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Generic Viagra is a reliable and highly reputable medicine for treatment of male impotence conditions. The drug has been around for almost two decades and has won a reputation of a medicine with extremely low side effect profile.

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29
Aug

What is Canadian Viagra? All You Should Know About It

Viagra…Almost every adult knows that it is a drug product that leads to grow the sexual vigor and this word has already become common in a colloquial speech when the man is hinted concerning his “sexual drive”.  But do you know what is Canadian Viagra in particular and why is it called Canadian?

What is Viagra?

Viagra

To begin with it is better to understand what Viagra is. It is just a brand based on a pharmaceutical substance Sildenafil, a drug product for the sexual vigor. This medical preparation is allowed and available for the producing by many pharmaceutical companies and it does not belong to any of them, i.e. this drug is not patented. In other words in fact a patented Viagra is an unpatented Sildenafil.

Why Particular Canadian Viagra?

Two-three decades ago Canada was one of the most expensive countries producing medicines. Unfortunately every year the percentage of old people grows and the purchasing of any medical preparation has become a huge problem for this country. It was then that the topical issue was raised and the government decided to take the entire pharmaceutical branch of Canada under its control. The government began to set the value on drugs in the drugstores and kept them manipulated. Beside it pursued the policy with the implementation of generic medical preparation.

What is Generic Drug?

A generic medical drug contains as the same pharmacological active element (pharmaceutical substance), the same dose and the same pharmaceutical form as the original medical drug. It is an equivalent of its original one by the characteristics: the same quality, effectiveness and a safety profile. It is produced without a patent of the company possessed an original medical drug and consigned once the patent duration or other exclusive rights for the production of the original medical drug are finished.  At the present time generic medical drugs can be consigned under international unpatented names or just new brands. Thus generic medical drugs do not differ from their original medical drugs at all except the expired period of the patent but in particular thanks to it the reduction of prices of drugs takes place and the difference between costs of an original and a generic drug amounts 20 – 80 %.

Generic Viagra is a perfect copy of Original Viagra. It corresponds to all the characteristics of the original Viagra. The only difference between these two preparations is the cost of the generic Viagra is much lower than the cost of the original Viagra and it is affordable for a broad spectrum of the potential customers.

For instance, one pill of the original American Viagra of a dosage of 100 mg is about 60 – 65 dollars. One pill of the generic American Viagra of the same dosage costs 30 – 35 dollars that is half of the value of the original drug. As you can see it is a colossal discrepancy of the price policy and Viagra becomes affordable to the most percentage of the male population.

What is an Advantage of Generic Canadian Viagra?

An active substance in the composition of the Generic Canadian Viagra is a known Sildenafil that is used and produced with a dosage according to the original Viagra.  The identical auxiliary components give an opportunity to this drug to produce more significant and soft effect at the same time and also reduce the potential risk of the adverse reaction as high as possible.

The advantage of the Generic Canadian Viagra lies in the government policy. Thanks to the interference of the Canadian government the prices of the pharmaceutical drugs are regulated and controlled. Thus one pill of Canadian Viagra of a 100 mg dosage costs only 10 – 12 dollars depending on the pharmacy. It means that 10 pills of Canadian Viagra will cost 100 dollars for the customers that is, for a minute! six times less than the original pills though the composition of Canadian Viagra is second to none of its American partner but it is just a matter of having a patent.

Just think how much we pay to buy a thing of a popular brand when in fact the prime cost of a pill is pennyworth! After the refusing of the branding the Canadian government made a great step forward to its nation when it brought an opportunity to buy medicines at cheap prices and drugs became affordable to the most circle of the population.

Why to Pay for Branding?

Many people worry to buy not original medical preparations no matter what they treat and for what purpose they are used. The absence of a brand name frightens customers sometimes. But it is not a secret occasionally the most expensive medical preparations are composed of the pharmaceutical substances which are very cheap in fact and almost every person may afford to buy them.

