Treating erectile dysfunction (ED). It may also be used for other conditions as determined by your doctor.

Viagra is a phosphodiesterase inhibitor. It works by helping to increase blood flow into the penis during sexual stimulation. This helps you to achieve and maintain an erection.

Do NOT use Viagra if:

* you are allergic to any ingredient in Viagra
* you have been advised by your doctor to avoid sexual activity because of heart problems
* you are taking nitrates (eg, isosorbide, nitroglycerin) in any form (eg, tablet, capsule, patch, ointment) or nitroprusside
* you use certain recreational drugs called “poppers” (eg, amyl nitrate, butyl nitrate)

Contact your doctor or health care provider right away if any of these apply to you.

Before using Viagra :

Some medical conditions may interact with Viagra . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

* if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
* if you have allergies to medicines, foods, or other substances
* if you have a deformed penis (eg, Peyronie disease, cavernosal fibrosis), blood problems (eg, sickle cell anemia, leukemia, multiple myeloma), or any other condition that may increase the risk of a prolonged erection (eg, priapism)
* if you have a history of certain eye problems (eg, retinitis pigmentosa, sudden vision loss, optic neuropathy, macular degeneration)
* if you have a history of liver or kidney problems, high or low blood pressure, ulcers, bleeding problems, heart problems (eg, heart failure, irregular heartbeat, aortic stenosis, angina), or blood vessel problems
* if you have a history of heart attack, stroke, or life-threatening irregular heartbeat, especially within the past 6 months

Some MEDICINES MAY INTERACT with Viagra . Tell your health care provider if you are taking any other medicines, especially any of the following:

* Alpha-blockers (eg, doxazosin), amlodipine, medicines for high blood pressure, nitrates (eg, isosorbide, nitroglycerin), or nitroprusside because severe low blood pressure with dizziness, lightheadedness, and fainting may occur
* Azole antifungals (eg, itraconazole), cimetidine, H2 agonists (eg, famotidine), HIV protease inhibitors (eg, ritonavir), macrolide antibiotics (eg, erythromycin), or telithromycin because they may increase the risk of Viagra ‘s side effects
* Bosentan or rifampin because they may decrease Viagra ‘s effectiveness

This may not be a complete list of all interactions that may occur. Ask your health care provider if Viagra may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

VIAGRA is prescribed to treat erectile dysfunction (ED).

If you take any medicines that have nitrates in them (like nitroglycerin for chest pain)梕very day or even once in a while梱ou should NOT take VIAGRA.

Discuss your general health status with your doctor to ensure that you are healthy enough to engage in sexual activity. If you experience chest pain, nausea, or any other discomforts during sex, seek immediate medical help.

Although erections lasting for more than 4 hours may occur rarely with all ED treatments in this drug class, to avoid long-term injuries, it is important to seek immediate medical help.

If you are older than age 65, or have serious liver or kidney problems, your doctor may start you at the lowest dose (25 mg) of VIAGRA. If you are taking protease inhibitors, such as for the treatment of HIV, your doctor may recommend a 25-mg dose and may limit you to a maximum single dose of 25 mg of VIAGRA in a 48-hour period.

In rare instances, men taking PDE5 inhibitors (oral erectile dysfunction medicines, including VIAGRA) reported a sudden decrease or loss of vision. It is not possible to determine whether these events are related directly to these medicines or to other factors. If you experience sudden decrease or loss of vision, stop taking PDE5 inhibitors, including VIAGRA, and call a doctor right away.

Sudden decrease or loss of hearing has been rarely reported in people taking PDE5 inhibitors, including VIAGRA. It is not possible to determine whether these events are related directly to the PDE5 inhibitors or to other factors. If you experience sudden decrease or loss of hearing, stop taking VIAGRA and contact a doctor right away.

If you have prostate problems or high blood pressure for which you take medicines called alpha blockers, your doctor may start you on a lower dose of VIAGRA.

Remember to protect yourself and your partner from sexually transmitted diseases.

The most common side effects of VIAGRA are headache, facial flushing, and upset stomach. Less commonly, bluish vision, blurred vision, or sensitivity to light may briefly occur.

