Damboise Blog Medical Information For Better Live

What is the link between diabetes and erectile dysfunction?

When you visit your doctor to report erectile dysfunction, one of the standard tests you will be given is to determine whether you have diabetes. In fact, this is one of the most common ways in which the first diagnosis of diabetes is made in both men and women. For women, the symptoms are loss of libido, dryness in the vagina, and a loss of sensitivity. Men find it increasingly difficult to get or maintain an erection. In fact, men who have diabetes are up to four times more likely to have erectile dysfunction than other men. If you do not have treatment for the diabetes, the result is damage to the nerve endings and blood vessels in various parts of the body including the penis. Once the damage is sustained, it cannot be repaired. The choice is therefore no choice. Once the diagnosis is made, men should have treatment for the diabetes or end up frustrated and depressed.

Medical science has been making good strides over the last twenty years. There is a better understanding of the process that occurs when diabetes develops. The first stage is for your blood vessels to narrow and then begin hardening. This reduces the flow of blood around the body. In the case of your penis, the result is quick to appear. An erection is formed when the muscle walls of the arteries carrying blood into your penis dilate. Once the walls begin to harden, they cannot dilate and so the erection fails. Secondly, the chemistry of the blood itself changes as sugar levels rise. This prevents the proper release of nitric oxide which is also critical to the formation of an erection. The National Institute of Diabetes and Digestive and Kidney Diseases estimates up to 85% of men with diabetes may experience some degree of erectile dysfunction. But the situation is not without hope.

The first step is effective control over your blood sugar level. The better the control, the less likely damage to the nerve endings and blood vessels. You should also have a complete review of all the drugs you are taking. Some antidepressants and for reducing high blood pressure can induce erectile dysfunction. As to lifestyle, cut out smoking and come down to just the occasional drink of alcohol. Reduce stress and deal with any sources of anxiety. Begin a program of regular exercise. The better the muscle tone and blood circulation in your body, the stronger your erections. If you exercise regularly, strike a good balance and rest more. Do not overtire yourself. With all this in place, now is the time to consider taking cialis. This is the best of the drugs used to treat erectile dysfunction because its effects last the longest but discuss it with your doctor first. You cannot mix this drug with other medication used to treat high blood pressure and some heart problems. If everything is safe, buy cialis online. You do not need a prescription and you save a truck load of dollars on the price. With a good supply to hand, you can safely resume full activity with the absolute confidence your sexual power will remain on track for years to come. Do not spoil this by ignoring your blood sugar control, smoking or excessive drinking. If the diabetes runs on unchecked, you will become impotent and nothing will save you.

More about pain management

Let’s assume we could talk the health insurance industry into paying for treatment focussed on the patient and not on the profitability of the hospitals and the pharmaceutical industry. What would a pain management department look like and how would it treat its patients? First off, it would concentrate all its energies on two quite different functions. Before you can identify the best treatment for a patient, you must diagnose the underlying cause of the pain. The most experienced diagnosticians in the hospital or clinic must therefore work on each patient, using whatever reasonable tests are necessary to reach a reliable diagnosis. The second function is to switch the emphasis on the types of treatment made available. At present, hospitals are run for profit and so base all their treatment decisions on what generates the most profit. In other countries, there is an evidence-based approach. Researchers identify which treatments are the most cost-effective for relieving the patient’s problem and only those treatments are used regardless of the level of profitability.

Once the hospital has a reliable diagnosis, it moves to the treatment phase. This may be an interventional procedure to repair damage or relieve the cause of pain. In the case of surgery, there are new less invasive methods. Where surgeons have the experience and the evidence shows good outcomes are likely, they should be used. If invasive procedures are not recommended or require follow-up, we move into the area of physical therapy, psychological counseling, cognitive behavioral therapy and general support services. Here the team aims to teach each patient how to cope with the new physical limitations and the reality of persistent pain. All the research both in the US and in the rest of the world shows these services are the most likely to improve the patient’s quality of life. Pain management is as much about the patient’s attitude and emotions as it is about the treatment given. Then we get into all the alternative therapies. Again there is excellent research evidence showing that acupuncture and some homeopathic therapies produce excellent results. If there is such evidence available, the hospital or clinic should supply it. Finally, the doctors need to give detailed advice to patients about what drugs to use and when to use them.