For example, one pill of Fluconazole costs 15 cents approximately while one pill of Diflucan costs 7 dollars but not everyone knows that Diflucan contains Flukonazole. They are one and the same drug, their pharmaceutical characteristics are identical and the influence they produced is equal absolutely. No more, no less. Diflucan is just a brand name of a trading company that made good investments into the qualitative advertising campaign and due to it increased prices forty times.

What result does Canadian Viagra give?

The Canadian Viagra produces the same effect as the original one. The generic canadian medicine gives the same result. There is only one distinction that makes the Canadian Viagra more preferable that the original Viagra – its price. Now every customer can afford to buy it. The survey that took place some time ago showed that the result of the generic Canadian Viagra is as effective as the result of the original Viagra is. The influence produced by Canadian Viagra work in a hundred per cent way but costs for fraction of the price.

Here are some feedbacks of the customers who use Canadian Viagra:

D: “As for a preparation Viagra works. I decided to try preliminary and ate half of it. The drug works 100 % as the effect lasted for several hours”.

M: “Rather well-effective medicine. I was advised to buy it by my cousin. We get on in years and we need to stimulate our sexual vigor by special medicaments in other case a sex is not satisfactory. I much appreciate his help because it was he who told to buy generic Viagra. It works as well as the original one but costs much cheaper”.

N: “I order these wonder pills not for the first time. The sensation is amazing. I recommend”.

Sometimes people think the more expensive a product is the better its quality. In reality it is not so. Some companies just want to make good money on our trust not thinking about human health and wealth.


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10
Jul

This is Why Choosing Generic Viagra at Canadian Pharmacy is a no-brainer

Canadian Pharmacy is the best place to choose Generic Viagra for a wealth of reasons: it saves your time and money, as well as guarantees that the quality of the product you get raises no questions. A standout from the hordes of spammy eshops and scam pharmacies, Online Pharmacy takes the path of the most innovative services out there on the web. No, it doesn’t sell drugs. And no, it has nothing to do with affiliations with pharmaceutical corporations. A stand alone platform, Canadian Pharmacy aggregates a plethora of trustworthy, time-tested online drugstores that you’ve might probably lost out of sight because of spam and scam occupation – the top results of Google instill no confidence these days. Thus, instead of wondering around the web in search of decent offers, you can drop in at Online Canadian Pharmacy www.mycanadianpharmacyrx.com and check what’s in store at dozens of pharmacies across North America. Everything is gathered at one place for your convenience, and there are even more things you will definitely enjoy.

The quality is the king

This is why choosing Viagra at Canadian Pharmacy is a no-brainerRunning on a tight budget, people tend to make extremely risky decisions. Each time you buy ED pills from another ‘noname’ eshop, you put your health in jeopardy – who knows what sort of quality do this or that store offers? Moreover, there’s even no guarantee that the product will be ever delivered, so wasting your money on nothing is another highly likely scenario. Fortunately, you can now take advantage of a combination of stunning quality and unmatched safety at a juicy price. How it all works? Online Pharmacy fills the gaps of the modern shopping for drugs online – the industry desperately lacks fair rules and regulations. Canadian Pharmacy moderates the access to presentation at the platform and regulates the activities of its partners. On the output, the service gathers proven, reliable companies that hold valid licenses and interested in growing their customer base. There’s no point in taking the dark side within the platform, so if this or that drugstore is found to be violating the rules, a penalty follows immediately, up to cessation of partnership. Therefore, the end customers enjoy quality products at a reasonable price with no risks of ending up having their emails spammed or products never delivered.

The price is the queen

What’s the point of choosing generic drugs if their cost is still unprecedentedly high? At Canadian Pharmacy the pricing is going through the floor – the most widely used Generic Viagra pills are priced at just $1.09 or even lower, if you buy in bulk. It’s roughly 10 times less expensive than the drug you buy at your pharmacy around the corner – the average price for Brand Viagra pills balances around $20/unit across the country. And what is also extremely important, you can cut off the total price even further – watch for regular promotions, discounts and make use of free bonuses to decrease your expenses. Also, each Online Pharmacy customer automatically enrolls in a loyalty program, meaning that your savings will grow over the time, plus the platform encourages bulk shoppers – all the $200+ orders are shipped to your door for no cost. And finally, the selection of drugs at Canadian Pharmacy totally outperforms the choice of drugs you see at your local drugstore: the variety of generic modifications includes hundreds of dose modifications and drugs designed to combat specific issues like premature ejaculation (Viagra Super Active), and the price range for these pills varies between $2 – $5/unit.

