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The Prostate: Part I – BNP What is situated below a body of water, has four zones and is commonly associated with venial pleasures. No it is not some romantic European city, but rather a walnut sized male organ that serves important procreative functions. It also happens to be an organ that plagues men as we age. This organ or gland is the prostate. This is the first of two articles on the male prostate. This article will focus on a disease process that affects older men, something we refer to as benign prostatic hyperplasia (BPH). BPH is a non-cancerous growth in the size of the prostate gland that impairs the flow of urine out of the bladder. The second article will focus of prostate cancer. But first a little about the small yet important male organ. The gland is located just below the bladder. It usually measures one inch by one-and-a-half inches (approximately the size of a walnut). It surrounds the urethra (the tube that takes urine out of the bladder). It is responsible for producing a fluid important in male sexual function. In the past the prostate was described as having “lobes”, but today we refer to it as having concentric zones. These zones are important both on an anatomical as well as histological level. We can separate pathology along these zones as well. For instance most all cancers occur in the peripheral zone while the benign process of enlargement occurs almost exclusively in the transitional zone (which only occupies about 5% of the total prostate volume). The prostate gland is also made up of different cell types. Cancer cells develop from the epithelial cells, but it is the interaction with stromal cells that is important in the behavior of the cancer. BPH develops from an interaction between these cells as well, but it is complex and poorly understood. Testosterone and other hormones and their interactions with this gland are hot topics of research in understanding prostate disease. The prostate gland produces most of what is found in the male ejaculate. The average volume is about 3 mL. This is less than a teaspoon and only 1% of it is sperm. The majority of the semen volume is made of products of the seminal vesicles and the prostate. The male ejaculate is very rich in potassium, zinc, citric acid and fructose. Along with these substances it also contains prostaglandins. There are many other unusual substances found in the semen. Not all is know about their function or purpose. This important male organ is a complex mix of anatomical structures and cell types that make it possible for human reproduction. However beyond the reproductive years of men, this organ becomes one of burden rather than usefulness. We will discuss the finer points of BPH and how to best avoid it and if plagued with it, treatment options. BPH typically affects men from their fourth to fifth decade of life and beyond. Several hormones come into play that have a drastic effect on the transitional zone (the zone that is most central and surrounding the urethra). Namely a metabolite of the male androgen Testosterone called Dihydrotestosterone (DHT) plays a big part on the enlargement of cells of the prostate and the encroachment on the urethra. There are several signs and symptoms that correlate with BPH and they are: slow urinary flow, the urge to urinate all the time, nighttime urination, enlargement and distension of the bladder with continuous urine leakage (incontinence) and urinary obstruction. Autopsies suggest that more than 90% of men older than 70 years have BPH. The average age for symptomatic development is about 65 years for white Americans and about 60 years for African-American men. Ways to prevent the effects of DHT on the prostate gland and the ensuing enlargement are via medications that block the enzyme 5-alpha-reductase, which converts Testosterone to DHT. Proscar is such a drug commercially available through a pharmaceutical company. Proscar works on blocking the effects of androgens on the epithelial cells and can actually shrink the size of the prostate making some of the symptoms of BPH resolve. Alternatively two FDA approved drugs that aid in symptoms of BPH (but act differently than Proscar) are Hytrin and Cardura. Both Hytrin and Cardura are drugs in the alpha1-blocker class. Originally researched as a centrally acting blood pressure reducer for patient with hypertension, it was discovered that this drug would actually relax the prostate tissue surrounding the urethra making symptoms of BPH resolve. Side effects generally include low blood pressure, dizziness, and nasal stuffiness. While neither of these two drugs will “cure” or reverse the process, they certainly do provide symptom relief for the patient plagued with BPH. Another way to treat this disease and a more natural approach is the use of herbs know for their anti-androgenic effects on the prostate. These include the well-studied Saw Palmetto herbal extract that blocks 5-alpha-reductase in the same manner as the prescription drug. Saw Palmetto taken in a standardized dose of 160mg twice daily has shown increased urine flow, with minimal side effects. Saw Palmetto is an herb indigenous to the Lowcountry of Georgia and South Carolina. Pygeum Africanum is shown to do the same yet it is not as effective and there is a fair degree of stomach symptoms. Pygeum is derived from an African evergreen tree. Stinging Nettles (Radix urticae) is another herb used widely in Europe for prostate health that has been shown to lower the residual