In all this, the pain management department is aiming at a simple target. It wants the best long-term result for the patient without relying on the use of drugs. Although there will be some reliance on painkillers like tramadol during the early part of the treatment program, pain management assumes dependence on drugs is a bad thing. People should learn how to make the best of life without relying on pills. So you can buy tramadol online for use in the early stages but be prepared to learn how to management and control your pain without its help. In the long term, this saves you from the continuing cost of having to buy the drugs and it also makes you a stronger person. Ignoring all the stereotypes about the stoic people who live with pain, people with the strength of mind to manage their own feelings and emotions generally make better lives for themselves. People who see a pill bottle as the only solution are weak, passive and rarely make anything of their lives.

Should we make time for meditation?

There is always a point where science collides with belief systems and sparks fly. Looking around the US right now, the continuing confrontation over the teaching of evolution is a classic example. At a slightly lower level of intensity is the continuing conflict between the “hard science” doctors and those who are persuaded that there are alternative approaches to treatment with equally good outcomes. Take acupuncture as an example. This comes out of nearly two thousand years of medical experience in China. Even though some of the Traditional Chinese Medicine (TCM) methods have been displaced in favor of Western methods, the healthcare service in many Asian and ASEAN countries continues to rely on acupuncture as an effective treatment for a range of different problems. Putting TCM to one side, there are also major claims made for different forms of meditation. Some are explicitly rooted in religions. Others are directly adapted to the management of pain. Unfortunately, the Enlightenment and the adoption of the scientific method by Western doctors leads them to a quick dismissal of everything not backed up by their science. Even when shown perfectly respectable research proving some of the claims for “unscientific” methods, they still refuse to even consider them. Their prejudices are deep-seated.

In the case of meditation, there is a growing body of Western-based research using the scientific method which shows excellent outcomes when people suffering from chronic pain are taught how to meditate. In essence, the point is to change the attitude of people towards their pain. Put another way: the level of intensity of the pain stays the same but the people change their emotional reaction to it. At some level, this represents a form of intellectual distraction. People are trained how to disconnect themselves from the pain and to search for ways to live their lives without worrying about it. Too often, people allow the pain to dominate their every waking moments. They fear the pain will always be there and this becomes a self-fulfilling prophesy that blights their lives. Avoiding this fear and focussing instead on positive ways to cope with the reality of the pain allows people to rebuild their daily lives and to function more effectively.

There is an old saying: give a starving man a fish and he eats well that night, but teach him how to fish and he can eat well every night. Teaching people how to meditate is the latter. It gives them a path to follow for the rest of their lives. For some there is a problem. It’s not a quick fix. rather it relies on them to invest time and effort into solving their own problems. At first, there may be a place for painkillers and tramadol is probably the best for relieving moderate to severe pain. But as people begin to feel the benefit flowing from this new discipline for the mind, the need for drugs will diminish. The ideal is to live without the help of any drug. If your private health insurance includes meditation for pain management, get an early appointment. If you have some savings, it is a good investment. Otherwise, buy tramadol. It will give you relief while the healthcare service catches up with the best research.

Chronic pain to disappear?