The customer service Klondike

The platform provides you with free professional consultation options – you can get an expert advice on virtually any aspect of ED treatment really quickly. You can always choose from a bunch of quick Airmail delivery options and a number of secure payment methods – neither Western Union direct transfers, nor other scam tactics are allowed. All the products are delivered to your door in discreet packages, and your data on site is never shared with 3rd party companies – we’ve got your protected from every angle. Just give it a try and you will know why the amount of customers attracted through Canadian Pharmacy has quadrupled since the platform’s launch in 2015.

19
Dec

Canadian Pharmacy – Your Go-to Provider of Viagra online and Affordable Drugs

Canadian Pharmacy – Your Go-to Provider of Viagra online and Affordable DrugsWho we are

Our website and company (www.canadianhealthcaremalll.com) exist to bring you the best products on the online marketplace of drugs. Nowhere else will you get Viagra and any other drugs you may need as cheaply and easily as from our service. Since the first day we started operating, we have made every effort to bring our fans and customers what they need most. This has allowed us to grow as a company and as a provider, because we still provide the best service to the huge user base we have built up, despite having a great number of orders every day.

What we offer

If you look at the products we sell, you will see dozens of drugs and supplements of different nature. However, our top-selling and most developed branch is undoubtedly male enhancement drugs. You can get generic Viagra (more details here), Canadian Cialis, Levitra, and many other erectile dysfunction drugs from our site with no prescription or hassle. These drugs are specially designed to treat one of the biggest sexual health problems men face – the inability to get an erection or keep it up during sexual activity.

Not only is this disappointing, but it can also be really embarrassing and stressful, taking a real emotional toll on even the manliest man. Erectile dysfunction can be caused by many different things, from illness to medication side effects, to unhealthy lifestyle choices and ordinary aging, so getting rid of the dysfunction by getting rid of the underlying problem is not always possible. Thankfully, Viagra and similar generic pharmacy drugs provide a simple and socially accepted solution to this problem, only requiring men to plan their sexual activity so getting it on only requires popping a pill half an hour before the fun begins.

Why are all these products so cheap?

The simple answer to this question is that they are not cheap, just fairly priced. Drug companies, pharmacies, and many online sellers are not looking to give you something you can afford. They want to turn a profit by overpricing their products and attributing it to various bogus expenses. We would never do anything like this, and our prices stay reasonable because we run a very tight ship. Since our service is based in the internet, we do not have to pay for office and pharmacy space over the world, we can just ship items from one location.

Another reason why our prices are low is that we sell many generic products. As you may know, after a drug is developed, its developer can patent it and sell it at any price he wants. However, after a certain period, the rights to the drug wear off and any authorized seller can make it. This is what’s called a generic drug. Because there are so many more generic drugs produced, they are very affordable, yet still have the same quality and efficiency as the original drug.

Catering to your every need

Our website is designed to be as simple and convenient as possible for our customers, with all the basic options of browsing, purchasing, monitoring your delivery, and contacting customer support. We have a sophisticated team of customer service representatives that work around the clock to help our customers in any way necessary. This includes providing information, assisting in the placement of orders, clarifying order and delivery details, and even providing refunds and resolving issues when they occur. You should also know that your activity on the site is not monitored by the staff or anyone else, so there should be no fear of your personal and confidential information falling into the wrong hands.

Shopping at Canadian Health&Care Pharmacy canadianhealthcaremalll.com is a decision you will not regret, but will likely repeat many times to come!