Vasectomy Reversal Surgery calls for a high degree of expertise and experience to be really effective. Drs. Marks and Burrows of the International Center for Vasectomy Reversal achieve the highest success rates using the formal multi-layer technique using 10-0 or 11-0 suture in their fully accredited microsurgical operating suite.

In the vasectomy reversal surgery, the scarred ends are micro-surgically removed and the fluid from the testicular side of the vas is analyzed. The color, the consistency, the volume of the fluid, and presence or absence of sperm to ascertain where the fluid is healthy and the sperm are normal, intact and/or moving. Once that is determined, they reconnect both ends of the vas deferens at that location.

The team of doctors at ICVR most the patients undergo vasectomy reversal surgery using “conscious sedation.” Small amounts of intravenous sedatives and relaxing medications are administered throughout the procedure to keep you happy, relaxed and comfortable. This is used in combination with both short and long-acting local anesthetics, their vast experience has taught them keeps their patients calm and virtually pain-free throughout the surgery and after surgery. It also enables them to avoid the post-operative grogginess and other risks related to general anesthesia. Another advantage of conscious sedation is that you save the expense of a much deeper general anesthesia which requires the services of an anesthesiologist and that the surgery is performed in a hospital operating room.

Throughout the surgery and after the reversal they monitor heart rate, blood pressure, breathing, oxygen level and degree of sedation to ensure your safety. Drs. Marks and Burrows’ focus is to always ensure the comfort and safety of their patients. At ICVR, they provide the same level of surgical and post-surgical care as a fully accredited operating room in a hospital.

Recovery after vasectomy reversal surgery is relatively easy, and uneventful. They have developed post-operative care routines, which, if followed, ensure a smooth, pain-free and successful recovery. A cozy outpatient setting, the most friendly and compassionate staff, a fully-accredited medical/surgical program, state-of-the-art microscope, microsurgical instruments and sutures, highly trained and experienced nursing and support staff and two of the most skilled and experienced microsurgeons in the world – all these elements define and support their core philosophy – vasectomy reversal surgery success through supreme skill and safety.

A Vasectomy Reversal Surgery experience that is unsurpassed at dadsagain.com!

Bid goodbye to all your impotence problems. With the wide range of treatment options available, impotence is no more a problem!

Erectile dysfunction or impotence in men refers to the inability of men to achieve and maintain an erection when they are sexually aroused. More than one in 10 men suffers from impotence problem in the UK. Impotence has become one of the most common disorders in men around the world today. If you have the same problems, you can do a medical consultation and buy impotence drugs such as Viagra, Levitra or Cialis.
Impotence may occur in men at any phase of their life, but it is more consistent in men above the age of 40 years. It is believed that about five percent of men above 40 years of age and up to twenty-five percent of men above 60 years of age may suffer from impotence or erectile dysfunction. So, you should not be embarrassed about your condition and should consult a doctor immediately. Your doctor shall advise you to limit alcohol consumption, quit smoking, reduce your stress level and get enough sleep.
If these primary treatments do not help you, your doctor might prescribe you impotence drugs such as Viagra, Cialis and Levitra.
Viagra is the oldest prescribed impotence treatment in the UK market today. Viagra acts on the chemicals in the body and widens the arteries of the penis. Viagra increases the blood-flow into the penis; thereby the erection stays longer and harder. Viagra helps men to get better erections and enjoy their sex lives. Viagra can only work on your body if you are sexually aroused.
Cialis is another revolutionary anti-impotence drug available for sale in the UK and EU markets. Tadalafil ?the active ingredient in Cialis blocks the actions of the enzyme PDE5 and enhances blood flow to the penis. Cialis is an alternative drug to Viagra. Cialis stays and works in your body for 36 hours, whereas Viagra stays in the body for about four hours only. Cialis should be taken by only those men who are having erection issues during any stage of their sexual cycle.
Levitra comes from the same class of drugs like Cialis and Viagra. Levitra is the latest medication for men suffering from impotence or erectile dysfunction. Levitra relaxes the smooth muscles of the penis and accelerates the flow of the blood into the penis, when men are sexually aroused. Levitra stays and works in your body for about 8 hours.
All impotence medications ?Viagra, Cialis or Levitra are only meant to treat sexual dysfunction in men and should not be taken by women. However, men taking medications containing nitrate should not take Viagra, Cialis or Levitra. The most common side effects of these drugs are headache, flushing, and blurred vision.
Buy Viagra, Cialis and Levitra online from 121doc.co.uk by placing an order online. Fill in a simple and easy consultation form and get your medication delivered right at your door-steps within 4 to 5 working days. We provide discrete and speedy delivery service through registered pharmacies in the UK. No prior prescription is needed to purchase Viagra, Cialis or Levitra online from 121doc.co.uk