urine volume in men with enlarged prostates. These phytotherapeutics (plant derived medicines), used and described by the Egyptians as far back as the 15 Century B.C., have a common compounds called phytosterols. The most effective phytosterol is beta sito sterol for BPH. None of the medications or herbs has been shown to prevent prostate cancer. These prescription medications and herbs are for the treatment, reduction in size or prevention of the benign process of enlargement of the prostate. Prostate cancer prevention and treatment is by other means and the subject of the next article. Besides the herbal and drug therapies there are a few surgical therapies worth mentioning. These include the most common transurethral resection of the prostate or TURP. This is where under the care of an urologist the constricted urethra within the prostate gland is “reamed out” thus mechanically or surgically widened the opening. A variant of this is the transurethral incision of the prostate (TUIP) where an incision rather than resection of the tissue is performed. A suitable procedure for patients with prostates 100 mL in volume. This involves an abdominal operation and removal of the whole prostate. Of course symptoms mentioned above for TURP are of greater frequency with this more radical procedure. There is also thermotherapy (a type of microwave treatment) that alleviates irritative symptoms, but not much is available in long-term results in the medical literature. And finally stent placement is an option. This can be used in selected cases of patients with a poor general condition and in the non-operative candidate. Symptoms of BPH include: Obstructive symptoms: Hesitancy in initiating voiding (trouble getting started) Weak urinary stream, prolonged voiding Post-voiding dribbling (mild incontinence) Sensation of incomplete emptying Nocturia (night time urination) Overflow incontinence Acute urinary retention (very painful condition) Irritative symptoms: Dysuria (discomfort in urination) Frequency Urgency Scoring BPH: The American Urological Association Symptom Index (AUASI) and International Prostate Symptom Score (IPSS) are now considered the gold standard measurement tools for the assessment of BPH symptoms and response to treatment. Both questionnaires can be used by a physician in a clinical practice to quantify the subjective symptoms of BPH and monitor therapies. Part II in this series will cover annual examination of the prostate, blood testing, prostate cancer. It will also cover prevention and treatment of prostate cancer. Reference: http://www.prostatehealth.com Lowe, FC. Et al, Phytotherapy in treatment of benign prostatic hyperplasia: a critical review. Urology 48:12-19, 1996 Dreikorn, K. et al, Stellenwert von Phytotherapeutica dei der Behandulng der benighnen Prostatahyperplasia. Urologe (A)34:119-129, 1995 Fitzpatrick, J.M. et al, Phytotherapeutic Agents in Management of Symptomatic Benign Prostatic Hyperplasia. Urological Clinics of North America. 22:407-412, 1995 Wilt T, Ishani A, Mac Donald R.. Serenoa repens for benign prostatic hyperplasia. The Cochrane Database of Systematic Reviews 2002, Issue 3. Art. No.: CD001423. DOI: 10.1002/14651858.CD001423. [Research by Sagalowski and Wilson, 1998] © 2005 pnis enlargement testimonials herbal penis enlargement pills penis enhancement pills review cheap penis enlagement herbal natural penis enlagement prosolution pnis enlargement pills pnis enlargement pic vimax penis enlargement before and after picture

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Penis curvature is one of those unpleasant problems plaguing men, filling them with anxiety and driving away peace of mind. A visible curve in the penis is bound to make any man less eager to take down his pants in front of a lady. What if she starts laughing? What if she recoils from it? Nobody likes to be seen as a freak or as something to be laughed about. Although the man in question is in no way responsible for this problem, others can’t help but see this as a failure or as a dubious physical feature. On the other hand, some men are actually proud of their special look. A curved penis serves to underscore a rebellious or outré personality that refuses to bow to tradition. Moreover, a bent penis can be very desirable for women, too, because the curve allows the head of the penis to rub against areas not normally touched by a straight penis. Thus, it may be said that a special penis is not seen as a liability in certain circles. However, one should weigh carefully the pros and cons of a curved penis because most women still prefer a straight, normal-looking penis over a bent one. Curvatures are caused either by the natural growth of the penis or by a condition knows as Peyronie’s disease. The natural curvature occurs when the two chambers of the penis develop at different rates through the years, thus bending the penis toward the slower developing chamber. There is no way that such a natural development tendency can be forecast and prevented, although it can be corrected whenever the user wants it. However, most men whose penises are bent refuse to seek the treatment that is within easy reach and would rather take their chances with the kindness of women. Peyronie’s disease is a condition named after Francois de la Peyronie, surgeon to Louis XIV of France, who was the first man to describe a treatment in 1743. While the cause of this disease is not well understood, its mechanism is perfectly clear. The “tunica albuginea” is the tough layer of connective