VIAGRA What is Viagra? Viagra is an anti-impotence drug manufactured by Pfizer with an active ingredient sildenafile citrate for treatment of male impotence. Sildenafile citrate relaxes the muscles and increases the blood flow to particular areas of the body. The intake of Viagra increases the ability to achieve and sustain erection on being sexually stimulated. Men taking Viagra have reported an amplified sex drive, increased stamina, and quicker recharge. Viagra works together with sexual stimulation to help achieve maximum sexual satisfaction. However, Viagra does not guarantee protection from getting sexually transmitted diseases, including HIV and Hepatitis. How Viagra works? Viagra enables many men with ED to respond to sexual stimulation. When a man is sexually aroused, the arteries in the penis relax and widen, allowing more blood to flow into the penis. As the arteries in the penis expand and harden, the veins that normally carry blood away from the penis become compressed, restricting the blood flow out of the penis. With more blood flowing in and less flowing out, the penis enlarges, resulting in an erection. It is to be noted that Viagra is not a hormone or aphrodisiac, it works only when a man is sexually stimulated. Viagra Dosage Viagra is available in the form of tablet and is meant to be taken orally. Ideally it is to be taken almost an hour before the sexual activity. However, Viagra can be taken anytime from 4 hours to 30 minutes before sexual activity. It takes 30 – 45 minutes for showing Viagra’s effect and this effect lasts for almost four hours. If you take Viagra after a high-fat meal (such as fish & chips, cheeseburger or French fries), it may take a little longer to start working. Viagra should not be taken more than once a day unless prescribed by your doctor. Warnings/Precautions It is always advisable to consult physician before starting the intake of Viagra. In case you have the history of an heart attack, stroke, or life-threatening irregular heartbeats within the last six months; or have heart failure in the past; coronary artery disease; angina; high or low blood pressure; liver problems; kidney problems; blood problems, including sickle cell anemia or leukemia; a bleeding disorder; stomach ulcer; retinitis pigmentosa (an inherited condition of the eye); physical deformity of the penis such as Peyronie's disease; or a condition that could lead to prolonged and painful erections, such as a tumor of the bone marrow, sickle cell anemia, or leukemia; or you are taking any other medicine containing nitrates your blood pressure could suddenly drop to an unsafe level and can risk your life. All these medical conditions and also allergy to sildenafile or any of its ingredients can lead to disastrous results. So it is always advisable to consult your doctor for adjusting the dosages after monitoring the treatments listed above. Viagra is not approved or recommended for use in women. Therefore, women should not take Viagra under any circumstances. It also not recommended for men older than 65 years unless they tolerate it in small doses for those who are sensitive to the effects of Viagra. Missed Dose Viagra can be taken as and when needed and there is no concept of missed dosage. Possible Side Effects of Viagra Every medicine has some or the other side effect and so does Viagra. It depends on individual to individual and is usually mild to moderate and don't last longer than a few hours. Mostly these side effects are evident with high intakes of Viagra. The most common side effects of Viagra are headache, nausea, flushing of the face, and upset stomach. Also there can be some temporary changes in color vision (such as trouble telling the difference between blue and green objects or having a blue color tinge to them), eyes becoming sensitive to light, or blurred vision. But if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of Viagra, or if you have sudden vision loss or have any of these signs of allergic reactions like hives; difficulty breathing; swelling of your face, lips, tongue, or throat seek emergency medical help immediately. It is also advisable to stop using Viagra and call your doctor immediately if you have any of these serious problems like - chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling; irregular heartbeat; swelling in your hands, ankles, or feet; shortness of breath and vision changes. In rare instances, men have reported an erection that lasts many hours. But if this is the case then you should call a doctor immediately if an erection lasts more than 4 hours. If not treated right away, permanent damage to your penis could occur. Heart attack, stroke, irregular heartbeats, and death have been reported rarely in men taking Viagra. Most, but not all, of these men had heart problems before taking this medicine. It is not possible to determine whether these events were directly related to Viagra. pro extender review Post-operative effects of surgical breast augmentation can include a hardening of the breasts; infection; and (sometimes permanent) loss of sensation in the nipples. Implants may also leak or break, causing a change in the shape and feel of the breasts and a great deal of discomfort. And while the majority of the typical breast augmentation related problems can be treated, it often involves removing the implant (after waiting for any infection to clear) and replacing it with another meaning yet more invasive surgery. andro penis review There are many non surgical products and methods that claim to enlarge, enhance and lift your breasts such as creams; special bras; using weights and even, hypnosis. max willy penis extender However, more and more women are now turning to breast enlargement pills as a way of enlarging and enhancing their breasts. Breast enlargement pills can help women to enhance their breasts and gain breast size without resorting to synthetic hormones and risky, invasive surgery.
