Erectile dysfunction problem

Impotence or male erectile dysfunction represents a common male inability to achieve or maintain an erection sufficient enough for satisfactory sexual activity.

Erectile dysfunction affects about 50% of all men older than 40 years. It substantially impairs the quality of life and causes other related conditions.

The problem is complex and should be diagnosed by a medical professional. So, if a person starts experiencing poor penile erections every now and then, he should consult a doctor as soon as possible.

A penile erection is produced by a cooperative work of physiologic processes involving the central nervous, peripheral nervous, hormonal, and vascular systems. When any of these systems cannot work properly, the problem can occur.

The medication use or disease, smoking or alcohol abuse can produce a significant impact on the ability to develop and sustain an erection.

A common cause of erectile dysfunction is problems with blood circulation. Men who suffer from impotence often have coronary artery disease, atherosclerosis, and vascular disease.

Vascular diseases like myocardial infarction (MI), atherosclerosis and arterial hypertension greatly affect the vessels around the penis and can induce impotence in men. Men with affected blood vessels lose erectile function within few years after they develop vascular disease.

Impotence usually has a multi-factorial origin involving organic, physiologic, endocrine, and psychogenic factors.

Conditions that are commonly blamed for causing impotence include: diabetes, hypertension, cardiovascular disease, depression. Any alterations in the hormonal, vascular and nervous systems can lead to erectile dysfunction.

Hypertension and smoking factors cause circulatory and structural changes in penile tissues. They dramatically change the blood supply of the penis and make the smooth muscle relaxation within the penis defective.

Trauma to the pelvic blood vessels or nerves can also lead to erectile dysfunction. Diabetes is a risk factor for ED which can be effectively controlled by lowering blood sugar levels, physical activity and proper diet.

High cholesterol level is the proven risk for developing blood vessel problems and erectile dysfunction. Men who have high levels of bad cholesterol commonly experience impotence.

Penile conditions like Peyronie disease may result in fibrosis and deformity of the penis. Men with Peyronie disease may have scar tissue in the corpora to decrease blood flow.

Prostate surgery is associated with ED due to nerve damage from the procedure. Radical prostatectomy for the treatment of prostate cancer increases the risks of impotence.

Mental health disorders such as performance anxiety, fears, stress, and depression are associated with impaired sexual performance.

Smoking and inactive way of life, obesity and other health factors increase the chances for developing erectile dysfunction.

Exercise and lifestyle modifications like weight loss and control, quitting smoking may improve erectile function. Self-education and special programs for maintaining general health can produce positive effects for men in risk groups for impotence.

Stendra reviews

My story about the problem started long time ago. First I did nothing to help myself. My erections soon became so poor that I decided to try to solve the problem with medications. As my first experience was with Viagra, I should say that it was great. Still I was not satisfied with the price of the medicine and the necessity to refill the prescription each time I needed the drug. So I switched to Stendra and now buy it online. The price of the medicine is fair, I can afford the medicine for regular use. As for the effectiveness, I find Stendra being an excellent helper for my problem.

I use ED pills to help with my problem. My doctor prescribed Stendra as an alternative to Viagra. I think this medicine works perfectly in me.

The price is rather cheap and the use is simple.

Recommend Stendra! It does not make my back ache and my face flush with blood. No side effects only positive emotions. My hard-on is so natural and durable that I feel as young as 20 years old. I think it costs every dollar I spent!

Stendra is one of the oral medicines which I tried for my erectile problem.Good investment of my money! I use this medicine to improve my erections and have normal sex. The medicine is working properly even if I eat something.

I believe in no miracles, but Stendra is a miracle for me. After a long time of searching for the best medicine I eventual have found one. Stendra meets all my needs and demands. I’m fully sure in its work and use it just before having sexual activity.

Frankly speaking I just could not keep up with the price of Viagra. I was advised to try other pills. Stendra was my second medicine and it is quite to my liking. My doctor gave me a sample to use when I was ready for sex. It was amazing! Stendra works great, it does not cause me have stomach problems or any other unpleasant effects. I don’t exceed the dose and follow my doctor’s advice. My erections last longer and I don’t regret my switching to this helps maintain erections, make me feel strong and sure in everything I do. Thanks to my doctor and to the creators of this drug. I think that Viagra manufacturer wants too much of the price.

Stendra and other oral ED drugs

impotenceImpotence – a male sexual disorder makes the life deprived of its natural taste. Men with impotence cannot get and achieve functional erections to perform in bed, so they feel ashamed, guilty and embarrassed.

For most couples erectile dysfunction (impotence) is not an easy thing to cope with. Though there are so many treatments available today, lots of men have fears of taking them. Some of them do not believe in the effectiveness and do not want even try any of the treatment methods, others are afraid of side effects.

As men are incapable of reaching and sustaining longer penile erection they and their partners cannot have an orgasm. So the sexual life becomes unhappy, unpleasant and disappointing.