tissue that contains the sponge-like Corpora Cavernosa. For reasons unknown, scar tissue begins to form in the “tunica albuginea”, which prevents the normal expansion of the penis during erections and, in time, bends the penis to one side or the other. The fully natural way of straightening the penis is to use penis exercises. Penis fitness programs offer exercises that can break the scar tissue down and help reverse the curve. The Jelq is one such penis exercise that has been successfully used to address this problem. Another good way of dealing with a curved penis is to use a traction device. The constant pull of the traction device is bound to loosen up the “tunica albuginea” and straighten the penis. Actually, your best bet is to try both of these two penis straightening techniques at the same time. This will speed up the healing process, although you have to realize that no miracle is going to happen over night. The scar tissue took a long time to form and is not going away fast. What you need is patience and persistence, the two tools that will take you to your goal. Exercise and wear the traction device everyday and you will see the bend disappearing little by little. does penis enlagement work penile enlargement excercises penis enargement pills com elargement penis penis pump pnis enlargement system free penis elargement plus vigrx enlargement manhattan penile enlargement manhattan penis surgeon

I remember when I was in eighth grade in school years ago and listening to Pink Floyd. I heard a song way back then that became a favourite of mine at the time and still is today. It was called Comfortably numb. At the time of listening to it back then, I thought it was all about heroin abuse. A year or so later I heard another song by an Australian band called the Choirboys that had lyrics that said: “You don’t need anyone, no you don’t need anyone; when you run the paradise.” Once again I saw this as the paradise that is found by the injection of heroin. In the movie Pulp Fiction, just a few years ago, I saw the absolutely mind blowing rush one can get from the injection of a needle, and how heroin really is like the big daddy of them all. For even the name itself boasts of its awesome ability and power and how it should be worshipped. We all know about branding and the power of a brand name, if it’s used properly. Just think of Coke, Mc Donald’s, and Disney and suddenly you have an emotion and hopefully a positive emotion come to mind. The word heroin is no mistake. It’s available when you need the ultimate peace and numbness, and you put the father of all drugs into your arm like a doctor gives medicine, you go and put the Hero in. I am fortunate in one way. I am sure it was an act of God and nothing short of it. As I was growing up, our house was a halfway house for recovering heroin addicts. They came around to our house on rainy Sundays for lunch and when they were healed often stayed with our family until they could find a permanent place of accommodation. They came to us raw and fresh out of rehabilitation. It was their words, and their tears that showed me heroin had its costs on a personal life and wasn’t just the hero in these guy’s life, but their master for many years. They who worshipped the drug and fought, begged borrowed and stole to inject it, were broken individuals who readily cried and told of the horror the drug demanded of them. Yes, heroin is a powerful drug and I’ll admit that it will make you leave this world we are in, and you will float and kick back into a comfortable numbness. Yes. You won’t need anyone when you run to paradise. But it comes with a price. I thank God I saw the pain in the drug and never injected it myself. Oh boy I came close and yes I mixed in all the right circles, but I never succumbed to its tantalizing beckoning. And how glad I am that I didn’t! But that isn’t to say those who do are bad people. I just found a better way for myself to find a release. If it’s comfortable being numb…how can there be comfort in pain? This was the confusing part for me to work out. How could I enjoy the release which was very pleasurable sleeping with prostitutes, and yet still enjoy the pain of it all in eating breakfast cereals and milk for days because I had no money left? I read an interesting article once in a psychology magazine. I had never picked one up before that day and have never picked another up since. But in this magazine on this day, whilst I sat in some Doctors surgery for half an hour, I truly learnt the key to the whole puzzle. We who have addictive tendencies, don’t get a choice in what we become addicted to. What? I hear you say. Yeah well its strange isn’t it? It’s not all that hard to grasp really. You know that song that you hear and you just can’t get it out of your head. Every time the radio plays it, you spend half a day singing it to yourself. Even years later when “Run to paradise” comes on, I still get caught up with the emotions I was feeling that day. I absolutely love that song. Well that’s how a habit is formed. Repetition. The more I hear it, the more stronger my emotional response, the more I am addicted to it, or attracted to it. Even if it’s a not so pleasurable experience. Even if that experience is being beaten by your father in a fit of rage. The more he does it, the more I emotionally respond, the more I begin to crave that negative emotion. You become addicted to the pain. And in some ways when life is going along fine, if you are missing that pain in your life, you actively seek it