Viyagra

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. There’s the chemistry that piques your interest (or doesn’t). There are the distractions like kids, pets and dirty dishes piled up in the sink. There’s stress. Tiredness. Concerns about our sex drive and sexual performance are extremely common. Ob/Gyn If you’re nodding along, Dr. Zanotti reassures you that there’s nothing wrong with you. Sex is much more complex than a Hollywood rom-com would have you believe. TV, movies and pharmaceutical commercials might also have you thinking there’s a little blue pill that solves it all. And it’s tempting to want that one cure-all for the things that can get in the way of magic between the sheets. But is We talked with Dr. Zanotti about sex drive, sexual performance and the little blue pill. Sexual performance vs. sex drive Sexual desire is a matter of your mind and your environment. Performance during sex is a physical action, Dr. Zanotti clarifies. Let’s break that down more. Sexual performance refers to all the physical things that happen during sex. That’s the stuff like muscle tension, blood flow, lubrication and the like. The build-up to a sexual encounter and sexual act (whether with a partner or through The phases don’t necessarily happen in order and aren’t always present in every encounter. But in most cases, it starts with the building of excitement and phy...

Viagra is the trade name of a drug called sildenafil, which treats erectile dysfunction in males. Sildenafil About The Food and Drug Administration (FDA) have approved two drugs — flibanserin (Addyi) and bremelanotide (Vyleesi) — to address low desire or arousal in females. However, both are approved for use only in people who have not yet entered menopause. This article describes the FDA-approved medications, including how they work and the possible side effects. It also explores alternative approaches. Share on Pinterest Siriporn Kaenseeya/EyeEm/Getty Images The FDA has approved two drugs to address FSIAD: Vyleesi (bremelanotide) The FDA states that this medication can treat FSIAD in premenopausal females. A person injects it into their thigh or stomach Addyi (filbanserin) Addyi was the first drug approved to treat FSIAD. Like Vyleesi, Addyi is designed for premenopausal people, but it comes as pills, not an injection A person takes this drug daily before bed, even if they do not intend to have sex that day. It can take up to Comparison table The table below compares Vyleesi and Addyi: Drug name Form Active ingredient Dose When it takes effect Side effects Vyleesi injection bremelanotide A person has the injection • nausea • flushing • injection site reaction • headache • vomiting Addyi pill flibanserin A person takes it daily before bedtime. It can take up to • dizziness • nausea • tiredness • difficulty falling asleep • dry mouth Viagra is Usually, after sexual stimula...

Viagra works in response to sexual stimulation to increase the blood flow to the penis leading to an erection. Viagra does not result in an erection without sexual stimulation. When a man is aroused, muscles in the penis relax to allow this greater blood flow. Viagra helps to elevate the levels of a substance (cyclic guanosine monophosphate, or cGMP) that causes the tissues to relax, leads to an inflow of blood, and causes an erection with sexual stimulation. See also: To understand how Viagra works we need to understand how an erection comes about. Nitric Oxide (NO) is released with sexual stimulation from nerve endings and endothelial cells in the corpus cavernosum of the penis. An enzyme then converts guanosine triphosphate (GTP) into cyclic guanosine monophosphate (cGMP). cGMP causes the smooth muscle of the penis to relax, which causes an inflow of blood which then leads to an erection. cGMP is then hydrolysed back to the inactive GMP by phosphodiesteras type 5 (PDE5). Men who suffer from erectile dysfunction often produce too little amounts of NO. This means that the small amount of cGMP they produce is broken down at the same rate and therefore doesn't have the time to accumulate and cause a prolonged vasodilation effect. Sildenafil (Viagra) works by inhibiting the enzyme PDE5. This means that cGMP is not hydrolysed as fast and this allows the smooth muscle to relax. Sildenafil is a potent and highly selective inhibitor of PDE5. These meds only work when sexually ar...