24
Jul

CanadianHealthCareMalll.Com: The Online Drug Store In A League Of Its Own

When you buy almost any product from a reputable, proven company you get a product and service quality guarantee. However, humans are likely to make very doubtful decisions: we are looking to improve our health, but want to save our hard-earned money, thus we purchase things from grey dealers and succeed in none of the missions. Nowadays the choice is so tough to make with thousands of online stores popping out and passing away on a daily basis. So can you really find a mixture of reliability, quality and stunning customer care? Yes, and the answer is CanadianHealthCareMalll.Com.

They is a well-established Canadian pharmaceutical business with almost 15 years of successful track record. Focused on Canadian market exclusively, the business bets on advanced online infrastructure and savvy business development: the company boasts a nifty website with an next-gen security system set in a place and well-organized business processes and workflow. How do you benefit from it? Industry lowest prices, unparalleled customer service and shopping experience second to none. If you want to buy Canadian Viagra – then go to their website – www.canadianhealthcaremalll.com.

The Online Drug Store In A League Of Its Own

The pricing model

This is where the online store leaves its competitors in dust – with an extensive network of distributors, shipping/delivery logistics partners, company-own warehouse and truly professional stuff the business achieves sky-high results. The ideology of the brand is offering finest quality pharmaceutical products at totally competitive prices; while such ambitious goals as ‘replacing the offline experience with next-gen online shopping’ implied developing and bringing to life truly innovative tactics. The synergy of successful campaigns in a variety of fields resulted in prices going through the floor (e.g. Tadafil and Levitra start from as little as $0.85 per pill) at still unmatched quality.

Canadian Pharmacy online – Viagra without prescription

CanadianHealthCareMalll.Com has never been and will never ask for prescriptions – the shopping experience deprived of any form of drudgery is the foundation stone of the company. The management is working hard to ensure the buying process as smooth as possible. Not only you don’t need a prescription – choose from a dozen of payment options and qualify for the overnight shipping. Impressive enough for an online drug store, isn’t it?

It’s promo time

CanadianHealthCareMalll.Com is one of the few places where you can legally purchase quality Canadian Viagra products at a more than affordable price. A broad variety of medications: from original pills to generic analogs is now available with a juicy 10% discount – take a stunning chance to save money.

Top 5 Places to buy Canadian Viagra

The drug shop is proud to find itself among Canada’s top 5 most successful pharmaceutical businesses in online sphere. Almost 3 of 4 Canadians make a choice in favor of one of the 5 stores: apart from Canadian Pharmacy, Drugs.ca, CanadianPharmaShop and DrugsCanada, CanadianHealthCareMalll.Com is one of the most trusted and popular places to shop ED pills at. Still looking for low prices and high quality? Don’t you think the choice is too obvious?

15
Jun

Viagra New Zealand Online – www.viagra-online.co.nz

What are generic Viagra online benefits?

Cheap Viagra New Zealand bought online brings even more bonuses than a mere price reduction. A gratifying online pharmacy will offer a slew of services and complementary offers to go with your cheap generic Viagra package.

viagra

It is a common practice, for example, for e-retailers of Viagra in New Zealand pharmacies to include free bonus ED pills of your choice into your order as a compliment. Or offer a free shipping, either for every order, or as of above a certain sum spent. And don’t forget about bulk order benefits that you get when ordering drugs in jumbo quantities. It is a win-win deal, since in the long run, you will end up being all stocked up on the meds that you should take regularly, and you will get to enjoy the bulk-size discount. A quick tip: if you do not need that many pills, buy personal care products or anything that is needed in the household to make your order qualify for the discount.

In addition to that, many Viagra New Zealand drugstores also offer licensed doctor consultations (which do not substitute the initial check-up with your prescriber) or issue a shipping insurance. Find the most gratifying of the e-com pharmacies and stick with them to really get the most mileage from your repeat customer rewards.

But still, many view the possibility of getting their ED pills online as an opportunity to choose from many forms of the same medicine, like it is the case with Sildenafil NZ. Scroll down for more details.

Why there exist so many Generic Viagra  types?

Do you have a type? No, we are not asking about women. We actually want to know if you have a Viagra type. So before you arrange a tryst with your significant one, choose your weapon. There exist more than a dozen of generic Viagra NZ pills, and while all of them address the issues of potency, they do it each in their unique way.