If we analyze, we may find that the male person is incapable to perform sexual functions due to his Erectile Dysfunction (ED) condition.

To day our discussions will be related to Men health. By Men Health, I want to mean all round soundness of body and mind of a man including his sexual capability.

Unfortunately, if the man is not able to carry out all the sexual functions when needed, we cannot tell his health to be sound. If we analyze, we may find that the male person is incapable to perform sexual functions due to his Erectile Dysfunction (ED) condition.

In fact there are millions of such male persons with Erectile Dysfunction making their own life as well as their sexual partner life miserable and looking for solutions of their problems.

In such a situation, about five years back, Pfizer brought Viagra in the market after getting approval from FDA.

First let us study the reason for erectile dysfunction. The dysfunction has been found to be caused due to insufficient blood circulation through the penis during sexual activities and excitement. Viagra has active ingredients, which ensure sufficient blood flow through the penis during sexual excitement.

Let us study how Viagra functions.

Viagra, whose medical name is Sildenafil Citrate, when taken orally one hour before sex, blocks an enzyme called PDE-5 (Phosphodiesterase-5) which ultimately increases blood flow through the penis and causes firm and sustained erection. For this reason, Viagra is also called a PDE-5 inhibitor. Please keep in mind that Viagra is a Prescription Drug.

My suggestion will be that if your health is affected due to Erectile Dysfunction, you should visit a doctor to get you checked thoroughly. If he finds that your body conditions are suitable for sex and also suitable to take Viagra, the doctor may recommend you to use Viagra to combat your erectile dysfunction.

We want to make some cautions about use of Viagra. There are some restrictions of using this drug. The drug is not allowed for a person beyond his age of 65. So be careful before using Viagra. There are other suitability criteria for using Viagra. Male person with High Blood Pressure or too low Blood Pressure is not suitable to take this medicine. He should not have any heart or kidney problem also. The situation may aggravate by using Viagra.

It is to be taken once a day and one hour before sex and to be taken in empty stomach.

You should not use this medicine for any other purpose other than your erectile dysfunction if your other body conditions permit. The drug should not be used for treatment of Female Impotence.

Now we will highlight some possible side effects of using Viagra.

Most common side effects are headache facial flushing, and upset stomach. Temporary visionary effects, e.g blurred vision and sensitiveness to light are also reported. One or two case of blindness has also been reported. However, it could not be firmly established whether the problem had happened due to use of Viagra. Studies are still going on.

After introduction of Viagra for treatment of erectile dysfunction, Men抯 health has got a sea change, and it is not uncommon that people rush to Buy Viagra, be it from the Prescription Store or from On Line Stores. This has proved superiority of Viagra than any other similar drugs.

Sex is the most enjoyed pleasure rated above all pleasures. But, some times because of some physical and health problems, this could be the most feared pleasure. The problem of not getting a proper erection is called Erectile Dysfunction or impotence. It is a state where you do not get a strong erection or you cannot sustain it long enough to make a successful penetration to reach orgasm.

There are many reasons for this physical state. This situation can creep up because of mental conditions like excitement, fobia or even depression. In other cases, it can be because of physical reasons. But before we arrive at any conclusions let us first understand how this problem is triggered because of physical reasons.

The man basically achieves erection when he is sexually stimulated or excited. When this happens there is a rush of blood into his penis leading the walls to relax and thus achieve a strong erection. When sufficient blood does not reach the walls of the penis this leads to improper erection. This is technically called Erectile Dysfunction or impotence in medical terms.

