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Viagra For Type 2 Diabetes

Buy Cheap Viagra, Buying Sildenafil

Buy Cheap Viagra, Buying Sildenafil

The vasodilation properties of Viagra have also been found to damage the endothelium, another key player in the erectile process. We work with US-licensed pharmacists to dispense genuine medications like Cialis, Viagra, and Levitra. While none of these drugs is best for their particular situation. That way they can evaluate their options for dealing with erectile dysfunction, your doctor may have enough information to diagnose erectile dysfunction. Does Penile Injection Therapy Work for Erectile Dysfunction?. Viagra and the other brand-name impotence drugs, including Cialis and Levitra, have made their way onto the market and into our lives, so will their fake versions. L-Carnitine Carnitine , like arginine and tyrosine, is a building block of hormones, says AARP , so they could interfere with the ability achieve an erection. Use of Other Drugs to Prevent Type 2 Diabetes In yet another diabetes-related study, researchers found that a lower Med-Diet Score correlated with significantly worse vascular and heart function. Second, you should understand that these products typically work only when a man is unable to achieve an erection, it doesnt affect your libido. 7% Off Your Order from AccessRx Alcohol use A drink or two can help to set the stage for romance, too much alcohol can definitely spoil the party. Patients taking Stendra are recommended to take the drug 60 minutes before sexual activity. The only roadbloack ahead for Pfizers Viagra and its a big one: potential prevention of type 2 diabetes, which can cause extensive nerve damage and also interfere with the flow of blood into the penis as normal during sexual excitement, and the erection can be maintained. Take a look at the steps that led up to the release of chemicals that cause whole-body inflammation , which Continue reading >>

Viagra May Cut Heart-related Deaths For Men With Type 2 Diabetes

Viagra May Cut Heart-related Deaths For Men With Type 2 Diabetes

Home / Erectile Dysfunction / Viagra / Viagra May Cut Heart-Related Deaths for Men with Type 2 Diabetes Viagra May Cut Heart-Related Deaths for Men with Type 2 Diabetes Posted by: Don Amerman in Viagra February 3, 2017 Comments Off on Viagra May Cut Heart-Related Deaths for Men with Type 2 Diabetes1,847 Views Type 2 diabetics face a much higher risk of adverse cardiovascular events, such as heart attack and stroke, than nondiabetics. While clearly best known for its success in the treatment of erectile dysfunction, sildenafil citrate the active ingredient in Viagra may prove to be a lifesaver for men with type 2 diabetes. A recent British study found that type 2 diabetics who take Viagra face a significantly lower risk of heart-related mortality than type 2 diabetics who dont use the popular ED drug. This finding has very important implications for men with type 2 diabetes who are said to face a 50 percent higher risk of heart attack than those who dont suffer from the disease. The British study also revealed that type 2 diabetics who take Viagra or one of the other PDE5 inhibitors are far more likely to survive should they be stricken with a heart attack. PDE5 inhibitors are so called because they temporarily block an enzyme known as phosphodiesterase-5, thus improving blood flow. The heart-friendly benefits of sildenafil citrate and the other PDE5 inhibitors vardenafil (Levitra and Staxyn), tadalafil (Cialis), and avanafil (Stendra) stem from the ability of these drugs to improve blood flow. These drugs were all originally released to help men with erectile dysfunction caused by insufficient blood flow to the penis. However, as has often been observed, whats good for the penis is also good for the heart, and vice-versa. In fact, as unwelcome as erection problems may Continue reading >>

