Erectile dysfunction drugs.

Has the “free love” generation lost its mojo?

If you talk to baby boomer gals, it seems the answer is yes. Indeed, as
millions of women enter sildenafil citrate india and then
transgress to menopause and beyond,
many say they check their sex drive at the door and most are not happy about
it.

“I don’t think a day goes by when at least one patient and usually
more complain that their sex drive is dropping off and want to know what they
can do about it,” says Laura Corio, MD, a gynecologist and clinical
instructor at Mt. Sinai Medical Center in New York City.

Clinically known as HSDD (hypoactive sexual desire disorder) Corio says she
doesn’t think more women are affected now than in the past, but she does
believe more are coming forward — prompted, at least in part, by the success
male potency drugs like Viagra.

“The man gets a prescription for Viagra and he’s ready to rock and roll
while she’s thinking ‘Hey, where’s my pill?’ If she’s not ready to jump in the
old van and join him for a ride, there can be real problems,” says
Corio.

Dysfunction erectile pill
What’s Wrong

While male sex drive is easy to define — and relatively easy to restore –
that’s often not the case for women. Because the female sex drive is
ed tabs
, the desire to make love is not only influenced by physical
issues, but emotional ones as well.

“Part of the desire to make love is clearly physical, but part is also
emotional depression can make a
difference, so can any emotional issue in a woman’s life; female sex drive is
very multidimensional,” says Glenn D. Article drug dysfunction erectile from internal medicine news rx update, MD, an endocrinologist
and chair of the department of medicine at Cedars Sinai Medical Center in Los
Angeles.

While emotions are frequently behind a loss of sex drive in younger women,
doctors say it is frequently the agingprocess itself that’s at
when desire changes in women over age 45.

“The very fact that a woman is no longer ovulating regularly, or not
ovulating at all, automatically takes her sex drive down a few notches,”
says Steven Goldstein, MD, professor of ob-gyn and NYU Medical Center in New
York City.

Nature’s Design for Sex

Indeed, as many women are aware, Mother Nature built in a natural increase
in the desire for sex beginning just prior to ovulation, and lasting several
days afterwards — not coincidentally, the only time of the month conception is
possible.

Stop ovulating, says Goldstein, and you automatically lose that regularly
scheduled boost in your sex drive that has been present since puberty — and
you’re probably going to notice.

“There’s nothing wrong with you; it’s just the way nature works,”
says Goldstein.

Moreover, around menopause, when there
is also less estrogen circulating in your body, that too can bring your sex
drive down for the count.

“Estrogen is a mood elevator, it works in the brain to maintain interest
in sex, but it also works at the level of the genitals, helping to increase
sensation and just making sex more herbal erectile dysfunction treatment,” says Corio.

Without it, she says, not only can desire take a dive, vaginal tissue begins
to dry and shrink. As a result, intercourse can become uncomfortable, or even
painful. Problems with desire, say experts, are easy to understand.

“Who wants to make love when making love hurts?” asks Goldstein.

Moreover, he says, avoiding sex because of pain only leads to more pain. The
old “use or lose it” theory really does apply.

“From a strictly physical standpoint, the less sex you have the more
painful it is when you try to have it,” he says.

Medication Choices

Estrogen. If you only have vaginal
dryness and irritation (and not other symptoms such as hot flashes), you can
use a limited amount of
estrogen in a cream, tablet, or ring in the vagina.
The daily estrogen makes your tissue less thin and sensitive and more moist.
Many women find that using a cream or tablet twice a week is enough. This may
increase vaginal tone and lubrication, which will decrease
vulvar dryness, irritation, and shrinkage (atrophy).

If you also have other
menopausal symptoms that affect physical and mental
well-being, talk to your health professional about taking daily (systemic)
estrogen therapy.
Estrogen can increase the blood flow in the
vagina, as well as reduce hot flashes and other
symptoms of
menopause.
Estrogen therapy or
estrogen-progestin therapy can be oral (pills),
vaginal, or transdermal (with a patch). In a small number of women, hormone
therapy causes heart disease, breast cancer, dangerous blood clots, stroke, and
dementia. Talk to your health professional about whether this therapy is right
for you.

Testosterone. This hormone may play a part
in a woman’s sex drive and satisfaction. The ovaries make
testosterone throughout a woman’s lifetime. Women have
the most testosterone in early adulthood; testosterone levels drop by half
between the early 20s and the early 40s.