For instance, tablets like Viagra Professional, Viagra Super Active, Gold Viagra and Viagra Red have it in the name – they are more impactful and help to take that stand even for men with severely compromised erectile function.

Alternatively, if you would like to leave more room for spontaneity, opt for Viagra Soft Tabs Thin Film Viagra, Viagra Jelly, Kamagra Jelly, or Viagra Capsules. Viagra Jelly and Kamagra Jelly are also a great fix for tablet haters.

When choosing a Viagra NZ type, you should not forget about the content of sildenafil in a single tablet. If you should not exceed the minimal dose of sildenafil 25mg per day, don’t go for stronger preparations like Viagra Super Active, Viagra Red, and the like. It is important to verify the optimal dose with your healthcare practitioner before you buy Viagra in NZ online.

Top rated Viagra pharmacy in New Zealand: www.viagra-online.co.nz

26
May

Best Viagra Online Pharmacy Is Finally Found

You know there are topics that are not quite public. Most of those concern health disorders. Some people try to hide them avoiding speaking about them. But such behavior does not change the situation and it does not improve your health either. Why avoid speaking about a problem if you can solve it? And you can solve it as simple as that.

It Is Extremely Easy to Order Drugs at Online Pharmacy

Today everyone has a PC and Internet connection. As long as you have an access to the Internet, you have an access to long lists of online pharmacies offering generic medicines to improve your health. The possibility to buy certain drugs online allows you going round the necessity to waste your time on walking or driving (by the way, wasting gas) to buy them in traditional brick pharmacies. Besides that, you will find it hard to run around several pharmacies to make sure that you are buying necessary drugs at the lowest prices.

HQ Canadian pharmacy and Viagra

HQ Canadian Pharmacy at hqcanadianpharmacy.com is one of the best online pharmacies ever existing. Just consider all the advantages they offer to their clients:

• huge variety of high quality medicines for all kinds of health disorders are provided in the alphabetic order for more comfort
• almost instant shipping of medicines (at least the terms of shipping are the shortest in comparison with many other online pharmacies offering similar services)
• full information on each medicine is provided (so that you could make sure if you need this particular medicine or it would be better to look through the rest and pick another one)
• low prices
• most comfortable way of doing shopping

Considering this list there are thoughts coming to mind that this is actually everything a buyer needs from a pharmacy. Detailed instructions on medicines are there, so you will never buy a wrong drug. There is only comfort when making an order because you are staying at home and just clicking a computer mouse. Choosing the option of shipping drugs to the doorstep the customer will not even have to go to the post office to get it. They will just knock at your door and you will get your meds.

Prices are really lower than in other online pharmacies. And the drugs are of perfect quality in spite of their money-saving prices. This is easy and fast to check on the web – just find a few pharmacies of the same kind and check the prices on similar medications. The pleasant surprise is to discover that they are significantly lower. By the way, no hidden stones in payments ever turn up! Till the very ‘good bye!’ and ‘have a nice day!’ customers wait that the courier would tell them pay something more for delivery services.

All in All

Buying medicines at Canadian Pharmacy viagra online leaves only best impressions! Everyone should try and order some medicines to ensure the pharmacy policy is clear, drugs are of high quality and reasonably priced and medical consultants are 100% competent.

12
May

Generic Sildenafil in Australia

It is a drug which is usually referred to as an enzyme that breaks a phosphodiester bond. It is similar to Viagra from the point of view of its components. You should consult your doctor to be informed about the drugs you must not take with Revatio.

How Revatio Works

Cells contain chemicals which put blood vessels in a certain order in the lungs. It is done to change the size of the blood vessels. The drug acts by increasing the quantity of the chemicals in the cells to soften the vessels and let blood with O2 pass freely.

How to Take Revatio

The drug must be taken three times per day before or after a meal. You must keep to the prescription of the drug and do the following:

Make sure you take the drug according to the general schedule at one and the same time to avoid a dose missing.

Do not stop to take Revatio at will. You must first consult your doctor.

You must keep to the prescription given by your doctor. You will get the best effect if the drug is taken according to you doctors prescription.

