy drinking can damage the liver, heart, and nerves and reduce testosterone—all of which can lead to ED. Not giving it long enough to work : Take Viagra one to four hours before sexual activity. If you take it sooner than one hour before you have sex, it might not lead to an erection that’s as firm or long-lasting as you’d like. Talk with a healthcare provider about a safe starting dose or before you change your dose.
These are products like Testim gel or Testogel, available only on a prescription basis. There is also the possibility of receiving testosterone implants under the skin (with a local anesthetic). They slowly release the hormone and can be replaced every four months. The gel can be applied anywhere except the breasts, the only problem being that it is not yet authorized for women, so some gynecologists may be reluctant to prescribe it. However, to increase the level of testosterone there is another variant, authorized for women – Intrinsa patch with testosterone, which is usually applied on the buttocks.
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Timing matters. You need to plan for a minimum of two hours between the last thing you eat and ingesting the tablet. The dose should be taken one hour before sexual activity. There are limitations as to how often you can take Viagra. You should NOT take the dose more than once per day. What and when you eat can impair the effectiveness of Viagra. Avoid fatty meals on days when you plan on taking Viagra. This can cause Viagra to take effect more slowly. Try eating light meals throughout the day before taking Viagra, and avoid heavy meals with red meat, fried food and other high-fat components.