As we all know by now, everything happens for a reason. And there can be a world of reasons for anything that goes on in your life. Chronic pain can have millions of excuses. But normally it can be separated into following categories, which are:

• Anything but nerve trouble occurred in your body
• Nerve trouble
• Unstated cause

If we are to view these categories closer, we will point out the major aspects on the appearing damages. For example, chronic pain is not always cased by stress, though most of the illnesses begin with the stress the body experiences at some critical state. Back pain, is considered to be only of the most commonly met types of chronic pain. People of different age and ethnicity suffer from back pain. As we already stated, the reasons for it can vary. Let us think of such an example: the cartilage surrounding your spine joints (known as the facet joints). There’s an inflammation in these joints, which “gives” osteoarthritis to your spine. That inflammation makes it very problematic for you to make any moves mainly that create major unpleasant feelings. The pain that seemed to be insignificant at first is turning into chronic pain and you should start getting worried about it and take measures.

This was one of the examples of chronic pain that can be caused by anything that is not related to your nerve system. But back pain is not all it can be. Let’s take a look at some other maladies that can occur to one’s body.

Injury or body trouble: If you suffered an automobile accident even after a certain period of time you may still feel pain.

Bad posture: Bad posture can occur from an accidental move that you performed during which your spine ached and made you experience unpleasant pain.

Chronic weight gain: Weight gain is always stressful for the spine. If you gain weight chronically, it means your back pains will become chronic as well.

It comes with age: Nothing is easy especially when it comes to age and health. Your spine will become weak and start to ache more as your body is not as it was being young.

Doctors can really answer the question why sometimes short - term pains turn into long-term pains that are hard to get over or eliminate. Nerve trouble is real trouble.

There is no one specific way that you can damage your nerves in. Practically everything that you hurt causes pain. When it comes to spinal nerve it aches as hell when it is in trouble. Even after you receive some professional treatment you can remain in pain or it may hurt you from time to time. Herniated disc, for example is very dangerous. Once you make it hurt - it is practically impossible to cure it completely.

Unstated cases

If you remained very unsure about the two of the previously mentioned points, you should know for sure that is not what you have. In reality the cause can be anything at all, even something that doesn’t cross your mind. Tramadol is a drug that cures severe pain. Online Tramadol drug requires prescription but once you order the drug from an online store you can make sure that your pain is on the way of being totally gone. Tramadol is the drug that you can consider your friend when it comes to taking away the pain that bothers you. Online Tramadol can be purchased with a good discount so do not hesitate to order it now.

Always have a medical check-up if you have erectile dysfunction

One of the problems for anyone taking an interest in health matters is to keep everything in proportion. Wherever you look, it can look as if there is bad news. It’s easy to get down. So all new information has to be carefully balanced before deciding whether to act on it. Let’s start with a piece in this December’s issue of European Urology. A team in Italy recruited some 350 men aged between 18 and 60 all of whom had been diagnosed with some degree of male infertility which includes a range of sexual problems from erectile dysfunction, failure to ejaculate, low sperm counts, and so on. These men were measured over time against a similar number of fertile men with an active sex life. The results make slightly depressing reading. There is evidence that men who have sexual problems, no matter what the cause, are more likely to encounter serious health problems. The study specifically excluded cancer because the study did not run long enough to determine the odds of men being diagnosed with malignant growths. But, using the Charlson Comorbidity Index, men with fertility problems were more prone to the 22 serious disorders listed in the Index. This research goes further than simply linking infertility to heart disease. It predicts men with infertility problems will die significantly younger than men with full fertility unless they receive fairly aggressive preventative treatment.

Before we all get panicky, we need to understand the significance of the results. This is a small sample study. With a total of less than 700 men participating, this is not sufficiently significant to scale up the results to the whole population. Thousands of participants are required before a statistical link can be made to general trends. But this is a wake-up call to the research community. If large-scale trials confirm this finding, it will require a major rethink about the significance of all types of male infertility as predictors of more serious health problems to come. The current guidelines given to all doctors is to treat all men reporting erectile dysfunction as heart patients until the negative is proved. That means the moment you walk through the door, you will be asked for blood and urine samples, and subjected to a battery of tests to eliminate heart disease. The extent of this testing could become really intensive if the Italians are proved correct.

