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In prescribing sildenafil, a doctor considers the age, general health status, and other medication(s) the patient is taking. The usual starting dose for most men is 50 mg, however, the doctor may increase or decrease the dose depending on side effects and effectiveness. The maximum recommended dose is 100 mg every 24 hours, however, many men will need 100 mg of sildenafil for optimal effectiveness, and some doctors are recommending 100 mg as the starting dose. Sexual Problems in Men: A sexual problem, or sexual dysfunction, refers to a problem during any phase of the sexual response cycle that prevents the man or couple from experiencing satisfaction from the activity. The sexual response cycle has four phases: excitement, plateau, orgasm, and resolution. Penile erection is managed by two mechanisms: the reflex erection, which is achieved by directly touching the penile shaft, and the psychogenic erection, which is achieved by erotic or emotional stimuli. The former uses the peripheral nerves and the lower parts of the spinal cord, whereas the latter uses the limbic system of the brain. In both conditions, an intact neural system is required for a successful and complete erection. Stimulation of the penile shaft by the nervous system leads to the secretion of nitric oxide (NO), which causes the relaxation of smooth muscles of corpora cavernosa (the main erectile tissue of penis), and subsequently penile erection. Additionally, adequate levels of testosterone (produced by the testes) and an intact pituitary gland are required for the development of a healthy erectile system. As can be understood from the mechanisms of a normal erection, impotence may develop due to hormonal deficiency, disorders of the neural system, lack of adequate penile blood supply or psychological problems. Restriction of blood flow can arise from impaired endothelial function due to the usual causes associated with coronary artery disease, but can also be caused by prolonged exposure to bright light. Sildenafil is available as oral tablets at doses of 25, 50, and 100 mg. It should be taken approximately one hour before sexual activity. In some men, the onset of action of the drug may be as early as 11-20 minutes. Sildenafil should be taken on an empty stomach for best results since absorption and effectiveness of sildenafil can be diminished if it is taken shortly after a meal, particularly a meal that is high in fat. There are no formal tests to diagnose erectile dysfunction. Some blood tests are generally done to exclude underlying disease, such as hypogonadism and prolactinoma. Diabetes is considered a disorder, but is also a risk. Impotence is also related to generally poor physical health, poor dietary habits, obesity, and most specifically cardiovascular disease such as coronary artery disease and peripheral vascular disease. cheap viagra online in usa buy viagra online
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Order cialis in canada Order cialis in canada What Causes Male Sexual Problems? Physical causes: Many physical and/or medical conditions can cause problems with sexual function. These conditions include diabetes, heart and vascular (blood vessel) disease, neurological disorders, hormonal imbalances, chronic diseases such as kidney or liver failure, and alcoholism and drug abuse. In addition, the side effects of certain medications, including some antidepressant drugs, can affect sexual desire and function.
Written by Carie Ferg
When people ask me what I do for a living and I explain DOLLS magazine, non-collectors don’t get it. Their immediate assumption is either the magazine is about the type of playthings seen at big box stores … or at most, they imagine cheap and trinket-y porcelain dolls that can be found at dollar stores across the country. But they don’t realize that dolls are art.
In my mind, dollmakers are the most talented artists in the world. As I took in all the three-dimensional masterpieces at a show I recently attended, I was once again reminded of this sentiment. Think about it. Their talent is multi-faceted. Many doll artists not only sculpt, but also paint, costume, engineer and more. To be an artist who can successfully sing so many notes, is no small feat.
So it is ironic to me that beyond the niche doll-collecting audience, dolls aren’t really recognized as art by mainstream audiences. And I feel that art connoisseurs— patrons of paintings, glasswork, sculpture and more—are missing out on the greatest art of all … doll art. Perhaps as doll lovers, it is our responsibility to educate every chance we get to share the joy of what we all love to a larger audience, and in so doing, keep doll collecting alive and strong.