In women who have their ovaries removed (oophorectomy),
testosterone drops by 50%.¹⁰ If you have had an
oophorectomy, your health professional may suggest trying
testosterone therapy. But the U.S. Food and Drug
Ed tabs
(FDA) has not approved any testosterone therapy for women.

What To Think About

The card master sales viagra
-estrogen formula called Estratest is
not approved by the FDA. The company that makes it
markets it for moderate to severe
menopausal symptoms. It is also prescribed to some
menopausal women to improve sexual desire and
response. But Estratest is made with
methyltestosterone, which the body uses differently than testosterone. It does
not directly raise the amount of testosterone in your body. And, taking a
testosterone by mouth does put you at risk for problems with your liver and
possibly your heart. Using a patch or cream does not.

At this time, there is no testosterone pill, patch, or cream
approved for women-those made for men have too high a dose for women. Side
effects of too much testosterone include acne, facial hair, and loss of hair
and a deepening of the voice, which may be permanent.

No studies have looked at the benefits and risks of taking
testosterone for longer than 6 months. The long-term effects of testosterone
therapy in women are not known.¹⁰

Sildenafil (Viagra) is used to treat
erectile dysfunction in men. The maker of this
medicine has decided not to market it for improving women’s sexual desire and
arousal. This was based on research showing that sildenafil was not effective
for most women. The maker has commented that women’s sexuality is a complex mix
of physical, emotional, and cure dysfunction erectile factors, and it is not as simple to
treat with a medicine as male erectile dysfunction is.¹¹

Currently no medications are approved by the FDA to treat female
sexual problems, although several paths are being studied, including
stimulation of certain molecules (receptors) in the brain and increasing blood
flow to the genitals. It is still too early in the process to know whether any
of these medications will prove to be effective and safe treatment
options.¹²

Seek care immediately if you have taken
erectile dysfunction advices
5 inhibitors (such as Viagra,
Levitra, or Cialis) in the past 24 hours and are having chest pain. Tell your
health professional you are taking this medication. Do
not use any form of pills
if you have chest pain and have taken
Viagra, Levitra, or Cialis in the past 24 hours.

Call a health professional if erection problems occur with:

• Any type of injury to the back, legs, buttocks,
  groin, penis, or testicles.
• A loss of pubic or armpit hair and an
  enlargement of the breasts.

Make an appointment to see a health professional within 1 to 2
weeks if an erection problem occurs more than 25% of the time and the
problem:

• Occurs with a persistent
  backache.
• Occurs after you start taking a new medication or change
  the dose of a medication.
• Is affecting your self-image or sense of
  well-being.
• Has not improved despite self-care.

If your erection problem is occasional, there is no reason to call
your health professional. If it occurs frequently but does not bother you or
your partner, you may or may not choose to call your doctor. However, an
erection problem that develops suddenly may be a sign of a disease; it is
recommended that you see your doctor.

Watchful Waiting

Watchful waiting is a period of time during which you and your
health professional observe your symptoms or condition without using medical
treatment. A single episode of an erection problem is often a temporary and
easily reversible problem. Do not assume it will happen again. If possible,
forget about it and expect a more successful experience the next time. If you
or your partner is concerned about it, talk about the problem and openly
discuss your fears and anxieties.

If self-care has not helped after 2 weeks and you are concerned
about your inability to have an erection, see a health professional who has
experience in dealing with erection problems.

Who To See

Some health erectile dysfunction drugs
, including doctors and mental health
professionals, may not feel erectile dysfunction advices
discussing sexuality and erection
problems. Ask your health professional if he or she feels comfortable with and
has experience in working with men who have erection problems.

The following health professionals can evaluate symptoms of
erection problems:

• Family medicine
  doctor
• Internist
• Nurse
  practitioner
• Physician assistant
• Urologist

If it is possible that a psychological problem is contributing to
your erection problem, your doctor may refer you to a health professional such
as a:

• Psychiatrist.
• Psychologist.
• Certified licensed social
  worker.
• Counselor with special training in sexuality or
  relationship problems.

To prepare for your appointment, see the topic Making the Most of Your Appointment

Nov. 16, 2005 — A drug called Revatio may help treat an aggressive condition called pulmonary arterial hypertension.

