Problems In The Bedroom? Here’s What You Can Do…

Sexual intercourse is considered to be a fundamental part of any relationship. When sex doesn’t go ‘right’ relations tend to get tense fast and, unfortunately, in a majority of instances it can lead to a breakup. But surely there must be a guy somewhere in a lab concocting some sort of remedy to these problems? Well, the answer is yes and no.

Knowing how infuriating vague and inconclusive the previous response is it may be necessary to delve a little further into this matter…

On a very simplistic understanding sex encompasses two core elements; physical acts and an emotional connection. Problems can stem from either of these acts Sex and Viagraand they are very often linked to one another in that a positive sexual physical activity can lead to an increased emotional feeling and conversely if one of these two aspects in a relationship is perhaps going rather badly it may have a detrimental effect on the other. Indeed, for many couples in a sexual relationship an emotional connection and physical activities go very much hand in hand in a co-dependent sort of fashion.

 

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In relation to the emotional aspect, in a relationship, feelings of love and desire are those which most often lead to a couple committing to having sexual intercourse. The physical process then involves both participants becoming sexually stimulated and ready for sex. In the case of a woman, she becomes wet around the genital area and for a man; his penis will become sufficiently rigid as is required for penetration. It is important to appreciate that problems can arise from either end of the spectrum of emotional (stress, anxiety, lack of desire and depression) and physical (vaginal dryness or male impotence). But importantly, what can you do to fix any problems you are having?

Concerning emotions and feelings which may influence how successful sex is between partners is often complicated and so it is difficult to write any real useful advice which would be applicable to every reader but it may be prudent to include some general comments which hopefully are useful.
Firstly, feelings and general overall emotional wellbeing is extremely important and can have a massive impact on sexual performance/ enjoyment as well as your sexual desire for your partner.

BrainFurthermore, as mentioned, this sentimental side of sex can have a big influence in that it directly affects how your body works physically. Indeed, feeling sad, angry or anxious may cause problems such as male impotence or vaginal dryness; this is because your body needs constant stimulation for sexual activity and negative feelings mean neurochemicals and other brain chemistry is not functioning normally thus making it difficult to become sexually aroused. If you feel that you are suffering from low mood or other psychological problem the best advice is to go and seek help such as your local GP who will be able to assist you on an individual basis.

In terms of physical problems in the bedroom, one of the more common ailments would be male impotence which is also known as erectile dysfunction. Erectile dysfunction is characterised by the inability to achieve or maintain a sufficiently rigid penis as is necessary for sexual intercourse. The causes of erectile dysfunction vary greatly between man to man, but some of the more common foundations of male impotence include, psychological conditions such as depression, hypertension (high blood pressure), obesity and side effects of other medicines. Erectile dysfunction is a very common condition affecting around 50% of men over the age over 50 and the likelihood of suffering symptoms increases with age. Naturally, suffering from this condition can be very distressing for a man but the good news is that there are medicines which can be taken to alleviate symptoms of this condition.

is a good starting basis for which medicines are the best treatment for erectile dysfunction as it is the first line medicine which clinicians will prescribe in these circumstances. Viagra contains the active ingredient is Sildenafil Citrate and works as a phosphodiesterase inhibitor which means Viagra works by maintaining levels of messenger cyclic guanosine monophosphate which is responsible for relaxing the smooth muscle thus allowing a penis to become erect when sexually stimulated. This process occurs by arteries in the penis dilating which increases blood perfusion to the genital area which causes a penis to become erect.

 

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Viagra & Generic Sildenafil

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Product Description

How does Viagra and Sildenafil work?

Viagra (Sildenafil) helps men to get and maintain an erection when sexually stimulated and/or excited. The medicine relaxes the blood vessels in the penis which results in more blood flowing to the penis when you are sexually excited.

How do I take it?

