Sexual pills have proven to be a winning solution for the problem of erectile dysfunction. Many men, though, are reluctant to bother considering acquiring such pills, feeling acute embarrassment at having to admit to such a problem to begin with. However, erectile dysfunction can be more malignant than simply damaging the ego: it can and has destroyed many marriages and relationships.

Erectile dysfunction is a source of strain in many relationships, chiefly due to the fact that a female partner may suspect that the reason her man cannot get an erection is because she is less desirable in her male partners’ eyes. She may conclude that she is the problem that things aren’t working, which can eventually lead to the break-up of that relationship.

However, more often than not, the problem lies with the man. And that problem can seem to be simply be a lack of confidence, which triggers psychological stress and inhibits blood flow to the penis. Performance anxiety is a very real problem, as self-consciousness over being able to achieve erection will inhibit the ability to do just that.

Psychological problems such as lack of confidence, though, are normally the symptoms of an underlying physical difficulty. The most prevalent cause of erectile dysfunction is a physical rather than psychological one, though the former does contribute to the latter.

An erection is caused by an expansion of the blood vessels of the corpus cavernosum, which is the erectile tissue of the penis. This expansion is facilitated by a molecule called cyclic guanosine monophosphate (cGMP), which relaxes the vascular muscles and stimulates blood flow.

However, an enzyme called phosphodiesterase type 5 (PDE5) has a negative effect on cGMP, breaking down the molecule. What happens then is that the vascular muscles become tense and blood flow is inhibited, which prevents an erection. The resultant stress that this causes only makes the situation worse.

Fortunately, there are a range of pharmaceutical solutions that inhibit PDE5. Among the most effective of these are sildenafil, tadalafil and vardenafil. These are considered the premier drugs for treating erectile dysfunction. And in most cases, the physical problem being treated often clears away the stress and anxiety that can also inhibit erection.

However, as with any other type of medication, PDE5 inhibitors do have potential side effects. Among the reported side effects are headaches, nasal congestion, indigestion, muscle pain and flushing. Expert opinion recommends that PDE5 inhibitors should not be taken by anyone who has recently suffered either a stroke or a heart attack, or by anyone with severe high/low blood pressure problems. Angina sufferers are also discouraged from using PDE5 inhibitors, not least due to angina usually requiring medicine that contains nitrates. Nitrates combined with PDE5 can cause severe heart problems, which puts angina sufferers at genuine risk.

For healthy men, though, PDE5 inhibitors and similar sexual pills are a positive solution. Nearly two-thirds of men have successfully cured themselves of erectile dysfunction through the use of these pills, so their effectiveness is not in dispute.

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