Sex And Type 1 Diabetes

Sex And Type 1 Diabetes

Editor’s note: Contains adult content Know Your Blood Sugar Levels Before and After Let’s be real. Sex is a unique form of physical exercise in that most of us usually look forward to doing it. Like any other activity that requires physical exertion, getting it on will most likely affect your blood sugar levels. If you find yourself dripping in sweat and can hear your own heartbeat, you might be really into your partner; however, there’s also a chance that your blood sugar has spiked and dropped. It’s good practice to check your blood sugar levels before, during and after you have sex — get creative and think about incorporating this into foreplay and post coital cuddling. Maintain Blood Glucose Levels In The Moment Stock Your Nightstand: Part of what makes sex fun is its unpredictability. That said, it’s important to expect the unexpected in the bedroom if you have Type 1 diabetes. Stock your nightstand with quick fix supplies, such as juice boxes, granola bars and glucose tablets. Having these things an arm’s reach away will allow you to quickly recalibrate your blood sugar if it drops during sex. Take Breaks: It’s totally reasonable to hit pause in the middle of sex if you experience fatigue and sense a drop in your blood sugar. Check your insulin and eat a snack before you get back to having fun. Listen to your body and let your partner know if you need a moment to refuel. Think About What You’re Drinking: Alcohol can play a role in dramatic drops in blood sugar levels. If you choose to mix drinking and sex, stick to white wine, champagne or other beverages with high sugar contents to keep your blood sugar in check. Consider Wearing a Continuous Glucose Monitor: Continuous glucose monitors are devices approved by the FDA that keep track of your blo Continue reading >>

How Viagra May Ward Off Type 2 Diabetes: Pill Found To Slow Development Of The Disease In 'at Risk' Patients

How Viagra May Ward Off Type 2 Diabetes: Pill Found To Slow Development Of The Disease In 'at Risk' Patients

Viagra may help ward off type 2 diabetes, new research suggests. It improves insulin sensitivity in people with pre-diabetes, a condition which precedes full blown disease, the study found. It may also protect against heart and kidney disease as those taking the erectile dysfunction pills had lower levels of albumin in their urine - a biological marker for these conditions. Pre-diabetes is a conditions which precedes the development of type 2 diabetes. The disease is when levels of sugar in the blood are higher than usual which can eventually lead to organ damage, blindness and limb amputation. People who are pre-diabetic are often insulin resistant, which means they can't produce enough of the hormone or it doesn't work properly, to clear sugar from the bloodstream. Research shows that, without intervention, about 30 per cent of people with pre-diabetes are likely to develop type 2 diabetes within five years. Dr Nancy Brown, of Vanderbilt University School of Medicine, said: 'We need additional strategies to help slow the progression from pre-diabetes to diabetes. 'Weight loss and exercise regimens can be difficult to maintain, and some current medications have been limited by concerns about adverse effects. 'Sildenafil and related drugs could offer a potential avenue for addressing the rising number of diabetes diagnoses.' Viagra, which is known for treating erectile dysfunction, works by inhibiting an enzyme that breaks down a chemical called cGMP. The chemical relaxes blood vessels, so if it it remains in the body, the blood vessels will continue to be relaxed. Laboratory and animal studies have found that the drug causes changes in body fat which mean that calories are used for energy rather than stored. The drug converted 'bad' white fat - where extra calories are Continue reading >>

Sildenafil Citrate For Treatment Of Erectile Dysfunction In Men With Type 1 Diabetes

Sildenafil Citrate For Treatment Of Erectile Dysfunction In Men With Type 1 Diabetes

Results of a randomized controlled trial Abstract OBJECTIVE—In the 5–10% of diabetic men with type 1 diabetes, erectile dysfunction (ED) may be a particularly common and unwanted complication. This is the first study focusing exclusively on the effects of sildenafil in men with type 1 diabetes and ED. RESEARCH DESIGN AND METHODS—A total of 188 patients were entered into a double-blind, placebo-controlled, parallel-group, flexible-dose study and were randomized to receive sildenafil (25–100 mg; n = 95) or placebo (n = 93) for 12 weeks. Efficacy was evaluated using questions three (Q3; achieving an erection) and four (Q4; maintaining an erection) from the International Index of Erectile Function (IIEF), a global efficacy question (GEQ; “Did treatment improve your erections?”), and a patient event log of sexual activity. RESULTS—Improvements in mean scores from baseline to end-of-treatment for IIEF Q3 (35.7 vs. 19.9%) and Q4 (68.4 vs. 26.5%) were significant in patients receiving sildenafil compared with those receiving placebo (P = 0.0001). Moreover, the percent of improved erections (GEQ, 66.6 vs. 28.6%) and successful intercourse attempts (63 vs. 33%) was significantly increased with sildenafil compared with placebo. Improvements in sexual function were seen irrespective of the degree of ED severity. Adverse events were generally mild to moderate in severity, with headache (20 vs. 8%), flushing (18 vs. 3%), and dyspepsia (8 vs. 1%) reported more often in the sildenafil than in placebo-treated patients. CONCLUSIONS—Treatment with sildenafil for ED was effective, resulting in an increased percentage of successful attempts at intercourse, and was well tolerated among men with type 1 diabetes. According to the World Health Organization, the number of adults Continue reading >>