In case a dose is missed you must take it once you have the chance to but you must not double the dose or take it when it is time almost for the next dose. Just skip the missed dose and then keep to the general schedule.

When you doubt how to use the drug, you must consult your doctor. Cheapest viagra in Autralia – i try it, i like it!

Important Safety Information

Revatio is a good means for pulmonary arterial hypertension treatment. There is no information about Revatio use in combination with bosentan.

Revatio must not be taken if you use any drugs containing nitrates no matter if it is done on daily basis or from time to time.

It is also not recommended to combine Revatio with ritonavir or fungusproof means of treatment. The dose of Revatio may be adjusted by your doctor if you take it with drugs like barbiturates, rifampin, nevirapine phenytoin, efavirenz, carbamazepine or rifabutin. Problems may occur if you use alpha-blockers, so you should inform your doctors about that to receive special treatment or another dosage of the drug.

Revatio should not be applied if you had problems with blood circulatory system in your lungs. If you are experiencing physical discomfort while taking Revatio, you should consult your doctor. Your general condition should also be discussed with your doctor including problems of blood system such as blood circulation if you had any.

The information of Revatio characteristics provided by the researchers does not include tests of the patients with heart attacks, irregular heart beat during the last six months, high blood pressure and patients taking bosentan.

It is not known yet if Revatio is harmful for people with blood circulation problems and ulcers. Your doctor should know if you have the enlisted problems with health.

Nosebleeds are most probable to take place if you combine Revatio and vitamin K antagonists. Your doctor should be aware of the fact that you take these medicines.

Cases are known with temporary partial or complete loss of sight after PDE5 inhibitors were taken to treat erectile dysfunction. It hasn’t been proved if the drug is connected somehow with this phenomenon

When taking Revatio and other drugs of the same class you should know that erections lasting more than 3 hours are quite possible, though they are not frequent. If erection lasts too long you should contact your doctor because long term erections may result in decreased potency.

To the common side effects belong nosebleeds, flushing headache. When overdosed by Revatio side effects will increase and result in muscle pain, temporary loss of sight, loose stools.

07
May

Low Levels of Nitric Oxide Indicates Erectile Dysfunction

It is a well-known fact that older men are more prone to erectile dysfunction than younger men. This is because the natural levels of nitric oxide in the body decrease as one gets older. Nitric oxide is a naturally occurring molecule in the body. It is produced in order to relax blood vessels, thereby allowing good blood flow through them. When there are low levels of this chemical in the body, men not only experience erectile dysfunction, but they also experience a range of other cardiovascular issues. The low-level of this chemical in the body means that there is insufficient blood flow through the blood vessels in the penis. This results in weak erections that do not last for a long time.

Fortunately, there are ways in which the levels in the body can be improved. One of the best ways is through exercise. The type of exercise to have good levels of nitric oxide in the body is that which raises the heart rate. Such exercise naturally raises the level of nitric oxide in the body. Because the heart rate increases through exercise the body requires more blood flow to the muscles. This then forces the production of nitric oxide to facilitate the easy blood flow through the blood vessels and arteries. Older men should therefore engage in regular cardiovascular exercises in order to maintain healthy levels of nitric oxide in their bodies and thereby have healthy erections.

Other than exercise, a good lifestyle is very important to produce good levels and prevent erectile dysfunction. A good lifestyle includes a healthy diet. Cholesterol from fatty, processed foods will increase the levels in the body line. A healthy diet will prevent this. In addition, smokers should quit smoking as this also increases the level in the body decline.

For people who want a quick fix there is the option of taking male enhancement pills that improve the production of nitric oxide in the body. Such male enhancement pills include Cialis and Viagra Australia. Unfortunately, these drugs are only available through a prescription from a doctor. Another disadvantage of these drugs is that they increase the levels of this only temporarily after they have been taken and the results last just a few hours and so they can only be used for the purposes of sexual intercourse and must be taken right before. They will not assist with the overall production of this in the body. These pills can be very expensive. So it is much better to try the natural ways of increasing the production in the body.