out. It's sad really. That’s why a woman stays with a man who beats her up. That’s why a junkie sells his soul for the junk he puts up his arm and that’s why a person will ritually cut themselves to feel the rush of pain. We are addicted to the pain, just as much as to the pleasure. And just like light follows darkness, after the pleasure we seek the pain, and when we are in pain we seek the pleasure, and we continue to exist. We all enjoy feeling comfortable. We all enjoy being safe and secure where we are. Take us away from what we know, take us to another state or city suddenly and tell us to deal with it and we have a problem. We need to change slowly, but given the choice we like to stay with what we know. Why else would a country approve of a president who blatantly lies to his people? We don’t like change and we only do it if forced upon us. It’s only when a wife is beaten so very badly that the authorities step in and keep her from her husband by locking him up, that the wife accepts separation. But she has no choice in this matter. So she quickly goes out to a pub and finds another guy to beat her up. She can’t help it. She doesn’t like getting beaten up. And her friends can’t understand her for going back. But that’s the only sort of love she knows and that’s the only love her daddy taught her. He regularly beat her mother up and in between beating her he made love to her mother and brought her presents home from work. And if he was a fine example of an alcoholic father he even made special visits to his daughter’s room to comfort her and run his filthy hands over her and molest her. Oh yes She remembers the love, and she remembers the pain, and somehow they melded into one, and that was called life. To her, or to the heroin addict or to you the reader, life is all about feeling comfortable with our lot and coping as best we can in the circumstances. How do I know about pain…. Have you ever had a man shove his penis up your behind? I mean shove it right in there so you can feel the tears flowing down your cheeks. Have you ever had to lay down and push your bum in the air and let a beast put it into you with all his might? It’s not fun. Its not love, and if you’ve been there, it’s not something you forget real easy. Worse still is the guilt you feel for putting yourself in the position that allowed it. Oh what a fool you were. If only you weren’t so craving pain in your life, things like this wouldn’t happen. And soon you believe it is all your fault. And then you begin to take comfort in the pain. One day you are seeking the pain. One day you become comfortably numb. You go through the motions, you allow the lightning pain, and you switch off to it by a sheer act of will power. It seems as you lie there and let a man rip your insides with his penis that Pink Floyd may have been singing about this pain when they were singing. Maybe it wasn’t heroin, but the pain, and you’re switching off to it all, that makes you numb. Maybe you weren’t as smart as you thought you were when you are young, and the wisdom of a life half lived has served to give your life a richer and more rewarding tapestry. It’s a sad cycle. The addicted are addicted to the week of poverty and no food after one night down at the pokies or one night with the prostitutes. We feel lonely, hopeless and we have no hope in life, so we confirm what a sad person we are when we live in poverty and prove with cheap clothes a free charity meals that we really are a loser like everyone things we are. It’s not fun eating cereal for a week. It’s not fun nursing a black eyes once very few weeks, it’s not fun having to go up the street everyday saying can people spare you change for a bus fare, it’s not fun, but we are so useless and we are so lacking in self worth we just love the feeling of shame, guilt and stupidity and we beat ourselves up with it. We make all our promises. If he beats me up one more time I will leave. If that girl does not kiss me this time I am never going to see her again. If this jockey does not ride that horse in next week that is it for me and punting. We are weak, we are hopeless and we are addicted to feeling that way. The hardest thing about not sleeping with a prostitute for three months is not feeling the week of guilt after we have partaken of that sin. Especially when you are a Christian. It’s fine not to get the high, but how am I going to get that rush of guilt each week that I am in love with and addicted to? And then there is the high. It’s in the paper ringing private escorts working in their own rented apartments and interviewing them one by one a few days before you get the money. You narrow it down and pick one and then five hours after you have been paid you are in bed with her. No matter how much you cry to God about your wicked sin, here you are trying to bring pleasure to a professional so that you can feel like a man and have a good time, and if she’s a professional she’ll have you convinced you did bring her to orgasm. If this is all to crude for you, you can jump to the next paragraph. In twenty years of this addiction, I have only been convinced of about three orgasms of the prostitutes I have been with. And boy, twenty years worth of once a week, or once every two weeks of seeing a sex worker, you do the maths, that’s why I don’t own a house. You see I am poorly dressed and poor in assets and have never had any reason to really write a will because most of my life my addiction kept me broke. Boy I can relate to people in addictions. The only way I