There are many causes of impotence, including medical conditions such as high blood pressure or diabetes and psychological issues. If a person’s impotence is due to a medical condition, it is important to understand that Viagra will not improve the condition that is causing the impotence such as high blood pressure. In this case, it is likely that a man will continue to need to use Viagra. This does not mean he is dependent on Viagra; it simply means that he is continuing to have a problem with impotence.

Viagra does not cause any long-term changes in sexual function. It works temporarily to increase blood flow to the penis. This will not affect a man’s ability to perform sexually in the future. In fact, if his impotence is related to performance anxiety about sexual activity, it is possible that Viagra might give him the confidence to overcome his problems with impotence.

Viagra Addiction
Men do not need to worry about becoming dependent upon Viagra. Viagra is not addicting and does not cause long-term changes in sexual function. While a man may continue to need Viagra to achieve an erection, this does not mean he is addicted. It simply means that he still has problems with impotence

Many of us interested in whether nicotine alone would affect sex drive.
Impotence has been induced by an intravenous injection of nicotine into dogs.

Nicotine could damage the blood vessels in the long run, thereby reducing smoker’s ability to have sex. However, new research suggests that when isolated from other harmful substances contained in cigarettes nicotine actually promotes the growth of healthy blood vessels.

Nicotine is, however a vasoconstrictor, which means it narrows the blood vessels. Theoretically at least, this should reduce men’s ability to have sex, and would even reduce arousal in a women.

While most studies (including some which conclude nicotine has a negative effect on the sex drive) actually test the effect of cigarettes on impotence, impotence has been induced by an intravenous injection of nicotine into dogs.

Of course, dogs are not human and an injection is not smoking. However, a second study gave non-smokers nicotine gum to chew while watching erotic movies. The study found that nicotine can have a significant effect on sexual arousal when watching porn.

Nicotine compresses arteries to make them narrower. When your arteries conducting to your heart are totally blocked, then you bear the problem of heart attack.

The researcher says that a person who is smoking 20 cigarettes a day, would have increased 39% his risk of impotence. Cigarettes contain nicotine that affects people. Nicotine in the blood promotes the vein chamber to dilate. Heart attack and lung cancer are also the major causes of smoking hence smoking can cause impotence.

Erectile dysfunction is the inability to attain or sustain an erection satisfactory for sexual intercourse. Most erectile dysfunction is related to vascular, neurologic, and hormonal disorders; drug use and sometimes psychologic disorders are also causes. Evaluation typically includes screening for underlying diseases and measuring testosterone levels. Treatment options include oral phosphodiesterase inhibitors or apomorphine, intraurethral or intracavernosal prostaglandins, mechanical pump devices, and surgical implants.

The term impotence has been replaced by the term erectile dysfunction (ED). In the US, at least 10 to 20 million men > 18 are affected. The prevalence of partial or complete ED is about 50% in men 40 to 70 and increases with aging. However, many men can be successfully treated.

Factors Contributing to Erectile Dysfunction

• Lack of frequent erection
• Excessive smoking and alcoholism
• Emotional disorder, problem in relationship
• Diabetes, high cholesterol, and early stages of heart diseases

Erectile Dysfunction Treatment
Over the past few years, there has been an increased understanding of the physiology of erection and the pathophysiology of ED. We are beginning to understand the events leading to tumescence and detumescence at the cellular and molecular level. Combined with the advent of sophisticated diagnostic modalities, more and more of these patients are diagnosed with treatable organic causes of ED. Currently, there are a multitude of treatment options available, ranging from oral to injectable medications and various surgical treatments. A thorough understanding of penile physiology as well as current diagnostic and treatment modalities is necessary for proper evaluation and treatment of patients with ED.

Different pharmaceutical companies have launched number of herbal products to cure erectile dysfunction. They are popularly known and promoted with the name Herbal Viagra that is an alternative to Viagra. They are widely used by millions of people with satisfactory results. They are made from herbs and other medicinal plants and are completely secure.

Cycling is an Olympic Sport famous for its trills and passion. Cycling is an activity that many men and women do on daily basis to reach their offices or colleges. It would be really a heart breaking news to all the male cyclists if it is proved that cycling is making them impotent. To study the effect of Cycling a study was conducted in which 200 men cycling daily participated. Erectile dysfunction was noted among only those men who did vigorous cycling i.e. more than 3 to 4 hours daily. Thus, it is good news for all the cyclists that an hour of cycling daily will not harm their sexual health. But, it is always better to take the precautions, so do the cycling but only for 20 to 30 minutes for the best possible results.

