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Erectile Dysfunction (ED) or Impotence means that you cannot get an erection, or you cannot keep an erection long enough to implement a satisfactory sexual intercourse. ED is more common with age. Approximately 20-35 percent of men 65 years of age cannot get an erection, compared to 5-10 percent in their 40s. ED is also common among young men, but has a different etiology.

Erectile Dysfunction can also be an early sign of an incipient cardiovascular disease, which should then be treated. Usually, problems with erections are resolved with oral tablets, counseling, assistive devices and, sometimes, surgery.

What are Erectile Dysfunction Tablets?

Viagra, Cialis and Levitra are oral ED tablets of the same class (PDE5 inhibitors). Independent studies have not been able to demonstrate clear differences in effectiveness, but the tabs are slightly different in terms of features and side effects. It may be useful to try them out separately to decide which tablet is more preferable for you, and thereafter ask the doctor to issue a prescription for the certain ED drug. For all the three ED tablets, sexual stimulation is required for efficacy.

Viagra® is taken one hour before sexual activity. Side effects that may occur are usually heat or redness of the face or acid reflux. The effect of Viagra can usually last up to four or five hours.

Cialis® can be taken 30 minutes before sexual activity. Cialis has a relatively long duration. With Cialis your erection ability may last up to 36 hours after taking the ED tablet.

Levitra® is taken 20-25 minutes before sexual activity, and the effect can be anywhere from 25 minutes up to four-five hours after taking Levitra.

Why do you have ED?

In order to get an erection, the interaction between the nervous system, blood vessels, hormones and psyche is required. Therefore, there is a long list of Erectile Dysfunction causes, often there are several factors that effect.

The most common physical cause is some kind of disease of the blood vessels. In particular, atherosclerosis and cardiovascular disease can lead to ED. Also, increased blood pressure, blood clots in the brain (stroke) and diabetes, multiple sclerosis (MS), spinal cord injury or other neurological diseases and injuries, surgery or radiotherapy for prostate cancer can cause failure of potency.

Psychological problems such as conflicts in the relationship, like jealousy, discomfort, insecurity, performance anxiety and other things can affect potency. Erectile Dysfunction (Impotence) is also common in depression.

Alcohol, smoking and certain medications as a rule affect erections negatively.

How is it diagnosed?

The doctor will ask you about sexual function and how the relationship is, to get a clear picture of the problem, duration, onset and extent. The doctor also puts questions about the overall health and if you take any medicine.

The body is also examined, focusing on the ED causes. Blood pressure checks and blood or urine test is to examine how circulation works and if the patient has diabetes.

Sometimes a substance that causes an erection is sprayed onto the penis. This test is used to arrive at the kind of potency problems under consideration.

Samples of the hormone testosterone and other studies may be necessary if your doctor suspects there is a hormonal imbalance that causes ED.