Some people experience symptoms of erectile dysfunction and think of consuming Viagra. Viagra is the market name of a substance called Sildenafil, which is used for the correction of erectile dysfunction. It creates hypertension in the blood vessels, enabling you to get an enhanced erection. Viagra is quite useful for boosting your sexual performance. However, you may experience several side effects on your health. Before deciding on using a pack of Viagra, it is advised to consult a doctor to know the exact dosage that would work for you.

Dosages

1. 50 mg is the recommended dosage for men in general. The dose can be sometimes increased up to 100 mg. It depends on tolerance and effectiveness. The dose may also be decreased to 25 mg in some cases. It is also advised not to take Viagra more than once a day. The dosage will have to be altered if you take other prescribed medicines.

2. Viagra single packs are also prescribed by doctors. Single packs are available in dosages of 25, 50 and 100 mg.

When should you avoid viagra?

Viagra should be avoided in some cases. 

These include the following:

1. In case you take prescribed nitrates for chest pain or pulmonary disorder, your doctor would advise you not to use Viagra due as it increases the risk of high blood pressure, which can be quite disastrous for your health.

2. Many people are allergic to sildenafil, which is a substance present in Viagra.

Side effects of consuming viagra

Viagra causes several serious side effects on the body. Therefore, it is very important to take a doctor s advice and know about the different adversities. The most common side effects include the following:

1. Priapism: This is a condition where your erection lasts for about four hours or longer and does not end. Permanent damage to the penis is indicated if this condition is not treated.

2. Loss of vision and hearing impairment: Viagra may cause Non-arteritic Anterior Ischemic Optic Neuropathy (NAION). This disorder may lead to loss of vision in one or both the eyes. Tinnitus or hearing impairment is another condition, which may occur as a side effect of consuming Viagra.

You should always consult a doctor before you decide to take as he would know best about the dosage required by your body. He will also advise you about an ideal method of usage.

Should You Get Doctor's Advice Before Taking Viagra?

You must be aware that while emotional intimacy is highly required for a healthy relationship, physical intimacy is equally important. And, to keep things exciting and satisfying for both the partners trying out several sex positions could be the key.

If you are looking for ways to stimulate your woman to achieve orgasm and ensure pleasurable intercourse moments, mission in-her-possible, a variant of the popular missionary position, can be a good option to try. Understand the intricacies involved with this position by reading further.

What it has to offer to the women?
Women who face difficulties in having an orgasm very often can find this particular sex positions, especially known for its stimulation, is an ideal position to try. Offering the perfect clitoris and G-spot stimulation in its every thrust, it can be one of the best sex positions that can give a woman that perfect long elusive taste of pleasure when a man presses his pelvis against her clitoris. With one leg placing up in the air and one leg placing on the bed, it lets women feel the pleasure of sex and stimulation like never before.

Why will men love it too?
Men who often feel self-conscious and worried about not being able to make their partners achieve an orgasm or stimulate properly, this position can take away all their worries. Though it may demand a bit of endurance from the men's side as they have to lean forward, relying upon the resting leg of women for further guidance and support, and also a certain penis size, still, considering the results, trying this position is worth all the efforts.

Some quick facts about the position

Numbered as 13, mission in-her-possible is for specifically experienced couples. Yes, considering the difficulty levels of it, sexologists recommend it to those who have previous experience in trying various sex positions. 
It doesn t require much of stretching, despite appearing to be so. While the level of pleasure, acquired from this position, can be low for men but as far as women are concerned, pleasure level it provides is high. 
The position may not be very suitable for men with a small penis and for the women who experience pain during intercourse. Men with a penis size of 7 inches or more may be perfectly suitable for this position. 
The requirement of both stamina and flexibility for this position is medium and the pleasure quotient is high.
Remember, whenever trying this particular sex position, both the man and the woman must feel comfortable with each other. Trying  mission in-her-possible' indeed helps in improving the chances of women having an orgasm, but it is only possible when the interest of trying it develops in both the partners, participating in the sexual act.

Sex Position: Mission In-Her Possible!

How too much sugar can adversely affect your sex life

Sugar is an important source of calories in the body as it can provide immediate energy to the body after consumption. Sugar being a simple carbohydrate is digested quickly and released into the bloodstream to be used as energy. However, too much sugar in the bloodstream at once can cause a host of disorders in the body including affecting one's sex life. Outlined below are the ways how sugar adversely affects sex life-

1. Impairs the gene that regulates sex hormones

Glucose and fructose are synthesized in the liver, where the excess is converted into fat. When fat synthesis rate goes up in the body, it affects SHBG (sex hormone binding globulin) gene in the body. This gene is responsible for regulating the levels of testosterone and estrogen in the body. Hence, in this case, the affected person becomes highly susceptible to infertility.