The moral of this research is simple. Erectile dysfunction can be the first symptom of one of a number of serious disorders and diseases. So, although you could just buy cialis online and self-medicate, the risk is not worth it. You should always go and have a full check-up. If your doctor gives you a clean bill of health, the cialis will cure your immediate problems. But if evidence of potential serious illness is found, you just saved your life. This is your choice. Restore your erections for a short time or extend your life by a decade and more by having early treatment for those otherwise fatal diseases and disorders. Yes, this may well mean spending money - those pesky health insurance policies often exclude consultations and the treatment of erectile dysfunction. But spending money or making those copayments could be the best value-for-money deal you can make.

Mead Johnson, Maker of Enfamil, Loses Multi-Million Dollar False Advertising Case Against Store-Bran

This is a sponsored guest post written by a Press Release on behalf of PBM Products. Post powered by Sponzai.

GORDONSVILLE, VA., December 2 , 2009—PBM Products, LLC, a leading infant formula company that supplies store-brand infant formulas to Walmart, Sam’s Club, Target, Kroger, Walgreens, and other retailers, has received a favorable jury verdict and a $13.5 million damages award in its false advertising lawsuit against Mead Johnson & Co., the operating subsidiary of Mead Johnson Nutrition Company (NYSE: MJN) (“Mead Johnson”), the makers of the national-brand Enfamil® LIPIL® Infant Formula. Mead Johnson is 83 percent-owned by Bristol-Myers Squibb.

PBM’s lawsuit claimed that Mead Johnson engaged in false and misleading campaigns against PBM’s competing store-brand of infant formulas, suggesting they do not provide the same nutrition as Mead Johnson’s brands. PBM’s store-brand infant formulas cost up to 50 percent less than Enfamil® LIPIL®. The $13.5 million in damages awarded by the jury in the United States District Court for the Eastern District of Virginia is one of the largest damages awards ever for a false advertising case.

“This decision by a jury of the people confirms that Mead Johnson’s ads have been false in suggesting that there is a nutritional difference between our store-brand formula products and their products, when in fact the only major difference is price,” said PBM CEO Paul B. Manning. “Despite Mead Johnson’s scare tactics, parents are assured that PBM’s formula products are as high quality and nutritious as Mead Johnson’s.”

U.S. District Court Judge James R. Spencer issued his written rulings yesterday following the November 10^th jury verdict. Judge Spencer’s written rulings permanently enjoined Mead Johnson from making any false statements concerning PBM’s infant formula, including the claims Mead Johnson previously made in Enfamil advertising that “It may be tempting to try a less expensive store brand, but only Enfamil LIPIL is clinically proven to improve brain and eye development,” and “there are plenty of other ways to save on baby expenses without cutting back on nutrition.”  The Court also ordered Mead Johnson to retrieve from the public domain all advertising or promotional materials containing these or any other false claims about PBM’s store brand infant formula. 

The details of the decision and the complaint are posted online in full at:

· http://www.pbmproducts.com/docs/Order_Laches.pdf

· http://www.pbmproducts.com/docs/PBM_Complaint_MJ_III_LIPIL.pdf

The nutritional supplements under examination in the case are two fats, DHA (docosahexaenoic acid) and ARA (arachidonic acid), which Mead Johnson calls “LIPIL®” solely for marketing purposes and touts as promoting infant brain and eye development. PBM’s claim focused on Mead Johnson’s direct mailing to more than 1.6 million parents of an alarming blurry picture of a child’s cartoon duck next to a clear picture of the same image which suggested that anything other than the Enfamil LIPIL® blend of ingredients is inferior and will result in poor eye and brain development. Other parts of the false advertising campaign consist of statements that only Enfamil LIPIL has been proven to confer visual and mental benefits on infants, and store-brand formulas are a “cut-back in nutrition” compared to Enfamil.