came out of my addiction the time the original of this piece was written in 2005 and now in 2006 my two successful times of reprieve from the addiction was when I repented with many tears before God with all my heart and not wishing with all my heart to ever go back to these ladies. I had to love the girls and stay away and not abuse them, I had to love God enough not to break His heart with my sin with sleeping with a girl I was not married to, and I had to love myself enough not to degrade my self esteem by becoming a sex starved brute. The only way out of my addiction was to hate it. The problem with many of us is this addiction to the highs and the lows. Oh I know about the rush of horse racing I did that for many years. There’s nothing like buying a car from your winnings one week. There’s nothing like seeing your horse win the race and it’s because you were a smart little punter watching all of that horses races since it first started racing and knowing that it can only win certain races at certain distances according to the track, the rider, the breeding and the time in the current campaign it is in. There’s a skill of knowing which race the owner and trainer are wanting to win with the horse and what races the horse is only racing to stay fit. There’s knowing which jockey will ride the horse when the horse has got to look like its trying to win the race and it’s the race favourite, but the owner, the trainer and the serious in the know punters connected to the stable want it not even to run a place and definitely at all costs do not want it to win the race. There really are so many factors to consider as a horse punter, it’s no wonder big high profile people in the business world are kings and respected for placing million dollar bets. Racing stroked my ego on the high side when I won, and when I had a big loss on a big punt it made me feel like the loser I was when I lost. So how could I lose? lol And what about today five years on? I am comfortable and I am not addicted any more. I attend a church where I am loved and I have began to preach in a few churches. My Lord Jesus trusts me today to help strangers find their way to Him and to healing and I am in love with myself. I am quite impressed with what articles I have written five years ago and a lot has happened in my life since then. I have been Baptised and now have some giftings that Jesus has given me so that I can better witness to people. He has given the ability to "Know" a person's pain and their struggle and know things about them that they haven't told me. He gives me the ability to give strangers a message from Him and that just makes me so happy to be out and about doing that. I have not seen my son in six years and that is sad but it was his mother's wish and I didn't fight it. I have had another breakdown and now am wiser and have stayed on my medication for four years without a serious incident. It seems the more hard balls life throws at me the more confident I am in the power and the love of Jesus to pull you through anything. I really enjoy sharing a message with a person through prophecy when Jesus speaks through me as I really enjoy seeing Him speak. He is such a magnificent, wonderful, caring and patient God that was man. It is so good to have a God in heaven called Jesus who thinks and reasons like a man but with all the power of God behind Him. Jesus is just so real to me. I have seen Him in visions close to ten times now and some of them have been so very memorable. He told me once that I was his hidden treasure and if you are reading this I am sure He would tell you the same also. He is so sweet, I do not need another person to sustain me. He is my everything and He is such a loyal and honest and caring friend. With much love, magnarx natural penile enlargement and lengthening pennis enlargement doctor penis enlargement pill review vimax plastic surgery penis enlargement vimax pillss inch truth about penis enlarement pennis girth enlargement enlargement manhattan penis surgeon

The causes can be physical or psychological. It is also possible for an initially physically led cause for impotence to attract psychological issues too. Physical Causes for Impotence or Erectile Dysfunction 1) Brain Damage If the head had suffered trauma and/or brain has been damaged, then there is a possibility that the signals required for a healthy erection will not occur and impotence will result. 2) Diabetes There is a higher possibility that someone with diabetes will suffer with impotence also. Conversely, and loss and or an inability to maintain an erection may be an indicator of diabetes. 3) Glandular Glandular issues and those connected to the thyroid may have an adverse effect on love-making and lead to erectile dysfunction. 4) Drugs Some drugs, both prescriptive and recreational may have side effects, one of which could be erectile dysfunction. Drugs that are prescribed for high-blood pressure may often be the cause of a loss of erection and therefore impotence. Some drugs prescribed for psychiatric conditions such as depression may also be a cause. 5) Injury to the Penis or Surrounding Area Sometimes damage, whether temporary or otherwise to the penis may lead to a temporary loss of erection or discomfort if the area is tender. Psychological Causes of Impotence – Erectile Dysfunction This refers to the way a man either thinks about what an erection and/or sex means to them or what they associate with the act of love-making. 