Cycling is a very good sport for the health, this is what we have heard from our childhood, but according to the latest study Cycling can damage your sexuality permanently. Cycling can maintain your health and make you healthier, but by damaging your sexuality. Cycling is found to reduce the risk of cardiovascular ailments, but it may induce the risk factor of suffering with erectile dysfunction or perineal-genital paresthesia. Cycling is the age-old sport practiced throughout the world. Cycling truly one of its kind of sport that improves the health of the individual considerably, but according to the latest research it damages the sexual health of an individual considerably. According to the latest study, man who cycles continuously for more than 3 hours on habitual basis is found to adhere to the problems like erectile dysfunction in his life.

Long distance cycling causes temporary genital numbness as the common side effect sometimes it may even lead to the impotence in the men, if the long distance cycling is continued on regular basis. Erectile dysfunction in the men because of cycling is caused by the continuous movement of the legs that causes the friction in between the penis and legs that damages the penile muscles or even the arteries that supply blood to the penis. Another important reason that results into the impotence in the men is the formation of the bicycle seats. Continuous sitting on these seats causes compression of perineal arteries with a consequent significant decrease in penile perfusion. Reduced oxygen tension leads to penile fibrosis, which works counterproductively to the achievement of an erection that finally leads to the erectile dysfunction in men. However, in the genesis of the erectile dysfunction of the cyclist, apart from the above-mentioned factors, an “individual predisposition to developing erectile dysfunction” linked to the perineal-genital anatomy (i.e. type of insertion of the perineum into the root of the penis, number of layers of the tunica albuginea of the corpus cavernosum) cannot be excluded.

During the study it was noted that majority of the professional cyclist suffer with the erectile dysfunction and are unsatisfied with their sexual life. But, there are few chances for these cyclist to avoid the erectile dysfunction by changing the shapes of there seats from V shaped hard seats to normal smooth seats that supply the proper oxygen to the penis. Even the new speed gears can be introduced to the cycles that will reduce the continuous fiction in the legs. They can also wear the shorts that are quite loose and have a persistent supply of air to their inner parts. `It was possible to demonstrate that the most important factor in safeguarding penile perfusion is not the amount of padding, but rather a saddle width which prevents sufficiently the compression of the perineal arteries.

In another study the cyclists who were suffering with erectile dysfunction were asked to change their seats and add extra gears to the bicycle. Then these cyclists were asked about their sex life after 2 months of practice on bicycles with smooth seats, extra gears, and by wearing a quite lose and comfortable shorts that allowed the air to flow to the penis. The study concluded that there was a improvement in the erectile function of these men. Hence, avoid the excessive cycling to maintain your sexual health.

Taking into account about 150 million men around the globe, who suffer from impotence, the market of drugs against erectile dysfunction is perceived as a huge field of opportunities for pharmaceutical companies, promising wonders to them. However, by now this market is officially open only to the three brand-name products – Viagra, Levitra and Cialis, the manufacturers of which hold patents on their inventions.

Constantly growing number of men with ED directly affects the overall cost of treatment, which is estimated by billions of dollars today. Of course, the economic burden could be significantly decreased with the introduction of generic medications, which are usually much cheaper than brand-name pills; but the truth is that for the time being, in the countries like the USA generic drugs against impotence are not yet approved officially.

However, due to some differences in legislation and patent law in different countries, the generic alternatives of popular ED pills have already leaked into the market of ED treatments. Being supplied mostly through online pharmacies, generic versions of Viagra, Levitra or Cialis are offered at huge price discounts, which naturally attract the attention of those people, who want to improve their sexual performance and save money at the same time.

Kamagra, Silagra, Tadalis and Caverta are only several examples of cheap alternatives promoted in the internet. Such medications, being mostly produced in India, where patents on medications are not accepted, find different ways to reach their potential customers worldwide.

Trustpharma.com aim is to offer people some educational articles on the said products, summarizing the obvious benefits of generic drugs and revealing or pointing out some potential threats, which may be hidden, unexpressed, or passed over in silence by online sellers.

Sex is the major source of happiness than money, according to Warwick University scientists. They conducted this survey on 16,000 people in association with WebMD.com. Couples who are having regular sex are leading happy lives and are living longer.