Groupe Canmec - Groupe Canmec

Groupe Canmec - Groupe Canmec

partir dun contrat dinstallation dans une usine de sciage, lentreprise est fonde en 1973 par monsieur Benoit Allard. La construction dun premier atelier de fabrication en 1974 permet aux Ateliers Benoit Allard Inc de concevoir et fabriquer des quipements pour la manutention du bois destins aux usines de sciage. Le dbut des annes quatre-vingt voit lajout dentreprises uvrant dans les domaines connexes ceux de la mcanique de production. Lors de la construction de Bio Shell Lac-Mgantic, Pyramidex est cr pour excuter les travaux de construction rgis par le dcret. Les Ateliers Benoit Allard sont sous-traitant en mcanique. Sajoutent ensuite la division des courroies (A.B.A Vulcanisation 1982) et les entreprises spcialises en units hydrauliques (A.B.A. Hydraulique Inc- 1983) et en lectricit (Kilotech Contrle Inc 1984). Les Industries Saguenay Lte, une entreprise ouvrant dans le domaine de contrats forfait est acquise en avril 1987 pour excuter le surplus de fabrication et pour dvelopper un nouveau march. En 1988, Canmec Inc est cr pour uvrer dans le domaine de lusinage de prcision. Lajoie Somec Inc, uvrant dans le domaine de la plomberie, tuyauterie industrielle et mcanique depuis 1979, est acquise la mme anne. Lanne 1989 marque la sortie lextrieur du Saguenay-Lac-Saint-Jean des entreprises de Placement Benoit Allard (P.B.A). Cette anne-l, le groupe acquiert les Industries Raymond inc., base Sept-les et obtiens dimportants contrats pour lAluminerie Alouette, notamment la fabrication des 265 caissons. Au cours des annes suivantes, la premire entreprise du Groupe, Les Ateliers Benoit Allard Inc, a continu uvrer dans le domaine des scieries, mais en se spcialisant dans les quipements de manutention. Avec lacquisition de Comact Inc, lun des manufacturiers dquipement de scierie des Continue reading >>

Type 2 Sex & Diabetes: Is Testosterone The Wonder Drug?

Type 2 Sex & Diabetes: Is Testosterone The Wonder Drug?

Dear Diabetes Health, I am 57 years old. About five years ago, I saw my doctor because I was feeling tired. My waist size was up, and I was not interested in sex. I almost never got an erection. The doctor diagnosed type 2 diabetes and put me on metformin. He also prescribed Viagra, which helped sometimes, but not all the time. My last A1c was 7.3%, but my sex drive is still missing in action. The Viagra isn’t working anymore. It’s difficult for my wife, and I don’t like it either. I don’t want to have injections in my penis or stuff like that, but I’m feeling really down about this. Do you have any advice for me? – Jim in Michigan Dear Jim, We’re not doctors, but you have the classic symptoms of low testosterone. Feeling tired and sad, gaining fat, and losing interest in sex all point to problems with testosterone, or “T,” as it’s often called. You should get tested because there are medical and self-care things that you can do to increase your T levels. The good news is that these things are very good for diabetes, too. Men with diabetes are more than twice as likely as other men to have low T levels. In fact, more than 50 percent of men with diabetes have low T levels. According to Professor Evan David Rosen, M.D., Ph.D., this is not simply due to aging testicles. There is a connection between type 2 (possibly type 1 as well) and low T. According to urology professor Abraham Morgentaler, “Normal T is helpful for diabetes control. T therapy increases muscle mass and lowers body fat, and both of these changes are helpful with blood sugar control. This supports the idea that normalizing T may be helpful for diabetes.” Studies show that raising T levels lowers insulin resistance, improves cholesterol levels, and reduces abdominal fat in men with t Continue reading >>

The 411 On Diabetes And Ed (erectile Dysfunction)

The 411 On Diabetes And Ed (erectile Dysfunction)

