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    There are probably plenty of ways that may cause you to have erection problems, and therefore you will have low sex drive and problems with your libido. For example, when you are feeling insecure in bed or erection disappears so quickly, then going to the doctor is the best way for you to treat this particular problem. There can either be physiological issues that make you behave in this way or heart problems that lead to ED and cause you an erection. – The most common cause for men who endure erectile dysfunction is depression. It may seem to be a silly way to get erection problems, but actually, your erection starts from your brain. Every time you get sexually stimulated, you will observe that erection does not happen because your blood vessels and nerves are damaged. This damage may be caused by your mental problems or maybe by a total absence of any type of interest in sex. Sildenafil, which appeared on the market in the late 90s, is the first really effective drug that has helped solve the problem of erectile dysfunction to large number of men. According to statistics, about 150 million men from 18 years and older suffer from problems in sexual life and urination due to the disorder of blood circulation in the pelvic. One of the most popular and effective drugs for symptomatic treatment is Viagra. Today there are not less popular counterparts, and namely, German Levitra, American Cialis and other, but nevertheless, sildenafil keeps its position. Thanks to a big advertising campaign and truly innovative features, the drug is known all over the world. Its high efficiency is specified by an incidental finding and synthesizing the compound – sildenafil – which acts selectively only for a particular process in the smooth muscle. In order to understand how Viagra works the mechanism of erection appearance and preventing factors should be examined. It is basis is hemodynamics or blood flow through the vessels in an area of low pressure.

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    FCICM FACEM BSc(Hons) BHB MBCh B MClin Epid(Clin Tox) Dip Paeds DTM&H GCert Clin Sim Chris is an Intensivist at the Alfred ICU in Melbourne and is an Adjunct Clinical Associate Professor at Monash University. He is also the Innovation Lead for the Australian Centre for Health Innovation and the Chair of the Australian and New Zealand Intensive Care Society (ANZICS) Education Committee. He has a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives. After finishing his medical degree at the University of Auckland, he continued post-graduate training in New Zealand as well as Australia's Northern Territory, Perth and Melbourne. He has since completed further training in emergency medicine, clinical toxicology, clinical epidemiology and health professional education. He coordinates the Alfred ICU's education and simulation programmes and runs the unit’s education website, INTENSIVE. He created the 'Critically Ill Airway' course and teaches on numerous courses around the world. Oral prednisolone to IV hydrocortisone zithromax liquid dosing Corticosteroid Conversion Table MedCalc Steroid Equivalence Converter
     
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