Medical community at last recognised the health benefits of sex. According to researchers, sex increases immunity levels in the body by increasing the secretions of required hormones and immunoglobulins. Regular sex reduces the risk of getting cancer and heart diseases. Doctors finally agreed to the fact that sex is the best enjoyable exercise to control ones weight

Sex plays vital role in bringing happiness and peacefulness to our daily life.

1. Daily Sex reduces the stress levels and control blood pressure.

2. Sex increases the immunity levels in the body by producing more antibodies.

3. Sex improves the strength of pelvic muscles.

4. People who have great sex life will reduce their risk of getting heart diseases.

5. Couples with regular sex life enjoy great family life.

6. Hormones which released during sex will give relief from pain.

7. Incidence of Prostrate Cancer is low in men who have regular sex.

8. Sleeping problems are rare in those couples who have good sex life.

Sexuality is a big part of being human. Love, affection and sexual intimacy all play a role in healthy relationships. They also contribute to your sense of well-being. A number of disorders can affect the ability to have or enjoy sex, including erectile dysfunction and female sexual problems. Concerns about infertility or fear of unplanned pregnancy can also come into play.

In addition, a number of diseases and disorders affect sexual health. These include sexually transmitted diseases and cancer. In men, treatment of prostate cancer can cause erectile dysfunction. In women, cervical, uterine, vaginal, vulvar or cancer may have sexual effects.

Sex safety doesn’t end with condoms…

Safer sex does not just entail wearing a condom, but also includes keeping clean, knowing what to avoid and making the right decisions.

Practicing safer sex is indeed much more involved than simply wearing a condom. Couples must be conscious of the potential dangers and avoid engaging in risky behavior.

There are a number of fluids involved in sex – urine, feces, semen, vaginal secretions, saliva, and blood – fluids with which either partner can come into contact through the course of virtually any form of sexual activity. Many of these fluids are excellent carriers of disease, and should be handled with care.

• Never have vaginal sex after anal sex without washing first. The feces carry many organisms that can infect the vagina, and can be transferred by a penis, dildo, mouth or finger like a bee transfers pollen. Wash well or use a different condom to make sure you don’t cause infection.
• Never share condoms, dildos or sex toys. A condom should only ever be used once. If you do plan to use a sex toy or dildo that was used by someone else, remember to wash it well with soap and water. If you are really unsure, you can even use bleach to clean these items, and rinse them extremely well, or put a condom over the object.
• Always wash well before anal play. Anal play is safer if you wash the anus and surrounding area with soap and water beforehand. It is also recommended that you defecate (have a bowel movement) well before you begin.
• Always wash towels and bedsheets. Some STDs (such as scabies) can be transmitted through fabric. Never reuse towels used to wash up after sex as a hand or face towel; just throw any towels straight into the laundry, or use bathroom tissue.

Penegra is a new drug treatment and as an alternative for Viagra. Penegra is an effective prescription medication used for treatment of male erectile dysfunction (Impotence). Penegra contain same Sildenafil Citrate as Viagra from Pfizer. Penegra is more suitable for India because of the inexpensive labor and manufacturing conditions found here give this variation a much, much lower price. Erectile dysfunction is an inability of a man to get and / or sustain erection though he is sexually excited. Penegra will not work to cause an erection unless the person is sexually stimulated. Penegra is the new Viagra alternative. Penegra is the same Sildenafil Citrate found in American Viagra from Pfizer, but inexpensive labour and manufacturing conditions, give this variation a much, much lower price. This medicine that helps men with erectile dysfunction (ED) have sexual intercourse again.

Penegra soon became the favorite choice of the customer rather than the original branded because of its low price. Thus, the original Viagra manufacturer launched the case against the penegra as it has copied there formulation and is using the substandard methods in the manufacturing of the drug to keep the prices low. Thus, the court asked the officials from the Food and Drug Administration to carry out the clinical trials of the penegra and to visit the manufacturing units of the penegra manufacturer to check the quality standards. After checking all the things, Food and Drug Administration came to the conclusion that penegra is the quality product and can be used to treat erectile dysfunction in men. They also made the point that penegra has not copied the formulation of the drug. Thus, the war between the penegra manufacturer and the original Viagra manufacturer got over. As a result of this case, penegra got the approval from the Food and Drug Administration to be sold in the market as the erectile dysfunction drug.