2. Lowers testosterone levels

Indulging in a diet that consists of too much sugar affects insulin resistance. Due to this, testosterone levels drop in both men and women. This causes disorders related to sexual function such as erectile dysfunction and also reduces sex drive.

3. Fatigue and reduced energy levels

Foods high in sugar cause temporary spikes in blood sugar which in turn results in fatigue, thus reducing sex drive. It also decreases levels of Orexin, a neurotransmitter that regulates feelings of arousal in the body, causing fatigue and lethargy.

4. Increases stress

Increased stress levels as a result of sugar consumption occur when high insulin levels cause the body to produce cortisol, a stress hormone. Too much cortisol in the body decreases libido



How too much sugar can adversely affect your sex life

All you need to know about Premature Ejaculation

Many of the sexual issues are primarily not big problems. However, because of the taboo and inhibition around them, they are not discussed openly, hence they also fail to get resolved and become bigger. In fact most of the times there are no visible symptoms of any functional problems. Many of them are very basic issues and because of ignorance, myths, and social taboos lead to development of anxieties, distress and further worsening of the problem.

Often men are concerned about their performance in bed with their partner. They worry about- how best then can do, masturbation habits, size of penis and sperm quality. 

Consequences of Premature ejaculation (PE): 
Both you and your partner may end up experiencing highly unsatisfactory sex. In fact, it can significantly increase anxiety, which may deteriorate the problem. 

PE is one such sexual issue. It's not a disease; Not at all..!! 
If a person is sexually fit and experiences normal erections but just fail to hold the orgasm/ discharge for reasonable time then he is suffering from premature ejaculation. It's  a very normal problem, which if managed properly it can be easily resolved.

We will discuss this PE in 4 parts covering: what it is in actual, how does it happen, how to approach to resolve this problem with behavioural methods, exercise, techniques and medical remedies present in both modern and alternative medicine. 
Let s understand the problem in this 1st part!

What is Premature Ejaculation? 

Premature (early) ejaculation also referred to as rapid ejaculation; also called as early discharge. 
PE is the most common type of sexual dysfunction in men younger than 40 years and seen across all age groups. In elderly men (>60 years) erectile dysfunction is more common. A study conducted by the Journal of Sexual Medicine revealed that this condition is almost equally prevalent in sexually active men of all age groups. 
If a man experiences uncontrollable ejaculation (discharge of semen from your penis) either before or shortly after sexual penetration (usually within 1-2 minutes of penetration), he may be suffering from PE. The Mayo clinic at the United States defines PE as a condition in which  a man  always or nearly always ejaculates within one minute of penetration."

Instances of PE:
An occasional instance of premature ejaculation might not be cause of concern, but, if the problem occurs more than 50% of attempted sexual relations signifies existence of abnormal pattern for which treatment is required.

Premature ejaculation takes place with negligible sexual stimulation and even before the desire 
to ejaculate. Another way of describing PE by most therapist or clinicians is the occurrence of ejaculation sooner during sexual intercourse than he or his partner would like. 

This broad definition thus avoids specifying a precise  normal  duration for sexual activity and reaching a climax. The duration of sexual activity is highly variable and depends on various factors specific to each individual. Take a situation, a male may reach orgasm after 7 to 8 minutes of sexual intercourse, but if his partner is able to achieve climax mostly in 5 minutes and both are satisfied with this timing, then this is not defined as PE. 

Alternatively, a male might delay his ejaculation for up to 15- 20 minutes of sexual intercourse, but if his partner, even with foreplay, requires 25-30 minutes of total sexual activity before reaching climax, he may still consider his ejaculation premature because his partner has not been satisfied (at least, not through intercourse). But in routine practice this kind of situation is NOT called as PE. So every individual and every couple is unique. Same individual may have different sexual behaviour with different partners and different circumstances. Varied situations and varied places of performing the act have a vital role to play in determining the outcomes of individual sexual performance/s.