Men who are experiencing erectile dysfunction should seek medical attention. This is because this condition is often a symptom of a more serious cardiovascular issue that could even be life threatening. If it turns out there is a cardiovascular issue the doctor will prescribe the relevant treatment and the erectile dysfunction will also be healed as a consequence. Viagra Australia pills – impotence treatment medications.

However, it is important to note that erectile dysfunction is not always a consequence of a health problem or low levels of nitric oxide in the body. Sometimes the condition results because of a psychological or emotional problem. In these cases the doctors are still able to recommend the relevant treatment or refer the patient to a psychologist or sex therapist. In some men stress is the cause of their erectile dysfunction and increasing the levels of nitric oxide in the body is not an overall solution to their problems.

20
Apr

Diagnosis of erectile dysfunction

The proper goal-oriented evaluation of a man proactive and complaining of erectile dysfunction requires a sympathetically elicited history, a focused physical examination and various carefully selected special investigations.

PHYSICAL EXAMINATION

Physical examination in erectile dysfunction should involve careful assessment of the external genitalia to detect the presence of cutaneous penile lesions, a Peyronie’s plaque or testicular abnormalities. Rectal examination should be performed to exclude benign prostatic hyperplasia or induration/nodularity suggestive of prostatic cancer. A focused neurological evaluation, including assessment of anal sphincter tone, should be performed and peripheral pulses palpated to detect signs of vascular disease. The distribution of body hair may provide a clue to androgen status. Blood pressure should be recorded with the patient both standing and lying down, and the presence or absence of obesity and/or gynecomastia noted. The abdomen should be palpated to exclude aortic aneurysm.

SPECIAL INVESTIGATIONS

Blood and urine testing
A key condition to exclude is undiagnosed diabetes mellitus. This is best accomplished by random measurement of blood sugar, as dipstick testing of urine to detect glycosuria does not reliably exclude the diagnosis. Because renal failure is also frequently associated with erectile dysfunction, electrolytes and creatinine should also be measured in addition to liver function tests, especially in those who admit to a high alcohol intake. Documentation of a full blood count and erythrocyte sedimentation rate is also a sensible precaution. Evaluation of the androgen status of the patient is usually indicated, as some may respond to hormone replacement therapy.Two young women and a man in bed.
A serum testosterone (best measured as an early-morning sample) and sex hormone binding globulin (SHBG) should be requested. In addition, if the free testosterone level is low, a prolactin level should be measured, as hyperprolactinemia is associated with erectile dysfunction and may be corrected by treatment with bromocriptine. Some specialists also advocate testing of thyroid function, although this is a relatively unusual cause of erectile dysfunction, at least in younger men. If prostate cancer is a possibility, then a prostate-specific antigen (PSA) test should be requested, especially if treatment with androgen replacement therapy is being contemplated, as this may stimulate occult prostate cancer cells.

Nocturnal penile tumescence testing
Although still advocated by some, nocturnal penile tumescence testing is a rather cumbersome way to differentiate psychogenic from organic impotence. The same information (whether or not an erection develops during sleep) may be gleaned with the use of the snap gauge device or even with a strategically located ring of postage stamps. Only a few laboratories continue to employ nocturnal penile tumescence testing as a routine assessment of patients with erectile dysfunction.

Diagnostic intracorporeal injection
Injection of a vasodilator substance into one or other of the paired corpora cavernosa provides the clinician with two valuable pieces of information.

  1. First, it confirms that a normal vasodilatory response is capable of developing (although a failure to respond does not necessarily indicate organic erectile dysfunction, since the response may be inhibited by excessive nervousness).
  2. Second, this technique assesses the feasibility of self-injection pharmacotherapy as a treatment option. Originally, papaverine, with or without the α-blocker phentolamine, was used in this context. Nowadays, PGE1 (5–20 mg in 1 ml) is preferred, sometimes in combination with other agents such as papaverine, because of a lower incidence of prolonged erectile responses and priapism.

