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    The most common cause of male infertility is a varicocele (say: "var-ee-koh-seal"). This is when the veins in the scrotum (the skin "sack" that hangs beneath the penis) are dilated (enlarged) on 1 or both sides. This heats the inside of the scrotum and may affect sperm production. A blockage in a man's reproductive system may cause male infertility. Some medicines can also cause infertility. Sildenafil has been found to be effective and safe in the treatment of erectile dysfunction in men with stable heart disease due to atherosclerosis of the coronary arteries, provided that they are not on nitrates. The real concern is not as much the safety of sildenafil but the risk of sexual activity in triggering heart attacks or abnormal heart rhythms in patients with heart disease. Ejaculation has two phases -- in the first, the vas deferens, the tubes that store and transport sperm from the testes, contract to squeeze the sperm toward the prostate gland and urethra and seminal vesicles release secretions that make semen. In the second phase, muscles at the base of penis contract every 0.8 seconds and force the semen out of the penis in up to five spurts. B. Early Studies Do not use Levetra if you palm any medicines that contain nitrate or nitrite, because attractive them and Levetra can originator hugely pornographic blood pressing, if possible resulting in dizziness, fainting, pulse, or resolution attack. Future treatments for erectile dysfunction focus on providing medications that are more effective, work rapidly, and have fewer, if any, side effects than currently available treatments. Currently there are three oral medications available to treat ED - Cialis, Levitra and Viagra. A number of pharmaceutical companies are researching new treatments for ED, and many new options may be just around the corner. These include: Buy Generic Cialis But depending on the type of treatment selected, a prostate cancer patient can suffer some rather uncomfortable side effects, among them impotence and incontinence. ED can in many cases be treated by drugs taken orally, injected, or as penile suppositories. These drugs increase the efficacy of NO, which dilates the blood vessels of corpora cavernosa. When oral drugs or suppositories fail, injections (e.g. of apomorphine) into the erectile tissue of the penile shaft may work. Inexpensive Requires injections directly into the penis Oral medications include neuropharmacologic agents that are adrenergic receptor antagonists (eg, phentolamine, yohimbine, delequamine), dopamine receptor antagonists (eg, apomorphine, bromocriptine), serotoninergic receptor activators (eg, trazodone), oxytocinergic receptor stimulators (eg, oxytocin), androgens, and PDE inhibitors. PDE5 inhibition restores T cell proliferation in MM and head and neck cancer patients Herbal Remedies: Asian ginseng and Ginkgo biloba are believed to improve erectile function in some men. However, consult a doctor before taking any herbal supplements to ensure they are safe for you to take. Common adverse effects include headache, flushing, rhinitis, dyspepsia, or indigestion; assess cardiovascular status before use; caution with left ventricular outflow obstruction or conditions aggravated by hypotension; caution with hepatic or renal impairment (decrease dose); may cause prolonged or painful erection; may cause back pain or myalgias The following conditions are associated with vascular disease: Venous Leak Apathy Drug and/or alcohol use Low self-esteem: This can be due to prior episodes of ED (thus a feeling of inadequacy) or can be the result of other issues unrelated to sexual performance. Niagra (or Natural Viagra as its creators consider it) - it's as straightforward as taking one to a few pills at least one hour prior to having sex and your erection dysfunction can merely vanish.

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