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Information about Viagra

Viagra Facts

1. The most common cause of impotence is anxiety.

2. Impotence can be a symptom of some diseases. (ex. Diabetes)

3. Impotence is more common in older men.

4. Smoking increases the risk of suffering from impotence.

5. It is estimated that 30 million Americans suffer from impotence.

6. Around 95% of impotence cases are treatable.

7. Antidepressants, Antihistamines and Drugs that treat high blood pressure can cause impotence.

Doctors that treat Impotence

1. Psychologists/Psychiatrists: Impotence can correlate with depression, anxiety and relationship problems. This is why a psychologists or psychiatrists can be particularly useful to men who suffer from impotence.

2. Urologists: They are the most commonly used doctors for impotence because they deal with diseases of the genitals and urinary tract.

3. Endocrinologists: If you feel that your impotence is due to a testosterone deficiency, hormonal imbalance or thyroid disorder than this is the doctor to see.

Viagra Alternatives Pending FDA Approval

Two new sexual dysfunction drugs may soon be available.

Two new drugs, Lilly's Cialis (tadalafil) and Bayer's Vardenafil, may soon muscle their way into the male sexual dysfunction arena.

Like Viagra (sildenafil), all three drugs make it easier for a man with erectile dysfunction (ED) to have an erection after sexual stimulation. But, the new drugs seem to work faster, last longer and have fewer side effects. Here's what we know:

An erection occurs only when genital blood flow is diverted into the central spongy cylinders (corpora cavernosae) of a man's penis, an event that becomes more difficult in men as they age.

Sexual arousal triggers a surge in cyclic GMP, a natural penile blood flow activator that governs the vigor of a man's erection during intercourse. After orgasm— under the influence of an enzyme called phosphoediesterase-5 (PDE-5), cyclic GMP levels fall and a man's erection fades. Viagra, Cialis and Vardenafil are all PDE-5 inhibitors and work to bolster cyclic GMP levels so that a man can have a firmer, more rigid erection during sex. But, there is a difference between the drugs.

The developers of Cialis and Vardenafil have tinkered with the original molecule to come up with the next generation of erection enhancing drugs they believe offer advantages over Viagra.

Ease of Use: Viagra does not work well when taken with a big meal or after alcohol. Cialis works just as well with or without a meal and is effective even with moderate alcohol intake.

Onset of action: Patients taking Viagra are instructed to wait at least an hour before attempting to have sex. Cialis is effective within 15-20 minutes.

Duration of action: After one Viagra dose cyclic GMP levels remain elevated for several hours allowing a man to have sex that evening. The effect of Cialis and possibly Vardenafil seems to be more prolonged. After one dose of Cialis multiple episodes of sexual intercourse are possible.

Europeans have nicknamed Cialis "Le Weekend" and boast that one pill taken with wine and a hearty lunch on Friday is all a man needs to keep him sexually potent on Saturday and Sunday. But, for the mortal man a new pill each day he plans to have sex seems more realistic.

Side effects: Enzymes similar to PDE-5 react to PDE-6 inhibitors. For example, Viagra® disrupts Phosphodiesterse 6 (PDE-6) a look— alike color vision enzyme causing blue vision in some Viagra-treated men. Cialis has been engineered to avoid PDE-6 and does not cause blue vision.

The new PDE-5 inhibitors strengthen erections by increasing penile blood flow, but also widen blood vessels elsewhere in the body causing a small percentage of men to experience headache, nasal congestion or upset stomach. Side effects become less common with continued drug use.

Conclusion: Viagra was not just the first pill for ED, but also made it easier for us to talk about sex. With Cialis and Vardenafil even more options will be open to men with ED once they receive FDA approval. Other products are in development and there is significant progress in another long neglected little discussed problem, female sexual dysfunction. Stay tuned.

Risky sex, drugs: circuit party norms?

SUMMARY: Gay community medical experts are warning New Year's Eve raves and circuit parties could be dangerous, even fatal.

Gay community medical experts are warning New Year's Eve raves and circuit parties could be dangerous, even fatal.

According to a new study, gay men are more likely to use recreational drugs and have risky sex when they attend raves or circuit parties.

The findings suggest a need for special HIV prevention strategies that are targeted toward men who attend circuit parties, according to the study's authors.

"Circuit parties are an important and often positive influence on the gay community," Dr. Grant N. Colfax of the San Francisco Department of Public Health says.

In the Journal of Acquired Immune Deficiency Syndromes, Colfax writes that after taking into account drug use, attendance at circuit parties itself was not linked to high-risk sexual behavior.

But, Colfax said, "a substantial proportion of circuit-party participants report high-risk HIV-transmitting behaviors, often in relation to substance abuse."

He and his colleagues surveyed nearly 300 gay and bisexual men in the San Francisco area. The men answered questions about their drug use and sexual activity during the weekend of a circuit party in San Francisco, an out-of-town circuit party weekend, and two weekends spent in San Francisco without attending a circuit party.

Most of the men reported using at least one recreational drug when attending an out-of-town circuit party, Colfax and his colleagues report, with 80 percent taking Ecstasy, 66 percent taking ketamine, 43 percent crystal methamphetamines, 29 percent the so-called "liquid Ecstasy" GHB, 14 percent taking the impotence drug Viagra, and 12 percent taking amyl nitrates, also known as "poppers."

At San Francisco circuit parties, however, the men used certain drugs, including ketamine and crystal meth, less frequently than when out of town. And they were significantly less likely to use drugs -- with the exception of alcohol -- during weekends in San Francisco when they went to a dance club instead of a circuit party. On weekends when men did not go out to a club or a party, most did not use any drugs, the researchers found.

As was the case for drug use, risky sex was most common at out-of-town circuit parties, where 21 percent of HIV-positive men and 9 percent of HIV-negative men had anal sex without a condom with a partner whose HIV status was unknown or different from their own.

Colfax's team suggests several possible reasons why men are more likely to have risky sex at out-of-town circuit parties. Increased drug use may contribute, as may the anonymity possible at an out-of-town party. In addition, the availability of new sexual partners at an out-of-town party, as well as an absence of regular partners, may lead some men to have unsafe sex, the authors report.

"There needs to be a greater focus within the public health community on the high prevalence of club drug use in relation to high-risk sexual behavior," according to Colfax.

And since Viagra was frequently used by men at circuit parties, "physicians should provide safer sex messages" whenever prescribing the drug, he noted.