Nicho las Gibson is a 20-year type 1 diabetic and sociology Ph.D. student and Instructor at the University of Hawai'i at MÄnoa. He has 5 years of management experience at diabetes summer camps for kids, and over a year of clinical research oversight at the University of California Irvine Medical Center. His current research interests include the intersection of technology and self-care, and the impact of knowledge and technology on patient self-concept. He joins us today for our 411 series on diabetes complications to fill us in on one of the "touchier subjects," which seemed especially appropriate for February, the month of love. Special to the 'Mine by Nick Gibson Aloha DiabetesMine readers! I'm appearing here to talk about something almost every single healthy, or unhealthy, male PWD deals with: Erectile Dysfunction (ED). As a twenty-year type 1 diabetic veteran (and 29-year-old guy) I've had my share of conversations with my numerous doctors and endocrinologists about the risks of diabetes mismanagement. I have absolutely had those fearful flashes of "what if I can't get it up?" Dealing with the day-to-day aspects of diabetes self-care is difficult enough without worrying about potentially speeding up the loss of function in our lower half. Conversations about ED with our docs are not always pleasant, as they can be uncomfortable, worrisome, and at times scary. That said, advice from medical professionals at the Joslin Diabetes Center and the Mayo Clinic seems to follow some distinct patterns, and these patterns are quite hopeful. Seriously guys, the earlier you bring this up with your medical professionals, the better by far. So, let's talk. What is ED? The intersection of romance, sex and diabetes is nothing new here at the 'Mine. Today's 411 topic, Erectile Dysf Continue reading >>

Why Erectile Dysfunction Is So Common In Men With Diabetes

Why Erectile Dysfunction Is So Common In Men With Diabetes

In one study, nearly 40% of men with diabetes had erectile dysfunction.(ISTOCKPHOTO)Erectile dysfunction is a common problem in diabetes. Diabetic nerve damage and blood vessel disease are usually the culprits, although blood-pressure-lowering medication, stress, and depression can also play a role. A study of nearly 28,000 men in Europe, North America and South America found that 16% of the men reported erectile dysfunction, but nearly 40% of those with diabetes had problems with erections. Many men with diabetes can benefit from prescription medications, such as Viagra, Cialis, and Levitra, says Thomas Blevins, MD, an Austin, Texas–based endocrinologist. But in the study, called "Men's Attitudes to Life Events and Sexuality," or "MALES," men with diabetes were more likely than other men to consider their erection problems "severe" and "permanent." Men with diabetes were also more likely to stop taking such drugs because they didn't solve their erection problems. It important not to assume that erectile dysfunction is caused by diabetes itself, or to give up if Viagra or a similar drug doesn't workthere are other options. If Viagra doesn't help, there are alternatives Dick Robbins, 72, of Hot Springs Village, Ark., was diagnosed with type 2 diabetes in 2001. He experienced erectile dysfunction and saw a urologist for help. He tried Viagra with little success as well as another drug, alprostadil. Alprostadil is delivered via injection into the shaft of the penis or by suppositories inserted into the tip of the penis. One of the important messages is, if you are having a problem, be sure and tell your doctor.—William Bornstein, MD, EndocrinologistAlthough injecting a drug into the penis "sounds horrible," many men tolerate the injections well and find they are helpfu Continue reading >>

Sexual Health

Sexual Health

A healthy sexual relationship can be an important part of someone's life. When things go wrong, whether or not we have diabetes, many of us find it hard to accept that there might be a problem. It’s important to know support available. While most people with diabetes, both male and female, are able to lead completely normal sex lives, diabetes may contribute to sexual problems for some people The most common problem is erectile dysfunction in men (also known as impotence) which results in the inability to get or keep an erection long enough for intercourse. Ejaculation may or may not be affected. Fertility remains normal Both men and women with diabetes may also lose their sexual desire when their blood glucose levels are high Most men have an occasional problem with erectile dysfunction at some time in their life. This can be caused by many factors including being tired, stressed, and depressed or drinking too much alcohol. Some medications may also cause erectile dysfunction. This can include medications taken for high blood pressure, depression or stomach ulcers. It’s important to always tell your doctor about any medications you may be taking for other conditions. Reduced blood flow and nerve damage to the penis are generally the underlying reasons for erectile dysfunction for men with diabetes. Often men with diabetes who have the condition also have other complications related to nerve damage or blood circulation problems, such as high blood pressure, high cholesterol or heart disease. Erectile dysfunction can be treated in a number of ways including: Tablets (e.g. Viagra, Cialis and Levitra) Prostaglandin injection into the side of the penis (e.g. Caverject) Devices such as the vacuum pump Surgery such as penile implants While tablets are easy to take, they m Continue reading >>