You should take Viagra (Sildenafil) approximately 1 hour before planning to have intercourse. Within a window of between 30 minutes and 4 hours after you take the medicine, it will be easier to keep and maintain an erection when you are sexually excited. If you take this medicine after a meal with a high fat content it may take a little longer to start working. This medicine will only work when you are sexually excited. You won’t get an erection just by taking Viagra (Sildenafil).

Dosage

The standard recommended dose for Viagra (Sildenafil) is 50mg and this will be suitable for most people.  If this dose is not effective, you can try 100mg and if 50mg gives you side effects you can also reduce the dose to 25mg tablets.

You must not take more than 100mg daily of Sildenafil/ Viagra. Clinical trials have been conducted in patients taking up to 200mg sildenafil and it was found that ‘doses of 200mg did not result in increased efficacy but did increase the incidence of adverse reactions (headache, flushing, dizziness, dyspepsia, nasal congestion, and altered vision).’

In addition, in patients taking more than 100mg daily, there have been reports of rhabdomyolysis (a breakdown in skeletal muscle tissue the byproducts of which can lead to kidney failure), visual perception changes, vertebral artery dissection (a tear in the artery supplying blood to the brain), heart attacks and aggressive behaviour.

If the 100mg strength doesn’t work for you, there may be alternatives you can try and we recommend that you call us for a free consultation with our pharmacist or doctor to discuss any underlying conditions you may have. We recommend that all men taking medicine for erectile dysfunction have regular tests for blood pressure, cholesterol, diabetes and hormone imbalances. For instance, it may be that by fixing a hormone imbalance such as testosterone, your Viagra medication will be even more effective.

In addition, drug manufacturers do not advise patients to split tablets in half to get the correct dosage as they cannot guarantee that the active ingredient will be distributed evenly throughout the tablet.  For instance, if you cut a 100mg tablet in two, you may find that you get 80mg in one half of the tablet and 20mg in the other half leading to either an overdose (increased risk of side effects) or a suboptimal dose (the medication may not work).

It is important that you choose the correct dose for you. If you wish to talk to our pharmacist or doctor about this, please contact us in the pharmacy on 01625 460621 or email [email protected]

Side Effects

Viagra (Sildenafil) is normally well tolerated, however, side effects can include:

  • Headache
  • Dizziness
  • Nausea

Side effects normally subside after a few hours, however, if you experience a prolonged or painful erection (longer than 4 hours), then you must contact your doctor immediately.

Drug interactions

There are a number of medicines which interact with Sildenafil/ Viagra. For an exhaustive list please see the patient information leaflet (see section below) or call us in the pharmacy to discuss your specific situation. The main drug interactions are listed here:

Recreational drugs such as ‘poppers’ or amyl nitrate
Alpha blockers used for urinary retention or blood pressure problems (eg Flomax or Cardura)
Anti- arrhythmic drugs such as disopyramide
Antibiotics such as erythromycin
Antifungals such as itraconazole
Antivirals such as drugs used to treat HIV
Bosentan
Cobicistat
Calcium channel blockers to treat blood pressure and angina such as amlodipine
Dapoxetine (Priligy – used to treat premature ejaculation)
Grapefruit juice**
Nicorandil
Nitrates
Riociguat
Cimetidine (to treat stomach ulcers)

Please do not take Sildenafil/Viagra if you have taken any of the above drugs within the last 60 days without first consulting with either us in the Pharmacy ([email protected] / 01625 460621) or via email with our doctor [email protected]

**We advise not to take Sildenafil/Viagra with grapefruit juice as the blood concentration of Sildenafil will possibly be increased resulting in side effects.

Patient Information Leaflets

Please click here for the patient information leaflet for Viagra.

For Actavis Sildenafil please see the following leaflets: 100mg, 50mg, 25mg.

Storing Medicines Safely

Please keep your medicine out of the reach of children and store at room temperature.  Unwanted medicine can be disposed of by returning it to any local pharmacy or indeed to us here for us to dispose of it for you.