Penegra Information:

• Cheaper- Penegra is less expensive than its branded version because the manufacturers of Penegra do not have to invest any money on marketing, promotion or development. So they can sell the drug at a reasonable rate.
• Quality Assured- the product quality is the same as Penegra is the same as Viagra, even the active ingredients are similar. It just differs in its shape, color, packaging, flavor labeling aspects.
• Penegra can help more people overcome erectile dysfunction because of its low cost.

Inability to perform well on bed makes a man feel embarrassed. He may also feel depressed. There are so many reasons for which he fails to spend a satisfying amount of time having sex. The reasons can be physical or psychological. It can be too much anxiety or physical ailments that prevent blood from flowing to the penis. Enough blood flow to the penis helps a man get an erection. In case it doesn’t happen due to any cause, a man suffers from erectile dysfunction. As a result of which he is unable to maintain an erection, or able to sustain only brief erections. One can take the help of Penegra, a pill also called as generic Viagra to recover the condition called Erectile Dysfunction. Penegra is a medication prescribed for the treatment of Erectile Dysfunction serves its purpose by increasing blood flow to the penis. With more blood flowing into the penis and less flowing out, the arteries of the penis enlarge resulting in an erection.

Pleasure is the utmost priority of all the men in the world and when they fail in it they feels ashamed of themselves. Men suffering with the erectile dysfunction are found to be devoid of the pleasure life and refrain from any pleasure activity. These men lose the erection before having a pleasure intercourse. In fact these men fail to have a satisfactory intercourse. Zenagra treats the erectile dysfunction same like the Viagra. Zenagra shows the superb efficacy by allowing the men suffering with the erectile dysfunction to enjoy the pleasure activity for 4 to 6 hours. Impotent men are able to get the strong and hard erection during the pleasure activity. Men who were previously failing to have the satisfactory intercourse but these men are now able to satisfy their partners with the help of the Zenagra. Pleasure efficacy can be achieved by the men by taking the Zenagra and practicing the pleasure more often. Zenagra is like a blessing to all the men who are suffering the erectile dysfunction. Zenagra culminates the erectile dysfunction irrespective of its cause and the age of the patient.

Zenegra Generic Viagra prescription drug is manufactured by Alkem in India. Zenegra Generic Viagra is indicated as Erectile Dysfunction or Impotence Treatment.

Just like any generic pharmaceutical, Zenegra Generic Viagra are less expensive than the brand name equivalent Viagra . The reason that you can buy Zenegra generic Viagra for less at a online drugstore is that you don’t pay for branding, marketing, advertising or a costly sales force or overhead. The cost savings are past directly on to you.

Zenagra should not be taken along with the alcohol or heavy fat meals as they could reduce the effect of the drug and may induce the side effects. Please note that with the intake of Zenagra you can experience some of the side effects like headache, stomach upset, blurred. These side effects are temporary and go off once your body gets used to the dosage of the drug. It has been proved by the survey that the men who have taken Zenagra are able to reach the pleasure efficacy quite comfortably. Thus, take Zenagra and achieve the memorable pleasure efficacy.

Impotence or “erectile dysfunction” is the inability to attain or sustain an erection for long enough for sexual activity. About 70% of cases of impotence are actually caused by an underlying disease, such as diabetes or kidney disease, rather than a mental or physical problem. Secondary impotence from various drugs and medications is common. Physical damage from injury or surgery is another common cause of impotence. Psychological causes of impotence are estimated to be only 10-20% of cases. Although psychological aspects such as anxiety and fear of sexual failure are commonly associated with impotence, they are not usually the real case, but are a reaction to having impotence.

Causes Of Impotence:

· Alcohol

· Stress

· Various hormonal or metabolic diseases can lead to impotence:

1. Kidney disease
2. Alcoholism
3. Liver disease

· Physical damage of various types can lead to impotence: Blood or blood vessel disorders that may cause impotence include:

1. Blood flow disorders

· Disorders affecting the nerves that may cause impotence include:

1. Diabetes – impotence caused by diabetes is often curable by treating the diabetes.
2. Neuropathy

Diagnostic Test list for Impotence:

The list of medical tests mentioned in various sources as used in the diagnosis of Impotence includes:

• Physical exam
• Blood counts
• Urinalysis
• Lipid profile
• Creatinine test
• Liver enzymes test
• Testosterone level
• Monitoring nocturnal penile tumescence
• Psychosocial examination

