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Not long ago, men were considered to be old horses (no pun intended) as far as sex was concerned once they crossed 50 years. Not any more, today modern medicine has progressed to such a level that men are not only expected to be physically active, but are also expected to be sexually active, well past their prime.

That is why, men’s health in middle age is so important today. Most men probably are not aware of the strong relationship between remaining fit and good male sexual health.
Good male sexual health is defined as the ability to perform satisfactory sexual intercourse which is satisfying to both the man and his partner and enhances their overall psychological feeling of well being.

Most men overlook the importance of keeping themselves fit, in order to enjoy good sexual health. They have an unhealthy lifestyle which includes fatty food, lack of aerobic exercise and plenty of stress, all of which contribute to fat clogging those very arteries responsible for ensuring plentiful supply of blood to the penis. These clogged arteries lose their elasticity and become rigid, leading to an increase in the blood pressure, which further affects blood flow to the penis. Only when there is good blood flow can there be good penile health.

A good erection requires three very important predisposing factors. Firstly there is the need for sexual arousal; this causes the brain to send signals in the form of certain chemicals called neurotransmitters. This is the second factor and lastly the third factor, these love signals cause the blood vessels of the penis to dilate and further increase the blood flow to the penis, leading to the penis becoming engorged and hard. If there is any factor which interferes at any of the three stages. There is no erection.

The penis basically consists of three tube like chambers running along it’s length, Two are called the corpus cavernosa and the third which surrounds the urethra (which carries urine) is called the corpus spongiosum. These cylindrical spongy chambers are surrounded by special strong fibrous tissue.

Erection occurs when the love signals from the brain lead to the formation of nitric oxide within the cells of the blood vessels of the penis. This nitric oxide then enters the smooth muscle cell that, surround these blood vessels. This nitric oxide binds to and activates an enzyme called guanylate cyclase which then causes the conversion of GTP (guanosine triphosphate) to cGMP (cyclic guanosine monophosphate), an important enzyme required to dilated the blood vessels and the smooth muscles. It is the dilation of the blood vessels supplying blood to the corpus cavernosa and corpus spongiosa, which leads to increased blood flow into them and a subsequent erection.

As long as the levels of cGMP are high, there will be continuous vasodilation, and a good hard erection. cGMP is broken down by the enzyme Phosphodiasterase-5(PDE-5). It is this enzyme which is crucial to making or breaking an erection.

Today there are more than 120 million men all over the world who are unable to have a proper erection or suffer from male impotence. This condition is scientifically known as erectile dysfunction and is defined as the inability to ensure and/or sustain an erection for satisfactory sexual intercourse. Men with diabetes, atherosclerosis (fat clogging the arteries) and chronic alcoholism at more likely to suffer from erectile dysfunction. However any man on the wrong side of 50 has a 50% chance of having erectile dysfunction.

Today there are a plethora of treatment options for erectile dysfunction, but none as effective as those drugs blocking the enzyme PDE-5, which was responsible for destroying cGMP.

In 1998, when Pfizer launched Viagra, the first PDE-5 inhibitor it revolutionized the treatment of erectile dysfunction. But Viagra had certain terrible disadvantages. It only lasts for 4 hours. Hence one has to watch the clock and have sexual intercourse. It does not allow the man the relax and then gradually have sex with his partner. Viagra also cannot be taken with food, especially fatty food. This is because food diminishes it’s effect. Thus Viagra means sex on an empty stomach.

All these disadvantages were removed with the coming of Cialis from Lily-ICOS. Cialis contains Tadalafil, a block buster drug which lasts not just for 4 hours, but a terrific 9 times longer – 36 hours. What more Cialis can be taken along with a 100% fat diet and yet there will be no effect on it’s action.

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The cost effectiveness of Cialis can only be gauged by actually buying it through the internet on Cialis Online website. Not only is Cialis much cheaper tablet-wise as compared to other drugs, but it is also very cost-effective as it lasts for 36 hours as compared to barely 4 hours for other drugs.


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