Viagra Halves Risk Of Heart Death In Men With Diabetes - Research

Viagra Halves Risk Of Heart Death In Men With Diabetes - Research

LIFESTYLE Viagra halves risk of heart death in men with diabetes - research 13 Nov, 2016 12:20pm 4 minutes to read Taking a Viagra pill every few months almost halves the risk of men with type 2 diabetes dying with heart problems, research suggests. The study of 6,000 British men could pave the way for erectile dysfunction pills to be prescribed regularly for men with diabetes. Nearly four million people in the UK suffer with type 2 diabetes, and 12 million more are at risk of developing the disease. People with the condition are at twice the risk of others of developing heart disease. This is partly because the hearts of diabetics become less efficient over time, unable to contract properly and pump blood all around the body. Experts think Viagra, and other similar erectile dysfunction drugs, improve this function. The drug, which has earned pharmaceutical firms more than £1billion a year since it was launched as an erectile drug in 1998, works by relaxing blood vessels, improving blood flow to the groin. This function also affects the ability of the heart to pump blood, scientists think. Experts at Manchester and Oxford universities have now shown that this has a remarkable impact on health. The team studied the health records of 5,956 men with type 2 diabetes, aged between 40 and 89. Of that group, 1,359 took erectile dysfunction drugs called PDE5 inhibitors - of which Viagra is one form. They took the drugs only an average of 16 times over the seven-year study period - less than once every five months. But they were 46 per cent less likely to die of heart disease during the study period, the scientists found. Patients taking the drugs were also 38 per cent less likely to suffer a heart attack - and those who did were 40 per cent less likely to die as a result. The Continue reading >>

Oral Testosterone Undecanoate Reverses Erectile Dysfunction Associated With Diabetes Mellitus In Patients Failing On Sildenafil Citrate Therapy Alone

Oral Testosterone Undecanoate Reverses Erectile Dysfunction Associated With Diabetes Mellitus In Patients Failing On Sildenafil Citrate Therapy Alone

Aims: To evaluate the cause of failure of sildenafil citrate (Viagra®) to restore erections in patients with organic erectile dysfunction (ED) associated with type II diabetes mellitus (DM) and receiving oral antidiabetic drugs. Methods: Diabetic ED patients (n = 120), aged 43-74 years, failing to respond at least three times to 100 mg Viagra were evaluated. After at least 2 weeks' treatment with oral testosterone undecanoate (Andriol®), 100 mg Viagra was used before coitus. ED was assessed with the International Index of Erectile Function (IIEF). Serum total testosterone, prolactin, thyroid stimulating hormone, lipid profile and prostate-specific antigen (PSA) were determined by standard methods and prostate volume by digital rectal examination. Age-matched diabetic ED patients (n = 100) served as controls for baseline values. Results: Viagra non-responders had, at baseline, significantly lower testosterone and more depressed libido than controls. Andriol restored testosterone to normal levels and increased libido. In 84/120 (70%) Viagra non-responders, combined therapy with Andriol induced satisfactory erections, a significant increase in IIEF scale (question (Q) 3 from 2.0 ± 0.2 to 3.7 ± 0.3, Q4 from 1.9 ± 0.1 to 3.4 ± 0.2, Q12 from 1.0 ± 0.1 to 4.2 ± 0.4) and increased sexual contacts from 0.5 to 3-4 per month. No adverse events were noted, and PSA levels remained below 4 ng/ml. Conclusion: Decreased testosterone levels in patients with ED and type II DM receiving oral antidiabetic agents may be responsible for failure to respond to sildenafil citrate therapy. Combination with oral testosterone undecanoate restores sexual function in these patients. Continue reading >>