According to the National Institutes of Health (NIH), an increasing number of men are reporting problems with erectile dysfunction (ED), or the recurrent inability to get or maintain an erection. Differentiated from the more common term, "impotence," which can also cover issues regarding sexual desire and orgasm, ED affects an estimated 15 million to 30 million American men. The NIH cites a wide range of conditions that account for almost three-quarters of reported cases of ED. Diabetes, kidney disease, chronic alcoholism, multiple sclerosis, atherosclerosis, vascular disease, and neurologic disease are common causes of ED. In addition, surgery that leads to nerve injury and the side effects of some prescription medicines, such as blood pressure medication, antidepressants, and antihistamines, can contribute to ED. The NIH reports that psychological factors, such as low self-esteem, stress, and anxiety are at the root of between ten and 20 percent of ED cases. Typically, ED is diagnosed through gathering medical and sexual histories, a physical examination, and blood tests. Fortunately, the condition can be treated in men of all ages. Although surgery and counseling are sometimes recommended as methods of treatment for ED, the overwhelming choice for most patients and physicians is drug therapy. Patients with ED report great success with Viagra, Levitra, and Cialis. All three drugs have been approved for the treatment of ED by the Food and Drug Administration, and are available through a regular or an online pharmacy. Viagra, the first and best-known drug for the treatment of ED, is taken one hour before intercourse. Viagra does not actually produce an erection, but allows a man to respond to sexual excitement. In essence, Viagra allows the penis to fill with blood and cause an erection. Following sex, the erection dissipates. Viagra shouldn't be used by men who are taking prescription or non-prescription drugs containing nitrates. Like Viagra, Cialis is an oral medication that helps blood flow to the penis. Also like Viagra, Cialis causes an erection to go away after the sexual activity has been completed. Levitra, like Viagra, increases blood flow to the penis during arousal. As with Viagra and Cialis, Levitra should not be used more than once a day, and is contraindicated for men who are taking nitrates or alpha-blockers. Due to the cost of Viagra, Cialis, and Levitra, men are increasingly turning to an online pharmacy to fill their discount prescription. They buy Viagra over the Internet at an online pharmacy, as well as Cialis and Levitra. Together, the three drugs have provided relief to millions of men and their partners. pro penis extender Most of these pills are herbal and made of natural products. These natural products can also have other benefits. Some claim that they can actually help with other health issues, such as protecting against breast cancer or stopping hot flushes, which is a real bonus! x4 extender testimonials However, when looking for natural breast enhancement, you should still research all the options thoroughly. For example, the internet has hundreds upon hundreds of websites claiming to sell breast enhancement programmes. Many of them are a waste of money and sell products which will never work, so research the different products, look at what the pills contain and the type of development work that has gone in to the products by the manufacturer, then make a decision from there. fast size extender Natural breast enhancement is a way to enhance your breasts with none of the risks involved with surgical procedures, but as with all products, needs careful research first. proextender review
The Siriraj Medical Museums in Siriraj Hospital, Bangkok display exhibits relating to pathology, forensic medicine, parasitology, anatomy and the history of medicine in Thailand. Siriraj Hospital is the first public hospital in Thailand established by King Rama V in 1886 and named after one of his sons who died of dysentery at the age of two. The Faculty of Medicine here, set up in 1890, is also the oldest medical school in Thailand. Six separate museums make up the Siriraj Medical Museums: Ellis Pathological Museum Songkran Niyomsane Forensic Medicine Museum Ouay Ketusingh Museum of History of Thai Medicine Parasitology Museum Congdon Anatomical Museum Sood Sangvichien Prehistoric Museum & Laboratory Let's start our tour of the Siriraj Medical Museums with the Ellis Pathological Museum named in honor of Professor A G Ellis, the first pathologist in Thailand who worked in the Pathology Department in 1921 and stayed on as Director of Siriraj until 1938. The babies preserved here are either stillborn or dead shortly after birth. There're dissected sections of babies, Siamese twins showing their joined organs and babies born with one eye. Some have external or internal deformations arising from various diseases or with organs protruding outside the body. Specimens of preserved organs used for pathological tests are displayed with organs infected by various diseases. Medical students were scribbling away in their books, though not all visitors were as enthusiastic. One visibly shaken woman visitor was seen sitting out the tour. Our next stop in the tour of Siriraj Medical Museums was the Songkran Niyomsane Forensic Medicine Museum named after Professor Dr Songkran Niyomsane, a pioneer in forensic medicine who started the museum. The latest addition to the museum records the efforts by Siriraj Hospital during the December 2004 tsunami, when pathology teams assisted in the disaster victim identification. The scenes are simply gruesome. The rest of the displays cover skulls, bones, damaged organs and photographs of murder and accident cases used in investigations, including the preserved bodies of a couple of rapists/murderers! I