But people with such state need not loose hopes. The market offers an excellent solution called Viagra. This is a specially formulated pill that helps men sustain an erection and thus enjoy a satisfying sexual activity. But it is very important that Viagra is not a permanent cure for Erectile Dysfunction, but just temporarily rectifies it.

Viagra basically contains Sildenafil Citrate as its active ingredient. This ingredient in the Viagra enables the arteries of penis to relax, widening its walls and thus allowing appropriate blood flow into it. As the arteries expand and harden, the veins carrying blood away from the penis are compressed, resulting in restricted flow of blood outside the penis. Thus when there is more blood entering the penis and less going out, the penis enlarges resulting in strong erection.

But then there are not many takers of Viagra. Though effective, majority of the people have refrained form the use of Viagra owing to its higher prices. Besides, there was also an element of embarrassment to buy it across the counter. These two aspects have been adeptly exploited by the manufacturers of different Viagras to capitalize on its demand.

The markets have a gamut of Generic Viagra available online. These options are available at costs that are much lesser than half the costs you would pay for Viagra. Besides, these drugs can be ordered online and are delivered on your doorstep. This makes ordering them not just convenient, but also less embarrassing and hassle-free.

A few of the most popular Generic Viagra available online include: Caverta, Edegra, Kamagra, Kamagra Oral Jelly, Penegra, Silagra, Sildenafil Citrate, Zenegra and Meltabs.

Viagra is consumed orally and the effects lasts upto 4 hours after consuming it. Like the various other drugs, Viagra could cause moderate side effects like headache, facial flushing, and upset stomach. Less commonly, bluish vision, blurred vision, or sensitivity to light may briefly occur
It is advised that people taking Nitrates or drugs containing Nitrates should not use Viagra. It is therefore recommended that you consult your medical professional before using Viagra.

vasectomy reversals success stories are nothing short of miraculous considering the time lapse between the vasectomy and the reversal. The lesser this gap the greater is the chances of success.

Generally speaking, the number of vasectomy reversal success stories has been steadily growing thanks to new advances in microsurgery and the increasing skill of micro surgeons. The shift has been towards more competent clinics and centers for vasectomy reversal with excellent track records.

People have been traveling across the world to meet that perfect micro surgeon who could give them that perfect shot at fatherhood again. The irony remains that people end up paying far more than expected for a mediocre and ill-performed vasectomy reversal The quality of the surgeon and his facilities are essential regardless of location. A truly experienced and fellowship trained surgeon is worth traveling for and waiting for. And when all is said and done, a successful outcome is priceless.

Needless to say, most of the vasectomy reversal success stories have behind them the skill of an excellent micro surgeon, the support of excellent attendant staff, state-of-the-art facilities and tools and last but not the least, the discerning judgment of the patient himself.

And there have been encouraging instances where the individual has conceived in just 4 weeks after a reversal and in some cases even with a gap of 35 years between a vasectomy and a reversal!

Vasectomy Reversal success rate also depends on how far one is from the date of the earlier vasectomy. The farther out one is the less the chances for a successful reversal. But then again, there have been cases of successful vasectomy reversal almost 35 years out from vasectomy.

Then there have been folks who have managed to conceive in just a few weeks after vasectomy reversal surgery! Exceptions do not however make the rule and statistics are always on the conservative side. Fact remains that the vasectomy reversal success rate increases as the time gap between vasectomy and reversal decreases and also if a microsurgeon performs the reversal.

A man who has authored many a success story

Dr. Aaron Spitz, M.D., with a Fellowship in Male Fertility, is highly trained and deeply experienced in male reproductive medicine and surgery.

His approach to problem solving is sensitive and friendly. His charges for performing vasectomy reversals are competitive at the advanced level of service that he provides. He is highly skilled at performing microsurgical vasectomy reversals. He routinely performs both vasovasostomy and epididymov-vasostomy, and he has a commendable track record at salvaging previously unsuccessful vasectomy reversals. He also performs minimally invasive sperm retrieval for those couples choosing in-vitro fertility.

Dr. Spitz is also a board certified urologist, fellowship trained in male fertility. He provides the comprehensive evaluation and care that men in infertile couples deserve and require.

