For many millennia, men have sought the remedy for treating problems with potency.

This is not surprising, because the violation of sexual function in men can lead not only to the collapse in relations of couple, but also to a drop in self-esteem, setbacks in business, and an increase in depression and nervousness. Despite numerous searches, really effective medications appeared not so long ago – at the end of the 20th century. PDE5 (phosphodiesterase 5) inhibitors have become a real breakthrough in the field of erectile dysfunction treatment, since only they have a very high efficiency (more than 80%) and speed of action start. Choosing the best of these drugs is not easy. First, you need to understand what erectile dysfunction is.

Erectile Dysfunction Definition

Erectile dysfunction (ED) or impotence is a condition in which a man does not have an erection sufficient to have sex. At the same time, problems with achieving orgasm are far from being always associated with ED. The disease is diagnosed only if a quarter of all sexual acts fail.

Problems with potency are traditionally considered to be an age-related disease, but there are a lot of young people who also have all the signs of ED. The main reasons for this trouble are:

• sedentary lifestyle;
• excessive use of alcohol and tobacco;
• endocrine diseases, incl. diabetes;
• obesity;
• penile trauma or surgery;
• hormonal disorders;
• impaired blood circulation;
• taking certain medications;
• age-related changes.

Note that age changes are listed last. Doctors say that the changes in the genitals of the elderly are quite insignificant and do not have a significant effect on potency. The cause of impotence in elderly men is chronic diseases, the number of which increases with age. This is good news, as taking care of your health will save your ability to engage in sexual activity until an old age.

According to statistics, about 80% of cases of ED are caused by the physiological factors that have been listed above. The remaining 20% are caused by stresses, nervous upheavals, fears, and other psychogenic factors. Fortunately, with the vast majority of ED cases, it is possible to cope by using PDE5 inhibitors.

What Is the Best ED Medicines for Men?

Most often, men with impotence problems are using pills. These include Viagra, Cialis, Staxyn, Stendra, and Levitra. Their popularity is understandable – pills can be taken unnoticed, they act quickly, and they are easy to use. Doctors often prescribe these ED medicines if no other diseases that interfere with normal sexual function have been identified.

The second most popular drug is alprostadil. It is presented in the form of injections that act very fast and provide an erection for 20-40 minutes. Alprostadil has one serious drawback – it must be injected directly into the penis. The procedure is not painful, but it can be frightening for some men.

As non-drug means are often used rings that hold blood in the penis, and pumps that provide strong blood circulation. The effect of these drugs is individual, so their effectiveness may be different for each man.

There are cases when medications do not help – for example, in the case of serious trauma when doctors suggest surgically removing clogged blood vessels. In such cases, a natural erection is no longer possible, so it makes sense to insert an implant into the penis. Naturally, surgical operations should be done only when all other means have been attempted.

How to choose the best medicine? Ideally, the choice of medication should be done by a doctor. However, if you do this on your own, you need to make sure that each tool does not help (try it several times) before switching to a new one.

How Do These Remedies Work?

Cialis, Viagra, Levitra, and Stendra are called PDE5 inhibitors because of their features of action. Gregory Bals, a professor of urology at the University of Chicago, says that these drugs enlarge the blood vessels in the penis, providing them with better blood filling. The drugs are equally good for men with severe ED form and for those who are not confident in their abilities and want to “ensure” themselves. Before you start taking pills, you need to make sure that you really have ED, since a healthy man will not feel any difference from taking this medicine.

These drugs inhibit PDE5 enzymes which stop the erection, not allowing the penis to be fully filled with blood. By blocking these enzymes, the drugs help to maintain the erection necessary for full-fledged sexual intercourse. They also significantly increase blood circulation in the inguinal region.

All PDE5 inhibitors do not work without sexual arousal, so you will not have any sudden erection at the wrong time.

Comparison of the Most Effective ED Drugs

Where should a man start who has faced erectile dysfunction and made sure that it is not caused by trauma or serious illness? Firstly he needs to choose the pill. It can be based on such active substances:

• Sildenafil (Viagra, etc.);
• Tadalafil (like Cialis);
• Avanafil (Stendra, etc.);
• Vardenafil (for example Levitra, Staxyn).

It does not matter whether you choose the original drug or generics. Between them, there is no difference, but generics are cheaper and non-prescription.

