Erectile dysfunction is a very common problem for men with diabetes. The incidence of erectile dysfunction increases with age, of 5% in the group of men of 20 years and up to 75% of men older than 65 years. The cause of erectile dysfunction in men with diabetes often lies in the lack of blood that passes to the penis, as well as the deterioration of the nerves responsible for the erectile mechanism. The fall in testosterone levels also refers to the causes of impotence that can be observed in men with diabetes.

From 1998 when sildenafil (with international name Viagra, Kamagra, etc.) first appeared in pharmacies, many men with diabetes obtained an effective therapy for erectile dysfunction. A little later they were invented such pills as tadalafil (Cialis) and vardenafil (Levitra). Approximately 50% of men with type 1 diabetes improved their sexual function by ingesting the invigorating ones, while the same effect was achieved by approximately 60% of patients with type 2 diabetes. However, there is still a large percentage of patients with diabetes and erectile dysfunction that they have no effect with tadalafil, vardenafil, sildenafil or Kamagra. Here we will analyze the cases when the sexual enhancers are without any effect.

Why Kamagra does not work?

There are several reasons why the paceintes do not achieve the desired effect when ingesting impotence pills. In some cases men have serious side effects that suppress all the action of sexual enhancers. The possible side effects are headache, flushing of the face, nasal congestion and visual disturbances. In 2007, the FDA warned that the use of sildenafil can cause sudden hearing loss. There are still no reliable data that can prove such a warning, but there are several reports of patients who have suffered a temporary hearing loss a few hours or days after the drug was ingested.
Another cause why Kamagra does not work is due to lack of excitement and sexual stimulation before trying to have sex. Sildenafil provides an erection promoting a strong blood circulation in the penis. That’s why Kamagra does not work as an aphrodisiac. One being depressed or not wanting to love can never get an erection.

Another reason why Kamagra does not work is the consumption of high-fat foods before or during the administration of the medication. The fat decreases the absorption of the drug in the stomach.

The ability to achieve and maintain an erection can also be affected by very different factors, including fear of sexual activity after a long-term abstinence, fear of side effects, as well as other psychological problems such as feeling guilty or certain religious aspects.

In most of the cases that we have already mentioned here, a consultation between the doctor and the couples can help to achieve the desired success. Men who experience very serious side effects, can not take sildenafil for several reasons (for example, they already receive nitroglycerin treatment) or simply have no effect, they can go to a lot of different alternatives.

Why is it so important to take Kamagra properly?

For Kamagra to work properly, it needs to be managed correctly. So you have to take it 30-45 minutes before sexual contact. Try to take Kamagra on an empty stomach without eating high-fat foods. It also requires the stimulation of the sexual organs before sexual activity. Few amounts of alcohol (1 or 2 glasses of wine) do not harm the activity of the drug, but the abuse of alcoholic beverages can worsen the situation.

The patient should test the sexual enhancer at least 4 times in order to determine if it works or does not have any effect.

It is also possible that a man with diabetes has other collateral diseases such as hypertension. Such a group of patients often face many problems when taking sildenafil for the first time. Most of these patients need to take the drug several times to get the necessary effect.

Some doctors prefer to start treatment with the minimum doses so that it is possible to increase it if such a need arises. On the other hand, other doctors prescribe the maximum dose and then lower it if the fever has side effects. In both cases it is necessary for the patient to inform his doctor how each particular dose works.

For some men, the daily use of small doses of such a medication can improve the blood circulation in the penis which favors healthy and natural erections.

If Kamagra has no effect, the doctor may prescribe another remedy or invasive therapy. When a method is inconvenient, others often look more appropriate.

Low testosterone

Before the patient decides that Kamagra has no effect, he must measure his testosterone level to determine if the hormonal background is responsible for his erectile dysfunction. The symptoms of low testosterone are low sexual desire and infertility. In the case of lack of testosterone the doctor can indicate the appropriate treatment. In some cases the rise of testosterone helps combat erectile dysfunction. It can also be combined with impotence pills.

Combined treatment

The efficacy of the combination therapy has been proven by some patients when treatment with sildenafil was not very effective. The use of preparations with different mechanisms of action provide the best result. In general, sildenafil is used in combination with alprostadil suppositories that are inserted into the urethra. Alprostadil also improve blood circulation in the penis, but in a different way.

Alprostadil can also be injected directly into the penis. For this purpose a syringe with a very fine needle is used for the pain and the unpleasant sensations are completely excluded. Penile injections can be used with erectile dysfunction pills.

The combined treatment also involves the use of pills with a vacuum pump. Such a pump promotes blood flow to the penis mechanically.

Surgeries

A surgery is an option that will be applied only when other methods do not have any effect. This is how a prosthesis or penile implant is inserted.

Emotional aspect

Regardless of the causes erectile dysfunction can cause stress and other emotional reactions. Often such problems between couples arise when one is emotionally withdrawn or when they do not talk about this problem. Relationships may recover after a certain period.

Psychological counseling can help many men or couples, even if the causes of erectile dysfunction are physiological. A psychologist can help discuss the problem without embarrassment and arrive at realistic expectations about sex.

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