gather that the founder, Dr Songkran's skeleton is also on display in the museum, though I couldn't quite identify it! The Ouay Ketusingh Museum of History of Thai Medicine started by Professor Ouay Ketusingh, who headed the Departments of Physiology and Phamacology, was started in 1979. The traditional Thai medicine shop display was a pleasant relief. Also featured are the traditional practice of child delivery by village midwives and the quaint practice of getting the new mother to sleep by the fire for quick recovery. In the Parasitology Museum started in 1970 by Dr Vichit Chaiyaporn, Department of Parasitology, you'll be exposed to every conceivable form of parasite or worm infecting every movable form of edible life. Lungworms, pinworms, roundworms, tapeworms, whipworms infecting livestock, fish, crustaceans, vegetables and viruses causing food poisoning are identified here. So are the mosquitoes that cause Elephantiasis, an enlargement of the leg and the scrotum. If it's not what you eat, then pay heed to the venomous snakes, spiders, scorpions, centipedes and tarantulas. The last two Siriraj Medical Museums are in the Anatomy block. The Congdon Anatomical Museum was started in 1927 by Dr Edgar D Congdon, Professor of Anatomy and father of modern Anatomy in Thailand. Row after row of showcases display skeletons, skulls, organs, dissected sections, preserved nervous, muscular, arterial and venous systems. Being the oldest museum, the creaking floorboards added to the creepy air about the place. By the time we reached the last of the Siriraj Medical Museums, the Sood Sangvichien Prehistoric Museum & Laboratory, it was closed for lunch. This was just as well, as we've had an overdose medical museums by then. As it turned out this museum, started in 1972 by Professor Dr Sood Sangvichien, Dean of the Faculty of Medicine, dealt with evolution! For those keen on anatomy, pathology, forensic medicine, the Siriraj Medical Museums could probably be a wealth of information. These museums were in fact set up as resources centers for medical students. If you can indifferent to preserved corpses, dissected sections, organs damaged by disease or violence, you'll probably be able to cope with the tour. If you're not, we strongly suggest you skip the Siriraj Medical Museums and go straight for lunch. If you really want to go there, here's how, map to the Siriraj Medical Museums. fast size extender review size genetics penis extender review About 13 million men in the USA suffer from the reduced sexual desire, depressed and varying moods, loss of energy, tiredness, erectile dysfunction and inability to achieve penetration during intercourse. These symptoms affect the persons over 45 years of age. The main reason behind this is the inability of the body to make testosterone in sufficient levels. proextender review
If someone uses viagra or any other drug used to treat erectile dysfunction (ED) then he must be getting alarmed by the price that he will pay for sexual satisfaction. I will not advice them that they should stop using viagra as a treatment but I would definitely suggest them to go for a cheaper choice that supplies the same result in the end. But let us first analyze what is the problem that makes a man use such medicines. It is erectile dysfunction. There are many things responsible for ED. It can be examined at different level that comprises psychology and medical reason. If a person is not sexually aroused even when he commits himself, it can be defined as erectile dysfunction. ED is constant inability of generating and maintaining erection hard enough to penetrate. It can occur at any age but ED loves to attack people in there fifties. Everyone faces an occasional stint of ED. As one grows old he can experience the change in erection function. It is natural and nothing to worry about because generic viagra has arrived to save men from getting embarrassed in bedroom. Pfizer introduced oral pill viagra in 1998 and it created uproar, which is contrary to the reaction generally related with a launch of any usual medication. Since then more then 23 million people have been put it to good use. Different pharmaceutical companies have launched generic version of viagra. It is just as safe and effective as their brand-name counterparts. Doctors worldwide are prescribing generic viagra to all those suffering from ED. The results have been encouraging and these men have enjoyed their sexual lives as before. Trials have shown that generic viagra is safe to use and can be combined with a number of medicines that one is prescribed or buys over the counter from time to time. There are many generic options of viagra available in most part of the world. Caverta, silagra, Edegra, kamagra, veega, and Meltabs are few trusted generic names used by ED patients. All these medicines and viagra have one thing in common and that is sildenafil citrate. The other common thing is that all these medicines are not effective until and unless a man is physically and mentally aroused by sex desire. Erectile dysfunction or impotence is an inability of a man to get or sustain an erection because of shortage of blood in penis. Doesn’t matter he is sexually stimulated or not. The causes of ED are different from person to person. As I said all these generic versions of viagra has a chemical called sildenafil citrate, which is the most important stuff, which helps arteries in the penis to relax and expand, by reducing the effect of an enzyme called pde5. Because of which more and more amount of blood flows into the penis resulting in hardness of penis and because of this hardness quantity of blood flowing out of the penis gets decreased and penis gets erected which last for long enough time to enjoy the sexual act. Just like viagra, generic viagra also does not