1) Negative Conditioning A man may have learnt from parents or other persons of influence that sex is in some way wrong or bad or have some other negative connotations. In attempting to perform sex these influences may reduce arousal and replace it with negative feelings leading to a loss of erection and impotence. 2) Criticism A partner may have criticised a man either before after or during love-making. The next time the man makes love he may have that criticism on his mind. He will want to avoid being criticised again and may feel under pressure. The result of all this may be a loss of his erection. 3) Fear of Loss of Erection Sometimes a man loses his erection during love-making which is perfectly normal. If the man believes this is not supposed to happen he may feel under pressure to keep his erection throughout love-making. This leads to anxiety and anxiety does not help maintain an erection. 4) Alcohol Many men experience temporary impotence if they have been drinking excessively. This experience or memory may play on their minds and they may feel anxious during the next time they make love. Even though alcohol may not have been consumed on this subsequent occasion the man may lose his erection if this previous memory plays on his mind. 5) Partner or Marital Difficulties If there is an issue or problem in the relationship, this may well have an impact on love-making and the result may be temporary impotence. Unfortunately the partner may compound the issue by saying something like “you don’t love me anymore” after the man loses is erection. 6) Routine – Loss of Excitement In the majority of relationships the couple can settle down into a routine for love-making and one or both partners may lose interest because the initial excitement is no longer there. Each partner does the exact same thing during love-making and so it becomes more mechanical with less emotional input. If the sexual interest lessens impotence may result Impotence and Erectile Dysfunction Conclusion All of the above and more can lead to a fear of losing an erection. If the pattern is repeated during subsequent love-making this can have a negative and compounding impact on a man’s thoughts about making love. Often avoidance may be used as a strategy to cope. Unfortunately avoidance rarely resolves or releases a fear or impotence. pennis enlargement excersizes home penis enlargement pnis enlargement exercise penile enlargment testimonials top rated penis enlagement pills easy enlarement free penis surgery way guide to penile enlargment pennis enlargement doctor enlargement manhattan penis surgeon

Sex is an integral part of life. Without it the very existence of mankind would not have been possible. As we reach our adolescence period some particular glands starts driving our sexual behaviour. And as we reach a certain age these glands stop producing enough hormones to have an effect on our sexual behaviour. This commonly results in Erectile Dysfunction better known as ED. Erectile Dysfunction renders a male useless and helpless while he is to have sex. Though there is an urge for having sex the penis does not come up to its expectations while its performance. The major reason for this is that, as we age our body too starts aging. Aging is a natural phenomenon but we do not wish that our sexual performance too takes a beating for aging. As we age our body functions slowly and so there is less supply of blood in penis. But circulation of blood is necessary to have a penile erection for making love. Penis has porous tissues which absorbs blood when circulated. And when it absorbs blood it enlarges and stops the blood from getting out. Thus an erection of penis is maintained during the sexual act. Once the penis ejaculates the penis loosen up and starts circulating the blood. But in case of a person with erectile dysfunction this process does not happen. And as this process does not happen he remains unsatisfied in his sexual acts. So, ED treatment drugs like Viagra, Levitra, Cialis and Edagra etc. come to your aid at that juncture. These drugs can provide an age old person the much needed penile erection. With it your sexual fantasies could be realised. The dosage for these drugs depends on your health status and food habit. A consultation with a doctor is a must in the event you are to take this drug. If a person has hypertension, diabetes, heart ailments, allergy he should tell the doctor about these diseases. These drugs are not to be used by women and children. Whether it is for satisfying your sexual hunger or simply to satisfy your partner’s sexual need these drugs can stop your penis lying redundant. As successful sexual activity is a major component in any relationship these drugs could be of great help to you to have a bond that would be everlasting. So, go and enjoy the pleasure of love making again. Carry the youthfulness, vigour and agility in your sexual activity as in your youth with these drugs. These drugs also have some side effects like – increase in blood pressure, heartbeat, obesity so it would be wise to consult a doctor before going for the drug. In case any side effects show up it would be wise to stop the treatment right away and consult a doctor. To have an erection one must have the sexual urge to have sex. Erectile dysfunction drugs only help in maintaining the erection during sexual act. After ejaculation the penile erection should go away. In case erection continues after ejaculation or if the erection does not wither after 4 hours of taking it one should consult a doctor. He is the best person to provide remedy in that case.