Sexual impotence in men Some men may experience temporary erectile dysfunction, which does not necessarily cause anxiety, but if ED continues, it may cause psychological stress and disruption of marital life. Sexual impotence is the inability of the penis to erect during intercourse, and impotence is completely different from premature ejaculation , for each case of a satisfactory mechanism and treatment of its own; sexual impotence has nothing to do with fertilization or libel or sexual desire. [1] Causes of Impotence Causes of impotence in men: [1] Psychological reasons: ED may occur because of marital disorder or anxiety about sexual performance, stress, or depression Nervous causes: The presence of things affecting the nerves of the thorns such as MS. Infectious diseases such as diabetes , heart disease. Aging. Hormonal disorders such as: thyroid dyspepsia, high concentration of milk hormone , and lack of androgen hormone due to testicular diseases. Smoking. Drug abuse . The use of certain medications that treat other diseases sometimes cause erectile dysfunction. Diagnosis of sexual impotence Your doctor may take the following tests to diagnose impotence: [1] Comprehensive medical examination. Check blood sugar level. Examination of femininity hormone, and milk hormone. Examination of the concentration of male hormone testosterone . Thyroid screening . Measurement of night erection , to distinguish between organic and psychological disability. Test the strength of the male erection using topical injections to distinguish between organic and psychological disability. Treatment of impotence The patient who suffers from impotence should go to the doctor to examine the condition well to determine the reasons; because the treatment of impotence depends on knowing the cause of it, and in general the patient must change his lifestyle, and refrain from smoking and drinking alcohol , Vitamins and minerals, and exercise, and impotence can be treated with syringes such as syrup, such as syringes such as Viagra (Celdenafil), Cialis (Tadalafil) and Levitra (Vardenafil). [1] Viagra Viagra is the brand name of Sildenafil (Sildenafil). Celdenafil was initially developed to treat angina , which inhibits the phosphodiesterase enzyme, thus expanding the smooth muscle of the blood vessels. [2] Viagra is used to treat male erectile dysfunction, as Viagra increases blood flow to the penis to achieve erectile function. It should be noted that Viagra does not increase sexual arousal in men, and to understand how their work should understand the erection mechanism is well; when a man arises sexually called the nervous system found in the penis of nitric oxide, which in turn stimulates the production of messenger called Acronym (cGMP), which helps to relax cells Smooth muscle, increases the expansion of the arteries in the penis, thus increasing the blood flow easily to it, in addition to filling the erectile tissue also with blood, leading to erection, thus maintaining Viagra at a high level of cGMP in smooth muscle cells. The Viagra is about an hour long if eaten on an empty stomach. If taken after a high-fat meal, it may take longer, and the Viagra lasts about 4-6 hours. [3] Side effects of Viagra Side effects of Viagra: Rotor. [4] blushing. [4] Stomach disorder. [4] Increased sensitivity to light, blurred vision, and no discrimination between green and blue colors. [4] Nasal congestion. [5] Muscle and back pain. [5] Indigestion . [6] Rash . [6] Diarrhea . [6] The serious side effects of Viagra that require urgent medical attention are: [5] The appearance of signs of sensitivity to Viagra, including: urticaria (hives) difficulty breathing, swelling of the face and lips and tongue or throat. The appearance of heart attack symptoms : chest pain or pressure, pain spreads to the jaw or shoulder, nausea, sweating. Sudden loss of sight. Erection is painful or persistent for longer than 4 hours. Ringing in the ear, or sudden hearing loss. Arrhythmia. Swelling in hands, ankles, or feet. Shortness of breath . Categories that should not use Viagra Some medications are not suitable for people with certain conditions and sometimes medication can be taken with taking precautions. For these reasons, before starting Viagra it is important to consult your doctor in the following cases: [7] [8] If there is disease, injury or deformation in the penis. If a person is suffering from heart disease, or vascular disease. If there are eye problems may cause vision loss. Low blood pressure or angina. Health problems in the liver or kidneys. Having a heart attack or stroke. The presence of health problems cause bleeding, such as stomach ulcers. Sickle cell disease. Bone marrow cancer or leukemia . If any other medications are used, this includes all types of medications that are available for over-the-counter purchases, such as herbal and complementary medicines, and stimulant drugs. Pre-sensitization of any drug. The presence of genetic degenerative retinal disorders. Tips and guidelines when using Viagra For best results when using Viagra, follow these guidelines: [7] Eating large amounts of alcohol may lead to erectile dysfunction and prevent getting maximum benefit from Viagra tablets. When taking Viagra you should avoid eating grapefruit or its juice; because a chemical in grapefruit can increase the amount of Viagra in the blood stream and this makes the side effects more likely. Follow the doctor's appointments so that the progress can be monitored and that the patient is given the appropriate dose. Do not take Viagra when using any other products or take any other medications to treat erectile dysfunction. Viagra is available in three different doses as follows: (25, 50, 100 mg), and the appropriate dose is determined by the doctor. Viagra is not for daily use, but is given according to the doctor's instructions. One pill is taken before intercourse and can be taken before or after eating. Read the medical leaflet attached to the medicine and abide by the instructions. Do not take more than one dose of Viagra within 24 hours. Viagra is pink The US Food and Drug Administration recently approved the use of the female version of Viagra (Viagra), a drug used to treat female frigidity. The drug helps balance the secretion of neurotransmitters such as dopamine and serotonin that affect a woman's desire to have sex. The most common side effects of Viagra are: Feeling tired. Nausea and dizziness. Drowsiness . Cardiovascular problems. Visual changes. Reduction of Blood pressure. [9] [10] References ^ A b T w Abdullah Muslim, "sexual dysfunction in men" , Web Medicine , briefed him on 15.11.2016. Acting. ↑ Sildenaville, "Seldenaville" , web medicine , see it on 15-11-2016. Acting. ↑ Razan Najjar (8-11-2016), "This is what you should know before eating Viagra , " Web Medicine , see it on 15-11-2016. Acting. ^ A b T w " : Viagra" , the Web of Md , Retrieved 15-11-2016. Edited. ^ A b t "cialis" , Drugs.com , Retrieved 15-11-2016. Edited. ^ A b v "What ' Is : Viagra" , Everyday Health , Retrieved 15-11-2016. Edited. ^ A b "sildenafil For Erectile Dysfunction" , Patient , Retrieved 15-11-2016. Edited. ↑ Christian Nordqvis (8-12-2015), "Erectile Dysfunction / Premature Ejaculation Urology / Nephrology Men's Health Viagra: Uses, Health Benefits and Risks" , Medical News Today , Retrieved 15-11-2016. Edited. ↑ Lauren Streicher, "25 Facts About Flibanserin (Addyi), the New 'Viagra for Women'" , everyday Health , Retrieved 15-10-2016. Edited. ↑ Razan Najjar (7-6-2015), "Viagra for Women: Will It Be Approved" , Web Medicine , see it on 15-11-2016. Acting.