provide protection from any sexually transmitted diseases, including HIV. These generic viagra medicines come in tablets of 25mg, 50mg, and 100mg. Most patients can start with 50mg. Generic versions of viagra can be taken 30 minutes before starting any sexually activity and the effect of all the generic versions of viagra lasts up to four to five hours just like viagra. There is no food restriction when it comes of using generic viagra, but there is a possibility that it may take a little longer to show its effect if it is taken after a high fat meals like fish, cheeseburger, french-fries etc. Just like viagra, generic viagra should not be taken more than once a day. Do not take more or less of it or take it more often than prescribed by your doctor. It is also advised to not to drink too much alcohol before taking generic viagra because drinking alcohol can cause a delay in getting erection. Just like viagra, generic viagra can cause some side effects. These effects are usually mild to moderate and usually don't last longer than a few hours. Some of these side effects are more likely to occur with higher doses. The most common side effects of generic viagra are headache, flushing of the face, and upset stomach. Less common side effects that may occur are temporary changes in color vision (such as trouble telling the difference between blue and green objects or having a blue color tinge to them), eyes being more sensitive to light, or blurred vision. In rare instances, men have complained of an erection that lasts many hours. This problem is called priapism. You should call a doctor immediately if you ever have an erection that lasts more than 4 hours. If not treated right away, permanent damage to your penis could occur. Heart attack, stroke, irregular heartbeats, and death have been reported rarely in men taking generic viagra. The best way to buy generic viagra is to go online pharmacy and order them. These Internet pharmacies sell cheap generic viagra as compared to other ways of buying medicines. Buying online, generic viagra gives the best prices along with free home delivery facility and complete caution. What more could one ask for from within the comforts of his sitting room. One thing I would like to remind is, always enjoy safe sex and for those who are suffering from ED, enjoy it with generic viagra. jes extender The symptoms are also known as hypogondadism or low T. 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Hey Viagra users! Do you know how your magic pill works on you? Hmmm…forgotten right! Or are you ignorant about its mechanism? Whatever, am sure about one thing you were startled after reading the title of this write-up! To understand Viagra mechanism we need to first understand how one gets a penis erection. Penile erection process is initiated with sexual excitement. The stimulation generates electrical impulses in the brain and sends it to the nerves going to the penile section. The nerve then releases nitric oxide to increase the production of cyclic GMP in muscle cells of corpus cavernosum simultaneously. Nitric oxide smoothes the muscles and increases the size of the blood vessels allowing high-speed blood flow to the penis. As a result the penis is engorged with blood making it firm and strong for penetrative sex. So what we understand from this is that the level of NO (Nitric oxide) is mainly responsible for giving a strong penile erection. Viagra does not have any direct relaxant effect on the penile section but it enhances the effect of nitric oxide by inhibiting phosphodiesterase type 5 (PDE5). When sexual stimulation leads to the release of Nitric oxide, the inhibition of PDE5 by Viagra causes increased levels of cyclic guanosine monophosphate which gives muscle relaxation and blood inflow to the corpus cavernosum which ultimately helps in getting the required erections of the penis. Now, I am sure you will be able to relate the Nobel Prize winner Dr. Furchgott with Viagra and its functioning. Nitric oxide was initially known as Endothelial Derived Relaxing Factor (EDRF), ERDF was released, when patients took the nitrate-type blood pressure medicines popular in the 1970s and 1980s, and in turn it caused relaxation of the smooth muscles around the blood vessels and the arteries became larger, allowing better blood flow and a lower blood pressure. In 1986, Dr. Furchgott identified the EDRF as nitric oxide. This is where the Viagra makers got the idea of a magic pill for sex which revolutionized the whole idea of impotence. They noticed from the research that the nitrate drugs had certain side-effects on the blood vessels and the arteries; relaxing the smooth muscles around the blood vessels thereby increasing the blood flows in the human body. They related it to the erectile anatomy and discovered Sildenafil citrate, a chemical that inhibited PDE5 inhibitors which is responsible for the level of NO (nitric oxide) in the penile section. Sildenafil Citrate, under the brand name of Viagra, became the pioneer pill for the treatment of erectile dysfunction and received FDA approval on March 27, 1998, the rest is history! After all a better blood flow is the key factor behind a strong erection. So the master mind behind Viagra, in a way, remains Dr. Furchgott, the inventor of nitric oxide. Without the knowledge of the existence of nitric oxide, no one could think of inhibiting phosphodiesterase type 5 to maintain the level of NO to get penis erection. Let’s toast for the good health of Dr. Furchgott and congratulate him on winning the Nobel Prize. Without his discoveries Viagra would not have been possible and millions of men with erectile dysfunction would have continued to live hopelessly and helplessly as ‘ashamed impotents’. Thanks Dr. Furchgott for everything you have given us through your discovery!