PBM successfully argued that these advertisements were false and misleading especially since PBM store- brand infant formulas have the same nutrients at the same levels as Enfamil. PBM infant formulas are formulated to contain DHA and ARA, and are sourced from the same supplier in amounts which equal or exceed the DHA and ARA in Mead Johnson’s Enfamil LIPIL®.

This decision marks the third time PBM Products has sued Mead Johnson for false advertising claims. On the prior occasions Mead Johnson admitted that it made false claims about PBM’s products. It is also the first false advertising case to focus on the issue of DHA and ARA nutritional ingredients in formula, which were introduced into the market in 2003 and have become a staple in recent years by many brands as key components for infant development.

“This jury verdict should send a significant and clear message to Mead Johnson about the way it conducts marketing and advertising for its brands,” said Manning. “This lawsuit also demonstrates our complete commitment to defending our products and the valuable brands of our retail partners.”

“As a parent and supporter of children’s medical research, I take a personal responsibility in assuring our customers that the products we produce are healthy and nutritionally equivalent to brand names like Enfamil® LIPIL®. It is important, especially now, for parents to know that there are lower priced yet highly nutritious store-brand formulas that will provide the same benefit to their children as any national brand name formula product,” Manning added.

The U.S. infant formula market is estimated at $3.4 billion and the global market is estimated at $7.9 billion.

All of PBM’s formulas, and for that matter all of U.S. infant formulas, are subject to the exacting standards of the U.S. Food and Drug Administration (FDA), pursuant to the Infant Formula Act of 1980. This legislation vested FDA with the authority to ensure that all infant formula products sold in the United States provide the necessary levels of identified nutrients required for the growth of healthy babies. For more information, visit this FDA link.

PBM Products was represented by the law firm Kramer Levin Naftalis & Frankel LLP. Partners from the firm’s advertising practice, Harold P. Weinberger and Jonathan M. Wagner in New York, led the team.

About PBM

PBM is privately owned and based in Gordonsville, VA. PBM companies specialize in manufacturing, distributing, and marketing consumer food, nutritional, and pharmaceutical products. For more information, visit www.pbmproducts.com.

Enfamil® LIPIL® are registered trademarks of Mead Johnson & Co.

Women and their sex drive

The power of words must never be underestimated. Pick the right word and suddenly your brand name is on everyone’s lips. Pick the wrong word and no-one ever hears of you or, if they do hear the word, the reaction is amusement or rejection. So get into the time machine and let’s go back to the 1990’s. This is before Pfizer launched the famous little blue pill in 1998. A group of people are sitting round a table in a backroom trying to think up the best way of describing this new wonder drug. How were they going to market something of such a sensitive nature.

No-one liked to talk about erections and sexual problems in public. It was just too embarrassing. The culture was way behind the technology to bring a cure. They decided the key problem was the use of the word “impotence”. It had far too many negative vibes attached to it. So, after hours of fruitless labor, they finally decided to describe the medical problem as “erectile dysfunction”. This also had the advantage of being easily contracted to ED which was definitely not threatening. The rest, as they say, is history. The pill was launched with a major fanfare and no-one minded talking about erectile dysfunction.

Welcome back to a modern debate on whether loss of libido in women is a medical problem to be cured. The word most often used to describe the condition is “frigidity”. This insulting word blames women for not finding men sexually attractive. The new manufacturer has decided to use the term “hypoactive sexual desire disorder”. When this was first announced to the world, there was a scathing reply in the British Medical Journal accusing the manufacturer of inventing a disease to convince gullible women they needed to buy medicine. Put another way, this drug is aimed at a US market estimated to be worth more than the erectile dysfunction market.

As it stands, the first results from clinical trials are due to be released soon and this will quickly be followed by an application to the FDA for a license - assuming, of course, the results are positive. This could be a double-edged sword. As it stands, men with ED problems can be allowed some time to put things right when partnering women with low levels of libido. Although loss of sexual activity for short periods may damage the relationship, it will not always kill it stone dead. But if the partner has already been sexually awakened by a desire pill, men had better find cialis sooner rather than later.

