If you’ve got erectile dysfunction, and you’ve decided to do something about it, you should congratulate yourself. According to the American Urological Association, less than a quarter of all the men who suffer from erectile dysfunction seek help for it. And this is a bad thing, because erectile dysfunction can itself be a symptom of more serious problems, such as heart disease. And by ignoring erectile dysfunction, or refusing to seek treatment for it, you might be taking more of a risk than you realize. In fact, a 2010 study found that this is the case much more frequently than previous thought.

But if you have decided to get help, you have a number of options choose from. Some of these options, such a Viagra or Sildenafil, are proven treatments with a high rate of effectiveness. There are also other treatments that, while not necessarily as effective as Viagra or Sildenafil, are present in the market. Let’s take a look at some of these options:

1. PDE-5 Inhibitors – For a lot of men who suffer from erectile dysfunction, the underlying cause may simply be normal aging, or fairly benign causes. For men in that category, the most common and effective treatment is a class of drug known as PDE-5 Inhibitors. The best known medication in that class is Viagra, also known as Sildenafil, and these drugs work by protecting an enzyme known as cyclic-GMP, which helps to trap blood in the penile tissues of the body during sexual stimulation, thereby helping to cause and maintain an erection.

Of the PDE-5 inhibitors, Viagra (Sildenafil) was found to be the most effective, as compared to competing brands. Specifically, a 2006 study conducted by the National Institutes of Health focused on a ‘comparative meta-analysis’ of various drugs in this class, and found Viagra / Sildenafil to be the most effective. Likewise, studies consistently show that drugs in this class overall are the most effective treatment for erectile dysfunction.

2. Hormone Replacement Therapy – Hormone replacement therapy is essentially the supplementation of Testosterone in aging males, or males with low-Testosterone Syndrome. However, this treatment only works if low Testosterone is the root cause and is different than the vigabatrin mechanism of action. For all other causes, hormone replacement therapy is ineffective. Furthermore, low Testosterone treatment has not been shown to consistent treat erectile dysfunction, even in those suffering from low Testosterone.
3. Penile Suppositories – Another class of medication for erectile dysfunction is delivered via penile suppositories, which are inserted into the tip of the penis and cause the penile blood vessels to expand, causing increased blood flow into the penis, leading to erections. This method is less effective than other medications, with a roughly 73 percent success rate, and many users report varying levels of discomfort when using this method.
4. Yohimbe – Yohimbe extract comes from the bark of the yohimbe tree, a native African evergreen tree that has been used as an aphrodisiac for many years. Yohimbe was approved for use by the FDA in the 1980’s, although the exact method by which it stimulates blood flow into the penile area is still unclear. Additional studies, such as a 1989 study conducted at the National Institutes of Health, also showed that yohimbe is limited in its effectiveness, with only 14 percent of the subjects studied achieving full erections.
5. Korean Red Ginseng – Korean Red Ginseng, or Asian Ginseng, is part of a plant that grows in Southeast Asia, has been used in Chinese medicine for thousands of years for a range of treatments, including erectile dysfunction. A study published by the American Journal of Urology did report some level of effectiveness in subjects who took red ginseng as opposed to a placebo. And while those rates were still significantly lower than Viagra / Sildenafil, it did show some level of promise. You can check WebMD for more information on this.

In the end, the most important thing is that, if you’re suffering from erectile dysfunction, that you seek medical attention, as it may be a symptom of a much more serious underlying problem. But, once you and your doctor determine that you’re not in danger, you can work together to identify a treatment that works for you.

And once you have a prescription in hand, you can choose to get that prescription filled at any one of a number of physical or online pharmacies. A word to the wise – if you live in the UK, Viagra can now be obtained under its technical name Sildenafil. While there is no difference in the two (Viagra is just the brand name for sildenafil, just like Tylenol is the brand name for ibuprofen), buying it as sildenafil is much cheaper. Unfortunately, US patients do not currently have this option available, for licensing reasons.

Sure, you may have lost a step or two.

And yes, you probably can’t go all night long like you used to (or like you pretended you used to) in your 20s.

But that doesn’t mean that you aren’t going to be able to absolutely melt her face the next time that you to go at, regardless of how many birthday candles you last blew out.

There are a bunch of different things you can do to really make sure that the next time you to get together is maybe the most memorable time she’s ever had (outside of the first time, of course).

With these tips and tricks below, you’re going to be able to really crank up the heat in the bedroom (or outside of the better, as the case may be).

Ready to jump right in?

Spook her

We’re not talking about renting a couple of thrillers or slashers and going at it right after the inevitable scene when the blonde hides behind those chainsaws in that battered barn over there.

What we are talking about is triggering a triple threat reaction of a bit of fear, a bit of adrenaline, and a flood of endorphins – all at the exact same time.

There’s a reason why so many people have reported that they have the best sex of their lives with they are a little bit afraid of getting caught, or somehow “risking it all” with their partner when they are getting it on.

According to sociologists in San Diego who have been studying this phenomenon for more than 20 years, there is a close link between fear, adrenaline, and the release of endorphins during sex that can really put things over-the-top.