Patients with pulmonary hypertension have elevated blood pressure in the pulmonary (lung) blood vessels. The condition often arises from lung problems, but some cases are without a known cause. It can result in heart failure and early death.

Unfortunately, most of the lowest cost generic viagra
that are used to treat this serious condition are not easy to take and are given by IV, injection, or inhalation — with real risks of unwanted side effects.

Revatio has the same active ingredient — sildenafil — as Viagra. Revatio and Viagra are made by Pfizer.

Pfizer funded the new study, which appears in The New England Journal of Medicine. Pfizer is a WebMD sponsor.

The blindness causing citrate sildenafil included Nazzarene Galie, MD, of the cardiology institute at Italy’s University of Bologna.

Walking Test

The study lasted for 12 weeks. It included 278 patients with pulmonary hypertension. The patients lived in the U.S., Mexico, South America, Europe, Asia, Australia, South Africa, and Israel.

Three times daily, the patients took Revatio (20, 40, or 80 milligrams) or an empty drug (placebo) orally. That was in addition to any other standard pulmonary hypertension medications.

The big question was how far patients could walk in six minutes. That’s an important exercise test for patients with pulmonary hypertension. The farther patients can walk, the better.

Walking Farther

All of the patients taking Revatio walked farther at the end of the study:

• 20Erectile dysfunction tablets
  group: Walked about 148 extra feet (a 13% increase).
• 40-milligram group: Walked about 151 extra feet (a 13% increase).
• 80-milligram group: Walked about 164 extra feet (nearly a 15% increase).

Higher doses didn’t bring a notable increase in distance walked, the researchers report.

Patients were then allowed to take Revatio for up to a year; 230 did so. The researchers looked at the walking tests of 222 of those who were only taking Revatio as treatment. After a year, they walked about 167 extra feet, on average, compared with the beginning of the study.

How Patients Fared

Most of the patients included in the study had milder stages of pulmonary hypertension. Few cases worsened, regardless of treatment type, the study shows.

Patients taking Revatio weren’t any more or less likely to have their symptoms worsen during the trial.

The study wasn’t designed to see if Revatio helped patients live longer. Four died during the study. No deaths were judged to be linked to the treatments, write the researchers.

Side effects seen with Revatio were mild or moderate and included headache, flushing, muscle pain, and diarrhea, report Galie and colleagues.

Nov. 7, 2005 - The drug made famous for its treatment of erectile dysfunction appears to have another erectile dysfunction help use.

A study in the journal Drug side effects viagra
suggests Viagra could help treat a circulatory disorder called Raynaud’s phenomenon, which affects about 5% of the population. Raynaud’s phenomenon can be associated with other diseases such as lupus.

Raynaud’s phenomenon causes episodes of numbness, tingling, and pain in the fingers and toes, as well as skin sores or gangrene in severe cases. The attacks are spawned by spasms in small blood vessels in response to cold temperatures or emotional stress.

These spasms cause blood vessels to constrict and compromise blood flow to distal areas such as toes and fingers. The disorder is sometimes treated with medications to relax the blood vessels, but this is not always successful.

The Viagra study involved 18 patients (mostly women) whose Raynaud’s symptoms were not responsive to conventional therapies. While taking Viagra twice a day for four weeks, the patients experienced improved blood flow in the cialis generic levitra viagra
and fewer Raynaud’s attacks. Symptoms improved and the duration of attacks was also shorter. In those who had skin sores, the ulcers began to heal visibly.

These effects did not occur while patients were taking a placebo. At the end of the study, 16 of the participants asked to continue taking Viagra off-label (that is, for a purpose other than its FDA-approved use).

Viagra causes blood vessels to dilate in a different way from other erectile dysfunction
drugs, which may explain why it helped Raynaud’s patients who didn’t respond to standard treatments. The researchers conclude that drugs like Viagra could offer “a promising new approach in patients with microcirculatory disorders.”

Although Viagra has risk for serious side effects such as heart attack, stroke, and vision loss, none of the study participants reported any such adverse effect. The side effects reported by study participants included headache, muscle pain, flushing, mild nausea, dizziness, and nasal congestion.

One of the researchers has served as a consultant and speaker for Viagra’s manufacturer, Pfizer. Pfizer is a WebMD sponsor.