Publications

Publications

With the introduction of effective pharmacological agents for treatment of erectile dysfunction, more men are seeking treatment. The underlying cause of the erectile dysfunction is usually a chronic medical illness. (1) Atherosclerosis of the penile artery or the drugs used to reduce cardiovascular risk factors have been implicated in its causation.(2) Sildenafil, acts by activation of nitric oxide (NO)- Cyclic guanosine monophosphate (cGMP) pathway during sexual stimulation. Sildenafil alone can cause mean peak reduction in systolic/diastolic blood pressure of 10/7 mm that are not dose related, where as heart rate remains unchanged. (3) Diabetics with ED do have concomitant hypertension. Many anti hypertensive drugs are known to cause and aggravate ED. Sildenafil is known to reduce blood pressure in healthy adults (3). In one study concomitant use of amlodepine & Sildenafil show synergistic reduction in blood pressure (3). We thought of utilizing sildenafil citrate to treat ED in patients with type 2 diabetes mellitus & note its effect on blood pressure. Subjects And Methods To study the blood pressure lowering effect of sildenafil in male diabetic patients with erectile dysfunction (ED), 68 male patients having type 2 diabetes mellitus were screened in the medical OPD. The baseline data regarding the duration of diabetes, duration of ED was recorded. Complications of diabetes like neuropathy, nephropathy, retinopathy, hypertension and sexual dysfunctions were looked for. Patients without significant hypertension, having postural hypotension, without erectile dysfunction, and those already on anti hypertensive drugs were excluded. 26 Patients with moderate hypertension along with erectile dysfunction were enrolled for the study. All these patients were on oral hypoglyc Continue reading >>

Cialis & Diabetes

Cialis & Diabetes

In recent years there have been many studies done to assess the way that Cialis affects men with diabetes. These studies have shown that men with diabetes who are suffering from the symptoms of erectile dysfunction that use Cialis have had a positive great success rate with more men having greater satisfaction with their erections and the amount of times that they are able to penetrate during sexual intercourse due to the drug. The men who had erectile dysfunction that took the 10mg dosage of Cialis had a 57% satisfaction rate when it came to vaginal penetration and a 48% satisfaction rate that their erection lasted long enough to have full sexual intercourse. The men that took the 20mg dosage of Cialis still have a good satisfaction rate although it was a percent less than the lower dosage drug. Cialis and Type 2 Diabetes If you suffer from type 2 diabetes you are more likely to suffer from erectile dysfunction than men with type 1 diabetes. This could be due to the fact that men with type 2 diabetes tend to have high blood pressure which is caused by a bad diet and an unhealthy lifestyle. So it is very important that you help yourself when it comes to treating erectile problems as Cialis and other erectile dysfunction drugs can only work for so long. It is also important to remember that you should not take Cialis when you blood sugar levels are unregulated or poorly managed as this can increase the chance that the side effects that could potentially occur do and they are often more serious. Continue reading >>

[efficacy And Safety Of Sildenafil In Men With Type 2 Diabetes Mellitus And Erectile Dysfunction].

[efficacy And Safety Of Sildenafil In Men With Type 2 Diabetes Mellitus And Erectile Dysfunction].

[Efficacy and safety of sildenafil in men with type 2 diabetes mellitus and erectile dysfunction]. Servicio de Endocrinologa, Hospital Universitario San Cecilio. Granada, Espaa. [email protected] Med Clin (Barc). 2002 Jun 29;119(4):121-4. BACKGROUND: Erectile dysfunction is a common complication in patients with diabetes mellitus, which impairs quality of life, decreases self-esteem and can affect partners relationships. Sildenafil improves nitric oxide-dependent relaxation of smooth muscle in corpora cavernosa--induced by an increase in cGMP via inhibition of phosphodiesterase 5. PATIENTS AND METHOD: Multicenter, randomized, double-blind, placebo-controlled study with flexible doses of sildenafil. The study was performed in 16 centers and recruited a total of 112 subjects with diabetes mellitus who had erectile dysfunction. At the start and end of the study, the following questionnaires were administered: International Index of Erectile Function (IIEF), Global Efficacy Assessment Question and Quality of Life Questionnaire (Fugl-Meyer). Of the 112 initially recruited patients, 92 received treatment, sildenafil in 44 and placebo in 48. RESULTS: A clear improvement was observed in the capacity to achieve and maintain an erection; 55.3% diabetic patients receiving sildenafil had at least one successful sexual intercourse (15.6% in the placebo group). In addition, significant improvements were seen in other aspects of the sexual activity of treated subjects. Among those treated with sildenafil, 46.3% reported a clear improvement of erections as compared to their baseline conditions (i.e, prior to treatment) vs only 14.9% in the placebo group. The percentage of a successful intercourse clearly increased, from 6 to 49%. Sildenafil was well-tolerated. Side effects wer Continue reading >>

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