Knowing Premature Ejaculation - PART 1: Understanding What is PE

In today's time there are various factors, which affects our relation with our partner and among such factors is low libido. Low libido or a decreased sexual activity can affect a relationship in a big way. In some extreme cases, the impact is such that it leads to irreconcilable marital discords. Time and again, an individual, irrespective of their age, sex or occupation can go through periods of low libido. Decreased sexual desire over a longer period of time needs thorough investigation. It could be an indication of something big and serious lying ahead. 
7 critical factors that attribute to low libido: 

1. Hormonal imbalance: women, mostly menopausal and postmenopausal, experience low libido. This is because during menopause, there is a significant drop in the oestrogen level. Reduced oestrogen level can have a huge impact on sexual desires and performance. It can also make the vagina dry, resulting in painful penetration and intercourse. Hormonal imbalance or changes during pregnancy can also result in low libido in females. In males, low libido has been found to be associated with decreased levels of testosterone. 

2. Stress: an individual's mental and emotional state is greatly reflected in their sexual performance. A sound mental health can enhance a performance thousand folds. On the contrary, factors like depression, anxiety and stress, lowers the sexual desires in a person. To enjoy a healthy and normal sexual life, it is important to keep stress and chronically blue moods at bay.

3. Sound sleep to the rescue: the benefits of a sound sleep are beyond imagination. A good 6 - 8 hours of sleep can do your sexual desires or libido a world of good. A sleep deprived soul will be agitated and cranky, both on and off the bed. Continuous sleep deprivation can also lower the testosterone level, resulting in low libido.

4. Medical condition: medical conditions like diabetes, cardiac problems, high blood pressure, or ailments of the coronary artery can rupture an individual's sexual life immensely. Improper functioning of the thyroid glands is another factor contributing to low libido. In such cases, it is best to consult a physician at the earliest. Rest legs syndrome can also contribute to low libido. It is a condition whereby, a male experience an uncontrollable urge to move his legs.

5. Smoking: a killer habit, which affects a person's sexual activity is smoking. Drug abuse and drinking (to some extent) can be equally responsible for a low libido.

6. Change in weight: a sudden change in body weight (gain or loss) can play a significant role in low libido. Take pride in your body structure. There is nothing to be ashamed of.

7. Take a break: boredom can mask your sexual life greatly. Break the monotony, take short breaks, go on vacations and low libido will be a thing of the past.

7 Things That Might Be Causing Your Low Libido

Contraceptives are generally drugs and devices, which are used to prevent pregnancy. A large number of contraceptives are available which allow the couple to enjoy sex without running the risk of unwanted pregnancies. The general categories of contraceptives are explained below:

Barrier Methods:
i. Male Condom: It is one of the most common forms of contraception. They are worn on the penis before sex is initiated. For safety purpose, a new condom should be used every time the person has sex.

ii. Female Condom: Much like male condoms, these are available at over-the-counter pharmacies without prescription. The condoms can be inserted to the vagina anytime within a period of 8 hours prior to sex.

iii. Diaphragm: This should be coated with a spermicide before sex and placed inside a woman's vagina so that the sperms are prevented from entering the uterus.

iv. Cervical Cap: These are used as replacements for diaphragms because some women may develop bladder infections such as cystitis while using it and these caps have lesser contact with the vagina.

Hormonal Methods:
The main implementation of hormonal changes to provide contraception is the pill. This is the most common form of female contraception available. It comes in two forms:
i. Combined contraceptive pill: Contains a combination of hormones such as progestin and oestrogen.
ii. Mini-pill: Contains only progestin: It is available only with the prescription of the doctor and should be used as per the prescription.

Intrauterine Devices
The intrauterine device (IUD) is a long-acting and reversible form of contraception for women. It is of two types: Copper IUD (contains copper) and Hormone-releasing IUDs (progestin hormone is released into the womb slowly). It is a small device that is fitted inside the womb and it provides contraception by facilitating the prevention of fertilization of the egg.

Sterilization
This is a lifelong option that is available for both men and women. In males, the procedure is known as vasectomy which basically ties and cuts off the tubes that carry the sperm.

In women, two forms of sterilization are available; surgical and non-surgical. Surgically, the fallopian tubes are cut and tied using small cuts in the belly so that the ovaries and uterus are not linked. Non-surgically, coils are inserted into the fallopian tubes so the resultant development of scars leads to complete blockage of the tubes.

Other forms of contraceptives include contraceptive patches, vaginal rings, contraceptive injections, spermicides and contraceptive implants.

Different Types of Contraceptives and Its Uses

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