If you want to make sure that the next time you two get together it’s something that she never forgets, find a way to raise the stakes or of the ante and you’ll be practically guaranteeing things are going to be quite unlike any other time!

Spank her

There’s a fine line between a little bit of rough play and something that is anything but cool, and you need to make sure that you’re walking that line without ever going past of the respectful boundaries that she’s already established.

There is definitely something to be said of about very intimate relations, calm, cool, and collected sex that is rhythmic and just kind of “goes with the flow”. A lot of times this is exactly what she’s going to be looking for, as women (and a ton of men) closely relate intimacy with sex.

However, there are definitely times when she’s going to be expecting you to go a little bit caveman and bring the aggressive action.

Again, you’re going to want to make sure that you two are on the exact same page when this is about to go down, and you need to make sure that you are bringing the heat in the right way. It’s not a bad idea to come up with some kind of safe word so that anyone can “checkout” if things are getting a little bit out of hand, but you also want to make sure that you aren’t mailing this kind of performance ether.

Stare down

Numerous research studies have shown that eye contact, prolonged eye contact, during sex can completely and totally transform the experience for both parties.

For whatever reason, a lot of people are having sex “blindfolded”, shutting their eyes for the majority of the session and only throwing passing glances at one another. The eyes really are the window of the soul, and there is a real transfer of dominance and intimacy when you are able to lock eyes when you’re having sex.

This has also been proven to dramatically increase the effectiveness of impotence and erectile dysfunction solutions like Viagra, Cialis, Levitra, and other sildenafil based products. There is a psychosomatic link between the chemical reaction and your central nervous system, and it’s really going to take things to entirely new levels for the two of you. So don’t be ashamed, just click here to buy viagra.

“Steroids”

Speaking of Viagra and erectile dysfunction, if you’re having any difficulty whatsoever “rising to the occasion”, you may want to speak to a medical professional at your earliest convenience and see if they can hook you up with some “sex steroids”.

Viagra and other sildenafil based products have been designed and developed from the ground up to make sure that you’re able to enjoy sex whenever the mood strikes.

If you feel that you are handicapped in this department in any way whatsoever, you need to make sure that you remedy the situation as soon as you can.

Sadly, it’s a fact that men age. And it’s also true that, as you age, certain process slow down, and the body starts to change. And for most men, as they age, the chances that they’ll develop erectile dysfunction (ED) are pretty good. In fact, according to the Massachusetts Male Aging Study conducted in 1994, about 40 percent of men 40 years of age will experience ED. And by age 70, that number rises to about 70 percent.

But even when faced with such dire circumstances, you don’t need to lose hope. There are a number of treatments and medications, such as Viagra and Sildenafil, that can help you overcome erectile dysfunction, and you don’t need to feel as though you have no options, because you do.

How Erections Work

It helps to start with an understanding of what erectile dysfunction is. And to understand erectile dysfunction, it helps to understand how erections work.

Erections are actually pretty complex processes, involving both the central nervous system and the peripheral nervous system, as well as vascular systems and hormonal processes. A variety of factors influence erections, such as stress and other psychological factors, along with physiological factors like cardiovascular fitness and diet.

Erections are caused by signals sent from the brain to the base of the spinal cord, in response to stimulations related to touch, sight, smell, and mental process and memory. Those signals are then transmitted to the local area around the penis, where nerve fibers that are connected to the smooth muscle tissues that control the vascular system in the area of the penis. The signals from the nervous system signal those tissues to relax, which opens the blood flow into that area, resulting in an erection.

What is Erectile Dysfunction?

If any of those processes is disrupted, an erection can fail in part or altogether. This then, along with the root cause(s), is what erectile dysfunction is all about. In terms of root causes, there are two basic causes for ED:

• Psychological Factors – There are any numbers of psychological factors that can influence erectile dysfunction. Things like depression, anxiety, stress and self-conscious/low self-esteem can all cause ED.
• Physical Factors – Physical factors can also be responsible for ED, and should be evaluated by a doctor if they persist. In most cases, physical factors related to ED are usually related to age and age-related factors. However, in some cases, the physical factors related to ED may be symptomatic of more serious problems.

Treatment for Erectile Dysfunction

If you’re suffering from erectile dysfunction, you needn’t lose hope, and you should never assume that you have to simply ‘live with’ erectile dysfunction. There are several treatments available that have proven very effective in treating erectile dysfunction.

Perhaps the most popular and effective option is medication, such as Viagra or Sildenafil, which have been proven to be highly effective in the treatment of erectile dysfunction. Viagra was discovered in 1998, and has been shown to be highly effective for erectile dysfunction treatments in virtually all instances, including diabetics. In the US, Viagra may be purchased through either physical or online pharmacies. In the UK, the drug may be purchased as Viagra or under its original name, Sildenafil. UK patients have an advantage because Sildenafil and Viagra are the same drug, but due to licensing restrictions US patients may only buy Viagra, which is considerably more expensive whereas UK men can buy sildenfil online and save some serious money.

Regardless of how you ultimately decide to treat your erectile dysfunction, the key is to seek help. Studies have shown that most men don’t get help for erectile dysfunction, and that’s a shame. Help is out there, and you only need to go out and get it.