Top Treatments for Impotence

The list of treatments mentioned in various sources for Impotence includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

• Discontinuing medications possibly causing impotence
• Treating an underlying systemic disease if found
• Psychotherapy
  • Counselling
  • Behavior modifications
• Oral drugs (pills)
  • Sildenafil citrate (Viagra)
  • Testosterone pills
  • Yohimbine hydrochloride
  • Dopamine agonists
  • Serotonin agonists
  • Trazodone
  • Phentolamine – a new research treatment
• Penile injected drugs
  • Papaverine hydrochloride
  • Phentolamine
  • Alprostadil (Caverject)
  • Topical nitroglycerin
• Surgically implanted penile devices
  • Alprostadil pellet (MUSE)
  • Inflatable implants
  • Malleable implants
• Corrective penile surgery:
  • Artery repair surgery
  • Vein ligation
• External vacuum devices

Top Drugs and Medications used to treat Impotence:

Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment or change in treatment plans.

Some of the different medications used in the treatment of Impotence include:

• Sildenafil Citrate
• Viagra
• Alprostadil
• Caverject
• Caverject Impulse
• Edex
• Muse
• Muse Pellet
• Apomorphine
• Apokyn
• Tadalafil
• Cialis
• Vardenafil
• Levitra .

What is Penegra?

Penegra is the brand name for Sildenafil Citrate. It’s a medicine that helps men with erectile dysfunction (ED) have sexual intercourse again.

What is erectile dysfunction?

Erectile dysfunction is the inability of the penis to become rigid, or stay rigid long enough to complete the sexual act.

How does Penegra work?

Penegra dilates the arteries in the penis and thus allows filling of blood into sinusoids (small spaces in the penis). As the penis hardens, the veins are compressed restricting the blood flow out of the penis. This filling of blood into the penile space causes an erection.

How well does Penegra work?

Four out of five men who take Penegra show an improvement with erections, regardless of age and how long they have had ED.

How should I take Penegra?

Take one tablet one hour before you plan to have sex. Don’t take more than one tablet in 24 hours. The medicine comes in tablets of 25mg, 50mg, and 100mg. Most patients can start with 50mg. Even if you take Penegra, you still need physical and mental stimulation and desire to have an erection. If your first dose of Penegra does not help, Call your doctor. Your doctor may want to change your tablet strength.

Can I take KAMAGRA Jelly with alcohol?

Drinking alcohol can temporarily impair the ability to get an erection. To get the maximum benefit from your medication, you are advised not to drink large amounts of alcohol before taking KAMAGRA Jelly..

What are the side effects of Penegra?

Penegra has some common side effects. Headache Flushing (face and upper body turning red and warm) Stomach upset Running nose Vision changes ( Things look blue) Headache is the most common side effect. Vision change are least common. Talk to your doctor if you have any side effect that bothers you.

Can everyone use Penegra?

You should not use Penegra if you take any of these forms of nitrates: Isosorbide Mononitrate (brand names: Monotrate, Vasotrate, Ismo, Imdur, Angicor) Isosorbide dinitrate (brand names: Sorbitrate, Isordil) Sublingual nitroglycerin tablets or spray (Angised, Angispan, GTN spray) Transdermal nitroglycerin patches or ointments (brand names: Top nitro, Nitroderm TTS, Myovin) Please Note: the above is not a comprehensive list and mentions only some commonly used brands. If you are not sure of the medicine you are taking, you should consult your doctor.

Can I take Penegra after food?

Yes, but high fat meals should be avoided before taking Penegra to have better response.

Can I take Penegra with alcohol?

The consumption of alcoholic beverages can temporarily impair the ability to get and keep a sustained erection. To achieve maximum results while using Penegra, you should not drink large amounts of alcohol before taking the medication.

Will Penegra work as soon as I take it?

For the best results, take Penegra about one hour before engaging in sexual activity. Penegra is designed to last between 30 minutes and four hours for most patients. Ultimately, Penegra can help you get an erection and maintain that erection if you are sexually aroused.

Penegra 25 Blister pack of 4 tablets

Penegra 50 Blister pack of 4 tablets

Penegra 100 Blister pack of 4 tablets

IMPORTANT NOTE

The following Penegra Information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using Penegra. Penegra (Sildenafil) is not intended for use in women or children. Your pharmacist may know of alternate uses for Penegra (Sildenafil).