Vasectomy Reversal Facts – Know facts about Vasectomy Reversal. It is important to understand the vasectomy. A vasectomy is the surgical removal of a small piece of the vas deferens. The vas deferens is the long narrow muscular tube through which sperm travel from the testicle to the urethra.

Are you considering a vasectomy reversal? Thousands of men undergo vasectomy each year as a permanent means of birth control, yet for some of these men life brings unexpected turns, which leads them to change their mind. For some, there is a strong desire to have another child a few years later. For others, there may be a tragic loss of a child. For many men, a new marriage brings a new opportunity for creating a family. Regardless of the circumstances, a vasectomy can be reversed.

When a man consents to undergo a vasectomy, he is usually instructed that the procedure should be considered to be permanent and irreversible. This is an appropriate admonishment, because a vasectomy reversal is not 100% guaranteed to work, and it is a significantly more complex operation than a vasectomy. Therefore, before undergoing a vasectomy, a man should be as sure as possible that he is finished having children. Nonetheless, even the most insightful, thoughtful decision can ultimately prove wrong. When that decision is a vasectomy, a man may still change his mind.

What is a vasectomy?

To understand the vasectomy reversal, it is important to understand the vasectomy. A vasectomy is the surgical removal of a small piece of the vas deferens. The vas deferens is the long narrow muscular tube through which sperm travel from the testicle to the urethra. It feels like a piece of undercooked spaghetti in each side of the scrotum. The sperm are produced in the testicle, and then they exit out the top of the testicle and into the epididymis. The epididymis is a very tiny, tightly coiled tubule, which runs along the back of the testicle from top to bottom.

It then turns a corner, heading back north towards the pelvis, and becomes the thicker, straighter vas deferens. During ejaculation, the muscular walls of the vas deferens tube contract to propel the sperm up to the urethra of the prostate. In the urethra, the sperm are then joined by fluids from the prostate and then ejaculated out of the penis.

When a vasectomy is performed, the doctor feels for these “pieces of spaghetti” and surgically removes a small segment of vas deferens from each side. The cut ends are then clipped, sutured or cauterized. Suddenly, the sperm can go no further than this new point of blockage.

So what happens to all the sperm?

What most men don’t realize is that once the vasectomy is performed, sperm production does not stop! Ever! Unlike women, men produce their gametes (sperm) for their entire life. A vasectomy does not stop sperm production, rather it simply blocks the entry of sperm into the urethra. Like other cells, the blocked sperm are eventually broken down by the body and reabsorbed. New sperm are continually being produced. A variable amount of pressure can build up in the tubes behind the vasectomy scar. In some cases, so much pressure builds up that the tiny tubule of the epididymis can rupture. This is commonly referred to as an epididymal “blow out.” If this happens, the site of the blow out develops scar tissue, and this actually becomes the new level of blockage to the sperm. This is neither painful or dangerous, but it is significant in that for a vasectomy reversal to be successful, it must be performed in such a way that bypasses this new level of blockage at the epididymal blow out site.

Vasectomy Recanalization means either a Vasovasostomy or a Vasoepididymostomy. It denotes the process of reconnecting vas-to-vas or vas-to-epididymis so that sperm can once again inhabit the seminal fluid, which once ejaculated into the vagina, would impregnate the woman and make her conceive.

This canal/channel is what was cut and blocked by the earlier vasectomy.

Vasectomy Recanalization is carried out in an outpatient setting, under conscious sedation and is a short procedure with a quick recovery span.

In Vasectomy Recanalization, with both the procedures mentioned above, the highest success rates have been observed using the formal multi-layer technique, even though is also more challenging and time consuming.

Microsurgery results in the return of sperm to semen in 75 – 97 percent of patients and pregnancy occurs in 30 percent to 75 percent of female partners, subject to the time lapse from the earlier vasectomy.

<b>Vasectomy Recanalization is a facile ‘Can Do’ chore for a Urologist with a good ‘Score'</b>

Dr. Aaron Spitz, M.D., with a Fellowship in Male Fertility, is highly trained and deeply experienced in male reproductive medicine and surgery.

His approach to problem solving is sensitive and friendly. He is highly skilled at performing microsurgical vasectomy reversals and routinely performs both vaso-vasectomies and vasoepididymostomies. He has a commendable track record at salvaging previously unsuccessful vasectomy reversals.

