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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.

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.

Here are some of the factors that could diminish the libido for women: hormonal imbalances: the period preceding menopause, can cause hormonal changes that will lead to a marked lack of interest in sexual activity. There may also be discomforts that occur during sexual contact due to decreased ability of vaginal tissues to lubricate the area. Depression and chronic stress: When you feel depressed or stressed, your libido can decrease greatly.

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? See additional information at instadocnow.com.

Don’t Give Up: Viagra may not work the first time you take it. This is not the case for most people, but it is perfectly normal for the drug not to work after the first few attempts. It can actually take up to six attempts for Viagra to get into your system and exert its full effect. If you feel like it’s not working early on, try it a few more times before turning to an alternative. Buy from a Registered Pharmacy: Buying Viagra (or its generic form sildenafil) from a reputable source is a must.