What is the best to choose? In order to have the answer to this question, you need to understand what kind of result you expect and then make a comparison. For example, vardenafil and sildenafil do not last long – about four-five hours and begin to act 30-40 minutes after intake. Avanafil acts for about six hours, and the effect from it appears in 15 minutes. If you need the effect for the whole weekend, then it is better to choose a drug based on tadalafil – its effect lasts for 36 hours.

Physicians argue that for elderly men aged 65 years old or more, Cialis is more preferable. At the same time, this drug is not recommended for people with allergies, because the probability of an allergic reaction is quite high due to medicine’s long period of action.

The individual characteristics of the organism should not be excluded, either. Therefore, it is best to choose the most effective means being guided by your own experience. You can do this without spending a lot of money by ordering a free trial sample pack of Viagra, Viagra Soft (both 100 mg), and Cialis 20 mg at the SildenafilViagra online pharmacy.

Who Shouldn’t Use These Pills?

Despite the fact that drugs for treating erectile problems can be easily purchased over-the-counter, they should be used very carefully. First, you need to make sure that you do not have any contraindications and medicines will not cause harm to your health.

The main contraindications include:

• intake of medicines containing nitrates;
• individual intolerance to one of the components;
• in the near future you are planning any surgery (even dental procedures);
• taking alpha blockers to treat prostatitis or high blood pressure.

Be sure to follow the instructions when taking the tablets. If you do not understand something in the instructions, be sure to consult with a pharmacist or a doctor. A doctor’s advice is also necessary if you have any chronic illnesses or if you are constantly taking any medications.

Alternative Treatments of Impotence

Tablets for ED treatment are effective, but doctors recommend combining them with other agents and actions that improve potency. For people who want to get rid of problems with potency is worth paying attention to the following:

1. Stop smoking. In addition to all the troubles that nicotine and tar bring, cigarettes worsen blood circulation and vascular conditions. Since the erection is directly dependent on blood circulation, the quitting of cigarettes will definitely increase it.
2. Choose medicines carefully. A lot of them inhibit sexual function. This is especially true of an antidepressant (for example, Prozac) and some nasal drops containing pseudoephedrine.
3. Have sex in the morning. At this time, the testosterone level is highest, so there is more chance that the erection will be good.
4. Watch for excess weight and blood pressure. Excess weight greatly worsens potency, so do not tolerate obesity. High blood pressure (which often accompanies obesity) is also bad for blood vessels and erection.

These tips are trivial, as any improvement in health will positively affect sexual function. You can also try vegetable components that improve potency. Among them are onion, ginger, garlic, pepper, and celery. They have been known since ancient times and are available in the nearest store. In addition, you can try various herbal supplements, but in this case the consultation of doctor will be quite necessary.

The mentioned above will not help fully restore the potency if ED already has a severe form. However, if problems have appeared recently, then it is possible to normalize the situation without any medication.

Do I Need to See a Doctor?

Before taking medications for ED cure, it is best to consult with a doctor. Still, if you do not have contraindications or chronic diseases and do not take any medications constantly, then a doctor’s consultation is not necessary. The drugs mentioned above are in the top, have been tested for years, and are very well-tolerated, so no problems should arise.

You should consult with a doctor if you experience side effects that do not pass after the drug has been stopped. Immediate medical care is required for only priapism – the condition in which the erection does not pass for four or more hours and becomes painful.

If the ED means do not help you, then the best thing you can do is see a doctor. He will help you find the best method of treatment.

Order ED Medications OTC Online

If you have decided to change your life and forget about ED, then the SildenafilViagra online pharmacy will help you with this. Here you may find the best remedies for ED at bargain prices. We offer you generics of popular PDE5 inhibitors, which are no worse than branded drugs. They have an affordable price because of the absence of an extra charge for the brand and they are sold OTC.

All the proposed drugs are no Rx and they are manufactured in India according to the classical formula. You will be able to buy such popular drugs as Cialis, Levitra, Viagra 50mg, Viagra Soft, and Kamagra 100mg. Also, you can purchase drugs that prolong sexual intercourse – Dapoxetine and Priligy.

After ordering, goods will be delivered directly to your door in any city of the USA. SildenafilViagra is the best solution for those men who want to return to having an active sex life.