There is something faintly alarming about women demanding sex all the time. This puts pressure on men and may well increase the number with performance anxiety. Both varieties - the weekend pill and the once-daily - will keep men going, but the idea of women with increased levels of expectation about sexual satisfaction is somewhat intimidating. The number of men experiencing ED increases with age and though the wise will always buy cialis and keep going, even the most dedicated of men may have to develop headaches from time to time to get a good night’s rest.

Why are the overweight more at risk of erectile dysfunction?

It’s very easy to overdo stories about the risks of obesity. Indeed, those who are overweight grow increasingly angry at the growing number of scientific studies telling them how to live their lives. In this, there are parallels with the campaigns to encourage people to quit smoking. For years, the tobacco industry suppressed evidence of the link between nicotine and cancer, and disputed articles that tried to warn people of the risks. Today, even with the Surgeon General’s warning on the packaging, current smokers resist laws that aim to limit smoking in public places. They see this as intrusive. Nevertheless, as with nicotine, so with obesity, there is increasingly clear evidence of the link between excess body weight and disease. For the purposes of this article, the link between erectile dysfunction (ED) and obesity is also clearly made.

The evidence collected from around the US shows that about 35% of all men over the age of 50 are likely to experience ED at some point in their lives. Both obesity and the resulting lack of physical exercise significantly increase the risk. There are three reasons for this. The first is the change in the level of testosterone as the body gains weight. The second stems from the deposit of plaque on the lining of the arteries. The initial condition is called atherosclerosis - a hardening of the arteries and a restriction in the flow of blood. In turn this increases the blood pressure and can lead to heart disease. Finally, the overweight are more likely to become diabetic. As diabetes progresses, there can be nerve damage which first appears as ED.

To be straightforward, the remedy is easy. If you lose weight and increase the amount of physical exercise you do, this is likely to improve your general health and, even more importantly, relieve the ED. So here is another article telling you to modify your lifestyle. Except that, for many men, the ability to get or maintain an erection is a vital part of their self-esteem. If something is interfering with this, some action is called for. In its early stages, the standard ED medications will usually produce results. But, if left untreated by diet and an exercise routine, only levitra will maintain sexual satisfaction. This drug is the most powerful of the three ED medications and it will usually produce sufficient hardness to achieve penetration and ejaculation. But there will come a time when even levitra will not help. When you reach this stage, the choice has become stark. You need to diet, take drugs to reduce your blood pressure and cholesterol levels, and exercise. As your weight begins to fall, levitra will restore erections. If you maintain the weight loss, you can probably return to the weight and level of health where an erection will come without the need for a drug. So, if you are overweight and suffering from ED, buy levitra to restore sexual activity and start losing weight.

Yet another weight-loss reality TV show

It seems the imagination of the folk who work for TV corporations is limited to the same basic formula. Reality shows are big business. If you want to earn the maximum revenue from selling ad space on TV, have a group of regular people running round the world doing silly things in a search for one million dollars or follow a group of families as they compete against each other to see who can lose the most weight. In these shows, the biggest losers are the winners. These are the people who, for some reason, catch the imagination of the public. They become fan favorites and find their public lives transformed with fans approaching them as they walk down Main Street. Actually, for weight loss, this can be a big plus because fans can embarrass people into keeping to a diet. Imagine how a participant in a weight loss show would feel if everyone pointed them out as they bought another donut. This would be a sure-fire way of motivating them to eat only healthy food.