He also performs minimally invasive sperm retrieval for those couples choosing in-vitro fertility. Dr. Spitz is also a Board Certified Urologist, fellowship-trained in male fertility. He is fully qualified to provide the comprehensive evaluation and care that men in infertile couples deserve and require.

A vasectomy reversal is a need-driven decision with far reaching consequences for the opting male. Regardless of the reason behind a vasectomy reversal, what is clearly understood is that parenthood becomes an issue of critical importance.

From the humane point of view, a Vasectomy Reversal is all about making babies, becoming fathers and raising families, once again. A successfully conducted vasectomy reversal is a sure indicator that one could become a happy and proud father very soon.

The reasons for opting for a Vasectomy Reversal, needless to say, are all very personal. Divorce, remarriage, rise in economic status, loss/fear of loss of heirs/children or even a resurgent desire of having toddlers tottering around the house once again, could prompt a rethink and second thoughts.

What is certain is that for those who decide upon a Vasectomy Reversal, fatherhood and parenting is something that assumes great importance and has connotations that are emotional, social, psychological and financial.

The deciding factors for a successful Vasectomy Reversal are –  the condition of the person opting for the Vasectomy Reversal (especially the time elapsed since Vasectomy) and the experience (number of successfully performed surgeries) and skill of the doctor or microsurgeon performing the procedure.

Vasectomy Reversal Statistics

Vasectomy Reversals are opted by 6 -12% of vasectomized males. Successful reversals have been performed on men as far out as 29 to 42 years from their vasectomy. But the general opinion is that the shorter the gap from an earlier Vasectomy, the greater the chances for success.

Studies also indicate that it can take from six to eighteen months to impregnate the spouse, provided she is medically fit in terms of health and within the age parameters essential for reproduction. Which means a lot of relevant tests need to be conducted on couple to correctly evaluate the factors conducive for conception.

There have been a number of exceptional couples who have conceived within a very short time after a Vasectomy Reversal, almost within the first week after recovery. There are also those who have succeeded 2-3 years after a reversal.

Vasectomy Reversal Procedures

Vasovasostomy is the Vas to Vas reconnecting procedure, which is carried out under conscious sedation, after ensuring the presence of sperm in the Vas closest to the testicle and in the epididymis.

Urologists may use a ‘modified one layer’ to reconnect the ends of the Vas. Microsurgeons also use this method circumstantially to produce better results under high magnification that allows for finer, smaller sutures.

The two-layer vasovasostomy is preferred by many microsurgeons who micro-surgically suture both the inner and the outer layer surface of the Vas. The highest success rates have been observed using the formal multi-layer technique, even though the formal multi-layer using 10-0 or 11-0 sutures is also more challenging and time consuming.

With microsurgery both methods result in the return of sperm to semen in 75 – 97 percent of patients and pregnancy occurs in 30 percent to 75 percent of female partners, depending upon the length of time from the vasectomy until the reversal.

In the absence of sperm in the fluid sample from the Vas, it is ascertained if there is a break in the tube in the epididymis. Any tear in this single, continuous tube could result in a blockage, necessitating a more complicated, lengthier and skilled technique called a vasoepididymostomy.

This procedure bypasses the blockage in the epididymis by connecting the upper end of the vas to the tube in the epididymis, above and beyond the point of the blockage.

Under this procedure, in 60 – 80 percent males sperm returns to the semen and 20 percent to 40 percent of their partners experience a pregnancy.

Cases where both procedures – vas to vas on one testicle and vas to epidydymis on the other – become necessary are not uncommon.

Recovery from Vasectomy Reversal procedures is fairly quick. Men folk are back to work within a week. Pain in the post-op phase is not severe and easily controlled with oral medication. Surgery is carried out in an outpatient setting. Opting for a fully accredited Vasectomy Reversal center with a Board Certified Andrologist, Anesthesiologist and cordial and competent support staff ensures greater success.

While the cost of Vasectomy reversal varies from center to center and state to state, it is always more sensible to opt for an all-inclusive package that covers all tests pre and post-op. In fact some centers even offer travel and stay arrangements for out station patients.