Impotence (a more modern name for this disease is erectile dysfunction, but many still use the more familiar term “impotence”) is erectile dysfunction, which is persistent inability of a man to have sexual intercourse due to insufficient, too short or absent erection.
Impotence can be persistent or temporary, and may have physiological or psychological causes. Despite the prevalence of diseases that cause violations of male sexual function, such as diabetes, atherosclerosis, etc., most often impotence is situational, also known as psychological or stress impotence. A typical clinical picture of stress impotence is loss of erection immediately before the onset of intercourse. This problem happens to men at any age, both with a regular sexual partner, and when starting a new sexual relationship or after a period of prolonged abstinence.
Of course, before you buy Cialis online or in an ordinary pharmacy, it is recommended to consult am urologist or at least carefully study the instructions for use, since Cialis is a serious drug against erectile dysfunction, the active ingredient of which, Tadalafil, belongs to PDE-5 inhibitors and has a number of contraindications and side effects.
Factors contributing to the appearance of symptoms of stress erectile dysfunction are fear, insecurity, disbelief in self, alcohol consumption, dependence on pornography, neuroses of various nature, physical and psychological burnout, and the use of various medications.
In their paper “Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. J Urol 1994;151:54 – 61.” Feldman H.A. and Goldstein I. mention that episodes of stress erectile dysfunction are especially common in men over 30 years of age, with an income above average and in positions of responsibility. This proves that high moral and intellectual stress at work contributes to the emergence of erection problems even in completely physically healthy men.
Of course, the best way to get rid of such problems is thorough psychotherapy, but very often, in addition to this, it becomes necessary to resort to taking medications to normalize potency, especially given the fact that men are very rarely ready to tell a psychologist about intimate difficulties.
The optimal drug for combating stressful erectile dysfunction is Cialis. It has a fairly strong effect, guaranteed to improve erection, unlike dietary supplements and vitamins, and at the same time does not have such a rough effect on a man’s body as Viagra or Levitra.
Depending on the regularity of sexual activity, a man with signs of stress erectile dysfunction is recommended to take Cialis either in a dosage of 10 mg shortly before sex, or every day in a dosage of 5 mg at the same time of day, no matter what exactly it is – morning, midday time or evening. In case of daily intake, the man will be ready for sexual intercourse at any time of the day. For serious problems, 20 mg of Cialis can be taken on demand.