Still, all, who are affected by impotence, should know that this condition can be well managed. It cannot be completely cured, but the treatments, which can be used regularly, exist.Stendra

Recently only 3 main drugs were competing with each other for the first place in the treatment of erectile dysfunction. They are Levitra, Cialis and Viagra. Now with appearance of Stendra, the competition becomes even greater.

Stendra is a very effective erectile function booster. It belongs to the medicines called PDE type 5 inhibitors and works the same way as Cialis, Viagra and Levitra.

The medicine contains the active component avanafil. Stendra is supplied in the form of tablets containing 50 mg, 100 mg, or 200 mg of avanafil.

Avanafil is characterized and prominent with very fast action in the body. Probably this medicine is the fastest among other oral medicines available today.

oral ED drugsStendra is recommended to be taken 15- 30 minutes before sexual activity. Most patients need only 15 minutes to observe the action. This feature makes the medicine outstanding and beneficial to use.

Clinical trials of Stendra resulted in great success. The men who took part in the studies reported great improvement in erectile function, rigidity and ability to perform longer after using one dose of Stendra.

With the approval of the FDA, Stendra stood on a par with other popular medicines for ED treatment. What is important with this medicine, it does not usually cause any side effects. Being very safe, Stendra is chosen by millions of men in the world for the treatment of erectile difficulties.

Doctors recommend using Stendra for patients who may be more sensitive to Viagra or Cialis effects. Stendra is well tolerated and brings necessary results within minutes. It is easy to use and great to work.

If you want to start using Stendra, then ask your doctor about this wonderful medicine.

Stendra Actions and Dosing Information

approvedRelatively new medicine Stendra has gained its great admirers among men with the condition known as erectile dysfunction. Stendra treats a male’s inability to have an erection, so it is must be used only in case an adult man cannot get and maintain an erection naturally.
Failure to have erections is called erectile dysfunction or generally impotence. This condition is common for men of 45 and older years of age. The causes of impotence are different from physiological to mental. In all cases, impotence is a very undesirable condition with lots of emotional issues and problems in relations.Stendra
Males, who face impotence problem, need the treatment approved by the medical science and professionals. Stendra belongs to the medicines called PDE-5 inhibitors, having the potent agent Avanafil inside. Avanafil belongs to the same class of drugs which includes Cialis, Viagra and Levitra.
When a male experiences impotence, he may have loose and infirm erections. These poor erections happen because of insufficient blood filling of the penis. The problem is – the penis is not filled with blood and/ or the blood comes out of the penis soon after the erection occurs. Even if a man is sexually stimulated and has a great desire for sex, he cannot get and/or sustain an erection.
pills of stendraTo improve the situation one can start using erectile booster Stendra. This medicine works upon sexual stimulation and helps to enhance the flowing of the blood into the penis.
Avanafil, being a PDE-5 inhibitor, stops and prevents this enzyme from destroying the other substance called cGMP. By doing this Avanafil provides cGMP with more time to work. This substance helps to make the relaxation of the muscles and prolong the time of erection.
For the more effective results Avanafil should be used in the correct dose. The majority of males can safely use 100 mg of Stendra. Some patients, however, may need lower or higher doses of this medicine. So the medicine offers convenient dosage range from 50 mg to 200 mg.
Each dose of the medicine should be used only before having sex and only once a day.
Avanafil is quickly absorbed from the stomach and enters the blood stream. According to the studies food can slightly delay the effect to come up. Still Stendra may be used with food.
Working only to stop the action of PDE-5, Avanafil is generally well-tolerated and does not cause any health troubles to patients. It is cleared from the body by hepatic metabolism and usually eliminated without any problem.
The side effects of Stendra are similar to those which other PDE-5 inhibitors produce. The occurrence of the negative effects is very rare, still a man should know about them and what to do in case of side effects.
The side effects of Stendra do not last long, they disappear when the body get used to the medicine. If the side effect bothers a patient or is of serious character, it should be reported to a doctor.


Stendra indication, dosage and administration

Stendra is indicated to treat male patients with diagnosed erectile dysfunction, a common sexual disorder in men. Avanafil, the main component in the medication provides a man with ED with most powerful erection for a long period of time enough for sexual intercourse.stendra pill
When a person has erectile dysfunction he experiences problems with erections or in other words, his penis does not harden and expand when he is sexually aroused. Many males are also unable to keep an erection for sexual act.
Stendra improves erectile function of a man by blocking certain enzyme and increasing blood flow to the penis.
Stendra is available in a dosage form of tablets containing 50 mg, 100 mg, or 200 mg of the main component.
Men with erectile dysfunction are usually prescribed the average dose of the medication 100 mg which should be consumed orally 30 minutes before sexual activity. The dose of the medication may be changed if there is a necessity. The max dose prescribed is 200 mg.
coupleThe lowest dose of 50 mg may be enough for restoring sexual function. If the lowest dose is effective for you, do not use larger dose of this medication. Men should remember about sexual stimulation when they use Stendra.
Stendra may be taken with or without food.
Stendra is not used in male patients younger than 18 years of age.
No special dose adjustment is needed for patients who are older than 65 years of age. According to the clinical trials older men adequately respond to the therapy. No overall differences in efficacy and safety were detected between men over 65 years of age in comparison with younger males.