Color duplex Doppler ultrasound assessment of intracorporeal blood flow
More precise quantitative information concerning the erectile response to intracorporeal vasoactive agents such as PGE1 may   be obtained by imaging the cavernosal arteries with color duplex Doppler ultrasonography as the erectile response develops.   Normally, the velocity of blood flow through these vessels increases rapidly in response to PGE1 to more than 30 cm/s. As the   erection develops during systole, there is forward flow whereas, during diastole, the flow is reversed because of high   intracorporeal pressures. Thus, this test may help to distinguish between venous leakage and arterial insufficiency. Viagra Australia discount shop – myviagrainaustralia.com

Dynamic infusion cavernosometty and cavernosography
If veno-occlusive dysfunction is suggested by color Doppler ultrasonography investigation, then its presence and location may   be confirmed by dynamic infusion cavernosometry and cavernosography (DICC). This investigation involves pre-dosing with   intracavernous PGE1, followed by infusion of saline with simultaneous measurement of intracorporeal pressure and flow   required to maintain erection. Venous leak is characterized by an infusion of ≥120ml/min being necessary to maintain   erection. The source of the venous leakage may be visualized by performing cavernosography using a 50:50 solution of   radiographic contrast and saline. Leakage is usually visualized from the deep dorsal vein and/or the deep crural veins as well   as into the corpus spongiosum of the glans. Although deep dorsal venous leakage is one of the most common appearances   (Figure 52), multiple rather than single leakage sites are the rule rather than the exception.

Functional selective pharmacopudendal angiography
Pharmacopudendal angiograms may be indicated in the relatively small number of patients whose penile Doppler ultrasound   studies suggest arterial insufficiency and who are candidates for arterial reconstruction. The selective pudendal angiogram   may be performed under local anesthesia and some sedation through a single femoral percutaneous puncture. The test should   also include a non-selective pelvic angiogram with the catheter above the aortic bifurcation—the pelvic flush—and a selective   pudendal angiogram on each side. The non-selective pelvic angiogram is used to identify lesions of the common and internal   iliac arteries as well as to visualize the inferior epigastric arteries, which are the potential future donor vessels for penile   bypass surgery. Occasionally, an arteriovenous fistula is detected and its embolization may restore erectile function.

05
Dec

What Makes Viagra in Australia a Best-Seller

Viagra sold in Australia is a very popular remedy for erectile dysfunction.  Men find the help they need to generate and maintain an erection with the little blue pill. Most men who have tried different erectile dysfunction methods find Viagra to be the most effective.

Viagra in Australia s available quite readily and the most popular purchase vehicle is from an online pharmacy. Order via the Internet is easy and efficient. Payment methods are mostly with a major credit card, but some sites take PayPal and other similar payment methods.

Viagra in Australia is available without a prescription, but purchase requires the buyer to be at least 18 years of age. Viagra was designed to be a short term remedy and not a medication that should be taken long term. The most common cause of erectile dysfunction is decreased blood flow to the penis. Viagra pills works to increase blood flow to the penis by expanding the blood carrying veins.

The effects of Viagra last up to 4 hours and when taken about an hour before anticipated romance, it can take effect in 15 to 30 minutes.  The affects give men the power to fulfill their sexual needs and the needs of their partners.  Viagra is approved by medical professionals and was first developed to treat pulmonary arterial hypertension, but was found to have an effect on men who suffered erectile dysfunction.

The three main reasons that make Viagra pills popular in Australia is availability, effectiveness and cost. Viagra is one of the most economical erectile dysfunction remedies on the market today.  The pills are available in differing quantities allowing customers to purchase just a few of the pills or take advantage of bulk buying and reduced cost per pill. Viagra is available online and expedited shipping is an option customers can take advantage of to reduce the wait time. Viagra is the most effective erectile dysfunction remedies on the market.

Viagra can also be stored at room temperature allowing customers to keep their little blue pills just about anywhere. Other erectile dysfunction pills have to be refrigerated, sometimes limiting travel options. Viagra remains the most chosen method to treat erectile dysfunction and most men who try different methods will find Viagra to be the most effective. The only side effect that comes with using Viagra is a harder erection and more satisfying sexual encounters. Best price at myviagrainaustralia.com.