Anyway, ABC has announced a new version of the same-old tired show. It’s to be called the Extreme Weight Loss Show. Note the touch of originality by adding “Extreme” to the title. You can always tell producers are desperate when they start using words like “extreme”. So the hook to convert the ordinary into the extreme is that each of the contestants in this competition must aim to lose an amazing amount of weight: the men must be on a program to lose not less than 200 pounds, the women not less than 150 pounds. Now the writer has a conceptual problem with these numbers. He weighs 170 pounds in total so the idea that someone could lose more than he weighs boggles his mind. Yet ABC expects the world to line up outside its doors in Nashville to volunteer their time and sweat. The lure of the fame or notoriety is just too great. Sorry, perhaps that should be the lure of the extreme cash prizes for the winner is just too great. It’s amazing how many people will humiliate themselves just to earn a dollar.

The show does have a realistic timeframe in mind. It is employing a team of personal trainers who will visit each contestant’s home to bully them into action. No reality show is complete without all those tears of frustration when contestants find their comfortable bubble punctured by aggressive trainers. The cameras will record these sessions and follow the contestants over a one year period. The person losing the most weight wins the prize. This is not unrealistic. It rules out all those who might try to starve themselves into a winning loss, offering a gentle and safe weight reduction approach. But only someone really motivated will keep to a high-intensity exercise program over a year. This is a fair test. Which brings us to phentermine because, when your motivation is running down and hunger is about to send you back into the kitchen for a soda and snacks, this drug steps into that gap in your stomach and sends out the message, “No” to the brain. Buy phentermine and find out why millions of people have lost weight over the last fifty years (and counting).

Maybe the common sense answer is the best for erectile dysfunction

Scientists have developed a number of myths about themselves. They are, in one sense, the new priesthood, expected to bring us new technologies to make our lives simpler, easier and safer. They work away in these laboratories with complicated pieces of equipment lying around. They wear these spotlessly white coats that would show even the slightest stain, were they to be splashed with chemicals from one of their bubbling retorts. They are the new elite who deliver the goods to the front office where ageing managers sign off on advertizing campaigns to sell the latest gadgets and earn their commissions and bonuses. So we grow used to seeing the latest scientific journals full of the reports from these superbeings. They are couched in strange and incomprehensible jargon, accessible only by fellow scientists and other godlike beings. So it comes as something of a shock to see something written in a blunt, no-nonsense style. How can we take this as a serious piece of research when it is so easy to understand what it means?

Well, in this instance, there have been several years of work involved. The scientists started out with a complex hypothesis. They devised different methods for testing the various possible theories. Work began. Data were collected and numbers crunched. Slowly, a pattern emerged in the results. It was a revelation. Used by countless generations, the traditional idiom was proved by the scientific method. “Use it or lose it” was the right answer! Back to the beginning. One of the more obvious facts of life is that, as men age, they become more likely to suffer from erectile dysfunction. A number of different explanations have been offered for this starting with the simple truth that they grow tired and have less energy, to more complicated explanations about the build-up of plaque on the lining of arterial walls.

Now we have this new piece of research. One of the features of ageing is that the opportunity for sexual activity can decline. Couples grow old and get out of the habit. One partner can die leaving the other alone and reluctant to re-enter the dating game. Whatever the reason, some men can go some years without sexual intercourse. It seems that the muscles lose their tone when not used, that the soft spongy tissue inside the penis breaks down and is no longer able to hold as much blood to form the erection. Combined with the tendency of the arterial walls to harden with age and so lose their ability to dilate, and you have a classic recipe for erectile dysfunction. That’s before we get to all the psychological problems of performance anxiety likely to affect some men as they approach the possibility of restarting sexual activity.

The evidence from this new research is clear. Men who continue to have regular sex are significantly less likely to suffer erectile dysfunction. Their self-confidence is strong and their bodies still in training. For men who are ageing and with some history of inactivity, the best way forward is by using cialis. Taken as needed about thirty minutes before expected sexual activity, this can boost performance and restore confidence. If there is some embarrassment about the prospect of asking a doctor for a prescription, you can now buy cialis online without the need for a prescription. Your privacy is respected, your reputation safe.