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A thorough gentle physical examination of the genito urinary system is done. It is important to remember that ED and heart disease share certain comorbidities and hence a thorough evaluation of the heart lungs and abdomen is done. The penis is examined for plaques, curvatures, and the position of the meatal opening. Presence and size of both testis is determined. Features suggestive of hypogonadism(testis size, body hair, voice) are looked for.
Viagra doesn’t work automatically. You must feel sexually aroused to experience its effects. What impacts the effectiveness of Viagra? Several factors can influence how quickly and completely Viagra works once you take it. Those include: Taking it on a full stomach. If you take Viagra on a full stomach—particularly with a heavy, high-fat meal—the medication may take longer to work. A full stomach can delay your body’s absorption of Viagra, meaning your erection might come later than expected, be less strong than you wanted, and not last as long as you would’ve liked. (That doesn’t mean you need to take Viagra on an empty stomach.)
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.
Sexual concerns in young men – PDE5’s are not the answer! Most young unmarried men especially in India , do not need pills like Viagra ! They need reassurance and positive feedback saying that they are normal . It is important to query the physicians about possible side effects before commencing treatment! To sum up, most young men do not need PDE5 inhibitors ! It is essential to get evaluated before commencing treatment ! It is imperative that the lowest possible dose is started first ! Finally, I would put these men on micronutrients and antioxidants which go a long way in maintaining general well being without the potential side effects of other pills. Discover more information at instadocnow.com.
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.