Physical conditions


Nowadays the doctors report about four basic types of health conditions which can usually cause physical problems and then ED:

  • vasculogenic conditions – influence on the     blood flow coming to the penis
  • neurogenic conditions – impact on the nervous     system, which consist of the brain,spinal cord and nerves
  • hormonal conditions– changes in the hormone     levels
  • anatomical conditions – affection on the     physical structure of the penis (damage or surgery)

The common tests

testWhen visiting your doctor with ED problems you may need to pass through some testing. The common tests to find out underlying problems usually include:

•Physical examination means careful investigation of your penis and testicles, the doctor will also check the nerves for their feeling capacity.

•Blood tests. The doctor may order you a blood test to check you for possible heart problems, diabetes, to prove your testosterone levels and just to check you health conditions.

•Urine tests (urinalysis) – the urine tests also are ordered to exclude such diseases as diabetes and other heavy health problems.

•Ultrasound investigation will check the blood flow to your penis. In test a wand-like device called transducer is used, it creates a video image so your doctor sees if you have problems in blood flow. This test may be ordered together with a drug injection into the penis to detect if blood flows up normally.

•Overnight erection test. Very commonly the men have erections while sleeping and don not remember it. The testy is simple and means a wrapping of a special tape around the penis before you go to sleep. If the erection has happened you find the tape unfixed in the morning. This text mean the reason of your erectile dysfunction lies most likely in the psychological field and is not physical.

•Psychological investigation. You should answer some questions the doctor could determine your mood conditions and find out any depression state and other possible psychological reasons of erectile dysfunction.


Also:  cialis actions in the body

Men’s comments about Stendra


In this review I want to tell how I used this drug. The first I want to notice that I take it exactly as prescribed by my specialist. When I bought Stendra I read all recommendation and followed the directions on my prescription label.
I take it thirty minutes before I want to have sex activity with my girlfriend. You can get it with or without food, I take Stendra without food on an empty stomash.
Your doctor may occasionally change your dose to make sure you get the best results.

I store this medicine at room temperature away from heat, moisture and light.
And in the end of my review I want to say that I is very satisfied of results.

Things necessary to avoid while taking Stendra

When you start taking any medication, you should know all about it: time to action, dose, side effects, and things necessary to avoid with the medication you intend to use.

Generally, it is recommended to avoid drinking alcohol with all existing medications. Alcohol and a medication mix may have potential dangers for a person’s health. Stendra and alcohol are also contraindicated. Using Stendra, remember that you can drink alcohol, but its amount should be very small.

Alcohol can increase Stendra side effects and impair sexual function of a man.

Sometimes certain products or supplements for food can interact with certain medications. Be sure to talk to your doctor about using grapefruit products and grapefruit juice with Stendra. Grapefruit may affect the way Stendra works and lead to dangerous effects. Avoid using grapefruit in your regular diet while taking Stendra.

Stendra is a potent ED medication, you can be sure that it will have effect for you. If you have fears that it will not work, talk to your doctor. Some men want to have guaranteed erection and think that using several ED medications will ensure positive result. They are mistaken. Too many ED drugs may increase the chance for side effects occurrence. Do not risk using many drugs together, take your dose of Stendra and get sexually stimulated.

If your choice is Stendra

There are many effective treatments for ED now. And for most men it is recommended to try different medications for their problem until they find the best. This will help to choose the right drug working best for you. If you have chosen Stendra for your erectile problems, you need to be sure that this medication will not cause any harm to your health. You can read the information available with the medication or you can visit your doctor. Your doctor will also recommend you the correct dose of the medication.

You need to know (and inform your doctor about your conditions) that Stendra may be contraindicated in the following cases:

  • If you have serious heart problems, irregular heartbeat, chest pain;
  • If you have ever experienced a heart attack, stroke, heart surgery, congestive heart failure;
  • If you have uncontrolled hypertension or hypotension;
  • If you have hepatic or kidney impairment, meaning that your kidney or liver does not function properly;
  • If you have serious allergic reactions to drugs;
  • If you have sickle cell anemia, multiple myeloma, leukemia, hemophilia;
  • If you have retinitis pigmentosa or a history of vision or hearing loss;
  • If you have ever had priapism.

Stendra should never be used with nitrate-based medications such as nitroglycerin, isosorbide mononitrate, amyl nitrate or nitrite.