51 reviews for Viagra & Generic Sildenafil

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The standard starting dose of Viagra is 50mg and is usually taken one hour before sex, however, this can vary between user to user. Viagra has a very high success rate among users making it a well-trusted product which is commonly dubbed ‘a little blue wonder pill’. In addition, Viagra also has very few side effects meaning very few patients (less than 2.5%) actually discontinue treatment as a result of adverse side effects.

Viagra is readily accessed but arguably the easiest and most discreet mode of purchase is online. Unfortunately, with the emergence of more and more counterfeit medicines, it is important to only buy Viagra from reputable courses such as Assured Pharmacy who will provide your medicines in the safest possible manner at your convenience.

One final thing to mention, Viagra only works when a man is sexually stimulated sexually. Indeed, this is a good example of how emotions/psychological state Sildenafli-50-4and the physical aspects of sexual intercourse go hand in hand. If you find Viagra is not performing sufficiently well it is important to consult your doctor who will be able to advise you on whether the dose of Viagra needs to be increased or whether perhaps the source of the erectile dysfunction is psychological in nature.

But what about women? Two of the most common ailments women experience in relation to sex is Female Sexual Arousal Disorder (FSAD) and Hypoactive Sexual Desire Disorder (HSDD). The most common symptoms of these conditions include lack of ‘excitement’, vagina dryness, loss of sensation and sensitivity in the genital area and, or nipples. Causes of either of these conditions are generally unknown, however, it is thought to be caused by many factors which vary greatly in nature woman to woman. Some examples of common causes of FSAD and HSDD include drug interactions, psychological conditions, hormone imbalances such as low levels of testosterone and high levels of prolactin. These are generally common conditions and it is estimated that around 50% of women will suffer from some of these symptoms at some point in their life.

Unfortunately, women cannot take Viagra and there is no approved/ recognised treatment for either FSAD or HSDD. Common products used in the alleviation of the symptoms associated with these conditions include vaginal lubricants and techniques such as counselling.

BrainAgain, because of the significant link between FSAD and HSDD to psychological conditions such as anxiety and depression, it highlights the connection of physical acts to emotional well-being to sexual intercourse. Furthermore, a woman who may be experiencing symptoms related to these conditions should seek guidance from a healthcare professional.

In conclusion, this is a complicated area which varies greatly from couple to couple and men to women, however, help is at hand.
Indeed, as discussed emotional well- being/psychological conditions play a massive part in a relationship and can directly affect the physical acts within sex. If you feel you may be suffering from a psychosis and would like to help you should consult your local GP who will be able to refer you to a range of counselling services as well as other treatments. In addition, sometimes physical bodily problems can also have a detrimental effect in your sex life, for men one of the more common ailments is erectile dysfunction which is generally treated very well by Viagra.

Viagra can be bought easily and conveniently from our website Assured Pharmacy who supply patients with only the highest standard of care. For women who experience any conditions mentioned above, because they aren’t very well understood, the best possible advice to give would be to consult your doctor who will be able to treat/counsel you on an individual basis.
Finally, problems in the bedroom such as erectile dysfunction can seem like a massive problem at the time but the first and most important step is to seek help so do not delay in seeking advice, you may regret you haven’t done it sooner.

 

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References:

  1. https://bryanasands.wordpress.com/2013/06/23/sex-and-glue-the-emotional-bond-of-a-physical-act/
  2. http://www.medicines.org.uk/EMC/medicine/1474/SPC/Viagra+25mg,+50mg,+100mg/
  3. http://www.hsddonline.com/
  4. http://www.webmd.com/sexual-conditions/news/20040107/viagra-improves-sex-for-some-women
  5. http://www.rxlist.com/viagra-drug/clinical-pharmacology.htm

 

Assured Pharmacy is not liable for the currency or accuracy of the information contained in this blog post. For specific information about your personal medical condition, please contact our doctors or pharmacists for advice on [email protected].